Abstract:
:Although most female veterans treated in specialized intensive Veterans Health Administration (VHA) posttraumatic stress disorder (PTSD) programs receive services in settings in which over 95% of participants are men, two programs include only women. Whether outcomes for women with PTSD are superior in women-only programs has not been evaluated. National program evaluation data on 1,357 women veterans from 57 sites were collected at program entry and 4 months after discharge. With adjustment for differences in baseline characteristics, outcomes of women in two women-only programs (n = 469) were compared with those from 55 mixed-gender programs (n = 888), using mixed models with random effect for site. The primary outcome was total PTSD symptom level, with supplementary information on PTSD assessment subscales, substance use, and other outcomes. At program entry, female veterans in women-only programs had lower scores on measures of total PTSD symptoms, p = .013, d = -0.24, and on several subscales. Adjusting for these differences, there were no significant differences between program types in terms of PTSD total score or scores on secondary measures. In women-only programs, veterans had longer lengths of stay and were rated by their clinicians to have a higher level of commitment to therapy at discharge. Thus, women-only programs did not show superior outcomes; however, compared to participants in mixed-gender programs, those in women-only programs had longer lengths of stay, higher levels of commitment to therapy, and were more likely to participate in posttreatment outcome assessments following discharge. :Spanish Abstracts by Asociación Chilena de Estrés Traumático (ACET) La comparación entre el tratamiento intensivo del trastorno de estrés postraumático para mujeres solamente o de género mixto para mujeres veteranas PROGRAMAS TEPT PARA MUJERES SOLAMENTE O MIXTOS (Pg 1) PROGRAMAS DE TEPT SEVERO SOLO PARA MUJERES (Pg 2) Aunque la mayoría de las mujeres veteranas tratadas en programas intensivos de la Administración de Salud de los Veteranos (VHA en su sigla en inglés) para el trastorno del estrés postraumático (TEPT), reciben servicios en contextos en los cuales 95% de los participantes son hombres, dos programas incluyen solo mujeres. No se ha evaluado si los resultados para las mujeres con TEPT son superiores en los programas solamente para mujeres. Los datos de una evaluación nacional del programa en 1,357 mujeres veteranas pertenecientes a 57 lugares fueron recolectados al inicio y luego de 4 meses del alta. Al ajustar las diferencias en las características de la línea base, los resultados de las mujeres en dos programas solo para mujeres (n = 469) fueron comparados con aquellos de los 55 programas con género mixtos (n = 888), usando modelos mixtos con efecto aleatorio por sitio. El resultado principal fue el nivel total de la sintomatología TEPT, con información suplementaria en las subescalas de evaluación del TEPT, uso de sustancias, y otros resultados. Al inicio del programa, las veteranas mujeres tenían puntajes más bajos en las medidas del total de los síntomas del TEPT, p = .013, d = -0.24, y en varias subescalas. Al ajustar estas diferencias, no hubo diferencias significativas entre los tipos de programas en términos del puntaje total del TEPT o los puntajes en las medidas secundarias. En los programas solo para mujeres, las veteranas permanecieron por más tiempo y fueron evaluadas por sus terapeutas como teniendo un más alto nivel de compromiso con la terapia al momento del alta. Así, los programas con solo mujeres no mostraron resultados superiores; sin embargo, comparados a los participantes en los programas con género mixtos, aquellos programas con mujeres solamente tuvieron mayor permanencia, más altos niveles de compromiso con la terapia, y fueron más propensas a participar en las evaluaciones de los resultados posterior al tratamiento luego del alta. :Traditional and Simplified Chinese Abstracts by the Asian Society for Traumatic Stress Studies (AsianSTSS) 簡體及繁體中文撮要由亞洲創傷心理研究學會翻譯 Comparison between Women-Only and Mixed-Gender Intensive Posttraumatic Stress Disorder (PTSD) Treatment for Female Veterans Traditional Chinese 標題: 比較退役女軍人接受專屬女性或男女混合的創傷後壓力症(PTSD)密集式治療計劃的效果 撮要: 大多數於美國退伍軍人健康管理局(VHA)接受創傷後壓力症(PTSD)專科密集式治療計劃的退役女軍人, 都於有超過95%男性參與者的環境下進行療程。不過, 當局有兩項計劃專屬女性參與。過往未有研究檢視在專屬女性參與的計劃接受治療的PTSD女患者, 是否會取得較好療效。我們於57個地點收集全國性計劃評核數據, 樣本為1,357名退役女軍人。我們分別於患者加入計劃時及完成療程4個月後收集數據。因應基線特徵差異作調整;採用混合模型、隨機地點, 比較參與兩個專屬女性的治療計劃的樣本療效(n = 469), 及參與55個男女混合治療計劃的樣本療效(n = 888)。研究主要檢視的結果為整體PTSD症狀水平, 其他檢視的補充資料為PTSD評估子量表、藥物使用和其他療效。在樣本初加入計劃時, 於專屬女性計劃的樣本的整體PTSD症狀分數(p = .013, d = -0.24)及數個子量表分數都較低。我們對此差異作調整後, 發現不同的計劃類型其所得的整體PTSD症狀分數或子測量的分數並無顯著差異。專屬女性計劃的樣本留院治療的時間較長, 並在出院時獲治療師評價為較投入治療。因此, 參與專屬女性的治療計劃並無反映會取得更好療效。然而, 與參與男女混合治療計劃的樣本相比, 專屬女性計劃裡的樣本留院治療的時間較長、較投入治療, 並較大機會在完成療程後接受療效評估。 Simplified Chinese 标题: 比较退役女军人接受专属女性或男女混合的创伤后压力症(PTSD)密集式治疗计划的效果 撮要: 大多数于美国退伍军人健康管理局(VHA)接受创伤后压力症(PTSD)专科密集式治疗计划的退役女军人, 都于有超过95%男性参与者的环境下进行疗程。不过, 当局有两项计划专属女性参与。过往未有研究检视在专属女性参与的计划接受治疗的PTSD女患者, 是否会取得较好疗效。我们于57个地点收集全国性计划评核数据, 样本为1,357名退役女军人。我们分别于患者加入计划时及完成疗程4个月后收集数据。因应基线特征差异作调整;采用混合模型、随机地点, 比较参与两个专属女性的治疗计划的样本疗效(n = 469), 及参与55个男女混合治疗计划的样本疗效(n = 888)。研究主要检视的结果为整体PTSD症状水平, 其他检视的补充数据为PTSD评估子量表、药物使用和其他疗效。在样本初加入计划时, 于专属女性计划的样本的整体PTSD症状分数(p = .013, d = -0.24)及数个子量表分数都较低。我们对此差异作调整后, 发现不同的计划类型其所得的整体PTSD症状分数或子测量的分数并无显著差异。专属女性计划的样本留院治疗的时间较长, 并在出院时获治疗师评价为较投入治疗。因此, 参与专属女性的治疗计划并无反映会取得更好疗效。然而, 与参与男女混合治疗计划的样本相比, 专属女性计划里的样本留院治疗的时间较长、较投入治疗, 并较大机会在完成疗程后接受疗效评估。.
journal_name
J Trauma Stressjournal_title
Journal of traumatic stressauthors
Stefanovics EA,Rosenheck RAdoi
10.1002/jts.22417subject
Has Abstractpub_date
2019-08-01 00:00:00pages
606-615issue
4eissn
0894-9867issn
1573-6598journal_volume
32pub_type
杂志文章,多中心研究abstract::This article provides an overview of the use of the Internet for conducting studies after terrorist attacks and other large-scale disasters. We begin with a brief summary of the scientific and logistical challenges of conducting such research, followed by a description of some of the most important design features tha...
journal_title:Journal of traumatic stress
pub_type: 杂志文章,评审
doi:10.1002/jts.20110
更新日期:2006-04-01 00:00:00
abstract::Investigating dynamic associations between specific negative emotions and PTSD symptom clusters may provide novel insights into the ways in which PTSD symptoms interact with, emerge from, or are reinforced by negative emotions. The present study estimated the associations among negative emotions and the four DSM-5 PTS...
journal_title:Journal of traumatic stress
pub_type: 杂志文章
doi:10.1002/jts.22433
更新日期:2020-02-01 00:00:00
abstract::To assess the level of posttraumatic stress disorder (PTSD) symptoms among Bosnian war refugees, a consecutive cohort of 206 Bosnian refugees, arriving in Sweden in 1993, was screened for PTSD using a modified version of the self-report instrument PTSS-10. A comparison group of 387 visitors to seven Swedish health cen...
journal_title:Journal of traumatic stress
pub_type: 杂志文章
doi:10.1023/A:1024758718971
更新日期:1999-01-01 00:00:00
abstract::Posttraumatic stress disorder (PTSD) is associated with inhibitory control dysfunction that extends beyond difficulties inhibiting trauma-related intrusions. Inhibitory learning has been proposed as a potential mechanism of change underlying the effectiveness of extinction-based therapies such as prolonged exposure (P...
journal_title:Journal of traumatic stress
pub_type: 杂志文章
doi:10.1002/jts.22461
更新日期:2020-08-01 00:00:00
abstract::The Posttraumatic Stress Disorder Checklist (PCL) is a widely used DSM-correspondent self-report measure of PTSD symptoms. The PCL was recently revised to reflect DSM-5 changes to the PTSD criteria. In this article, the authors describe the development and initial psychometric evaluation of the PCL for DSM-5 (PCL-5). ...
journal_title:Journal of traumatic stress
pub_type: 杂志文章
doi:10.1002/jts.22059
更新日期:2015-12-01 00:00:00
abstract::Research indicates that posttraumatic stress disorder (PTSD) is associated with high rates of comorbid psychiatric diagnoses. Yet, it remains unknown whether PTSD is associated with greater comorbidity relative to patients with other anxiety disorders. This study examined prevalence of comorbid anxiety disorders with ...
journal_title:Journal of traumatic stress
pub_type: 杂志文章
doi:10.1023/A:1014379127240
更新日期:2002-02-01 00:00:00
abstract::This study uses Cox regression with time-varying covariates to examine the relationship between intimate partner violence and posttraumatic stress disorder (PTSD) in a random sample of Japanese American women and immigrant women from Japan (N = 211). Because applications of survival analysis in trauma research are sca...
journal_title:Journal of traumatic stress
pub_type: 杂志文章
doi:10.1023/A:1024418119254
更新日期:2003-08-01 00:00:00
abstract::The diagnosis of posttraumatic stress disorder has been criticized on numerous grounds, but principally for three reasons (a) the alleged pathologizing of normal events, (b) the inadequacy of Criterion A, and (c) symptom overlap with other disorders. The authors review these problems along with arguments why the diagn...
journal_title:Journal of traumatic stress
pub_type: 杂志文章
doi:10.1002/jts.20443
更新日期:2009-10-01 00:00:00
abstract::Although research has confirmed that violent losses can exacerbate grief reactions, few investigations have explored underlying mechanisms. In this study, the authors used a dataset on bereaved spouses and bereaved parents at 4- and 18-months postloss to examine the mediating effects of self-worth and worldviews (bene...
journal_title:Journal of traumatic stress
pub_type: 杂志文章
doi:10.1002/jts.20597
更新日期:2011-02-01 00:00:00
abstract::Although forced migration research on refugee family functioning clearly points to the potential breakdown of parental availability and responsiveness in the context of cumulative migration stressors, studies exploring attachment security in refugee children are surprisingly lacking so far. The authors report their fi...
journal_title:Journal of traumatic stress
pub_type: 杂志文章
doi:10.1002/jts.21820
更新日期:2013-06-01 00:00:00
abstract::Research has shown that developing a Train-the-Trainers (TTT) program is important if agencies are to implement guidelines, but the most effective way to deliver a TTT program remains unanswered. This article presents data from a 3-round Internet-based Delphi process, which was used to help develop consensus-based gui...
journal_title:Journal of traumatic stress
pub_type: 杂志文章
doi:10.1002/jts.21705
更新日期:2012-06-01 00:00:00
abstract::Previous reports have shown improvements in mood and increases in endocannabinoids in healthy adults following a session of aerobic exercise, but it is unclear whether adults with posttraumatic stress disorder (PTSD) experience similar responses. The purpose of this study was to examine psychobiological responses (pla...
journal_title:Journal of traumatic stress
pub_type: 杂志文章
doi:10.1002/jts.22253
更新日期:2018-02-01 00:00:00
abstract::Military combat often presents service members with a dual burden of coping with traumas of various types while also grappling with the deaths of close personal friends. At present, much less is known about the effects of bereavement in the context of war compared to other combat-related stressors. Studying a sample o...
journal_title:Journal of traumatic stress
pub_type: 杂志文章
doi:10.1002/jts.21655
更新日期:2012-02-01 00:00:00
abstract::This study examines the contribution of prewar life events, war exposure, and postwar life events to combat-induced psychopathology among 425 Israeli War veterans from the Lebanon War. Data was collected at two time points (1983 and 2002). The sample included veterans with and without combat stress reaction (CSR). Bat...
journal_title:Journal of traumatic stress
pub_type: 杂志文章
doi:10.1002/jts.20340
更新日期:2008-06-01 00:00:00
abstract::Sexual victimization, including sexual harassment and assault, remains a persistent problem in the U.S. military. Service members identifying as lesbian, gay, bisexual, or transgender (LGBT) may face enhanced risk, but existing research is limited. We examined experiences of sexual harassment, stalking, and sexual ass...
journal_title:Journal of traumatic stress
pub_type: 杂志文章
doi:10.1002/jts.22506
更新日期:2020-06-01 00:00:00
abstract::An implementation study of cognitive-behavioral therapies (CBT) was conducted for traumatized youth in a postdisaster context. Headed by the New York State Office of Mental Health, the study targeted youth (N = 306) ages 5-21 affected by the World Trade Center disaster. They received either trauma-specific CBT or brie...
journal_title:Journal of traumatic stress
pub_type: 杂志文章
doi:10.1002/jts.20594
更新日期:2010-12-01 00:00:00
abstract::Loss is a commonly experienced traumatic event among children. Although the experience of loss can potentially lead to posttraumatic stress symptoms (PTSS), little is known about PTSS levels after traumatic loss versus other traumatic events. We investigated data from a randomized controlled trial (RCT) on trauma-focu...
journal_title:Journal of traumatic stress
pub_type: 杂志文章
doi:10.1002/jts.22499
更新日期:2020-06-01 00:00:00
abstract::Among active duty service members, posttraumatic stress disorder (PTSD) diagnoses have increased dramatically since 2000. Because psychiatric comorbidity is more common for PTSD than for other mental health disorders, we examined the prevalence estimates of disorders comorbid or trimorbid with PTSD in this study. The ...
journal_title:Journal of traumatic stress
pub_type: 杂志文章
doi:10.1002/jts.22337
更新日期:2018-12-01 00:00:00
abstract::H. Keilson (1979) coined the term "sequential traumatization" for the accumulation of traumatic stresses confronting the Holocaust survivors before, during, and after the war. A central question is whether survivors were able to raise their children without transmitting the traumas of their past. Through a series of m...
journal_title:Journal of traumatic stress
pub_type: 杂志文章,meta分析
doi:10.1023/A:1025706427300
更新日期:2003-10-01 00:00:00
abstract::Compelling evidence has emerged on the association between military sexual trauma and suicide attempt; however, research investigating how sexual trauma during deployment relates to suicidal ideation has received considerably less attention and has yielded mixed findings. Furthermore, such research has not accounted f...
journal_title:Journal of traumatic stress
pub_type: 杂志文章
doi:10.1002/jts.22018
更新日期:2015-08-01 00:00:00
abstract::This paper reviews epidemiological estimates of criminal victimization derived largely from nationally based studies in the United States. Origins of conflicting rates and prevalences are explained in terms of varying methodology. Risk factors for victimization, including age, race, gender, and disability, are also ou...
journal_title:Journal of traumatic stress
pub_type: 杂志文章,评审
doi:10.1023/A:1022891005388
更新日期:2003-04-01 00:00:00
abstract::Exposure to 2012's Hurricane Sandy differed by community across New York City and nearby Long Island, and the differential impact of exposure on mental health concerns must be studied to enhance resilience in vulnerable communities. We assessed the association between self-reported Hurricane Sandy exposure and subsequ...
journal_title:Journal of traumatic stress
pub_type: 杂志文章
doi:10.1002/jts.22445
更新日期:2019-10-01 00:00:00
abstract::This study examined the unique and combined relationship between mild traumatic brain injury (mTBI) and posttraumatic stress disorder (PTSD) with psychosocial functioning in a cohort of 1,312 U.S. male and female veterans of Operations Enduring Freedom (OEF) and Iraqi Freedom (OIF) enrolled in the Veterans After-Disch...
journal_title:Journal of traumatic stress
pub_type: 杂志文章
doi:10.1002/jts.22110
更新日期:2016-08-01 00:00:00
abstract::The factor structure of the World Assumptions Scale (WAS) was assessed by means of confirmatory factor analysis. The sample was comprised of 1,710 participants who had been exposed to trauma that resulted in whiplash. Four alternative models were specified and estimated using LISREL 8.72. A correlated 8-factor solutio...
journal_title:Journal of traumatic stress
pub_type: 杂志文章
doi:10.1002/jts.20203
更新日期:2007-06-01 00:00:00
abstract::Despite evidence supporting a connection between child maltreatment and self-injury, there is disagreement regarding a particular connection to sexual abuse because types of trauma exposure often co-occur. To examine these associations efficiently, we considered a sample of incarcerated juvenile females, where rates o...
journal_title:Journal of traumatic stress
pub_type: 杂志文章
doi:10.1002/jts.20699
更新日期:2011-12-01 00:00:00
abstract::We evaluated the role of the serotonin transporter gene promoter polymorphism (5-HTTLPR) in the etiology of dissociation. Adult twin pairs (N = 184 pairs; mean age 33.0 years, SD = 10.8) completed measures for dissociation and trauma. The DNA samples were genotyped for 5-HTTLPR adjusted for rs25531 alleles. Behavioral...
journal_title:Journal of traumatic stress
pub_type: 杂志文章
doi:10.1002/jts.20659
更新日期:2011-08-01 00:00:00
abstract::Research on traumatic stress has focused largely on individual risk factors. A more thorough understanding of risk factors may require investigation of the contribution of neighborhood context, such as the associations between perceived neighbourhood disorder and social cohesion with reported trauma exposure (yes/no) ...
journal_title:Journal of traumatic stress
pub_type: 杂志文章
doi:10.1002/jts.22108
更新日期:2016-08-01 00:00:00
abstract::This study examined changes in psychiatric status and use of VA mental health services after the adjudication of Department of Veterans Affairs (VA) disability claims for posttraumatic stress disorder (PTSD) in a sample of 101 veteran claimants. Hypotheses were based on the premise that the claims process may create i...
journal_title:Journal of traumatic stress
pub_type: 杂志文章
doi:10.1002/jts.20309
更新日期:2008-02-01 00:00:00
abstract::We examined the factor structure of measured posttraumatic stress disorder (PTSD) symptoms in a sample of West African civilian refugees who had fled the civil war in Sierra Leone between 2001 and 2006. Given that such war-affected populations are common but understudied in trauma research, our objective was to examin...
journal_title:Journal of traumatic stress
pub_type: 杂志文章
doi:10.1002/jts.21681
更新日期:2012-04-01 00:00:00
abstract::Despite clinical observations that many veterans have multiple sources of war-related guilt, many problematic guilt issues are commonly not treated or even detected by clinicians. We describe development of a survey that systematically assesses idiosyncratic sources of guilt across the spectrum of events that are pote...
journal_title:Journal of traumatic stress
pub_type: 杂志文章
doi:10.1023/a:1024878112553
更新日期:1997-04-01 00:00:00