A Randomized Controlled Trial of Brief Skills Training in Affective and Interpersonal Regulation (STAIR) for Veterans in Primary Care.


Journal

Journal of traumatic stress
ISSN: 1573-6598
Titre abrégé: J Trauma Stress
Pays: United States
ID NLM: 8809259

Informations de publication

Date de publication:
08 2020
Historique:
received: 03 09 2019
revised: 14 01 2020
accepted: 23 02 2020
pubmed: 9 6 2020
medline: 1 9 2021
entrez: 8 6 2020
Statut: ppublish

Résumé

This randomized controlled trial assessed the efficacy of a five-session version of Skills Training in Affective and Interpersonal Regulation (STAIR) among veterans obtaining treatment in primary care. Veterans who screened positive for either posttraumatic stress disorder (PTSD) or depression (N = 26) were enrolled and randomized into either five-session STAIR or treatment as usual (TAU). Assessments of PTSD symptoms (PTSD Checklist for DSM-5; PCL-5), depression (Beck Depression Inventory-II; BDI-II), emotion regulation (Difficulties in Emotion Regulation Scale; DERS), and social engagement difficulties (World Health Organization Disability Assessment 2.0; WHODAS-2) were assessed at pretreatment, posttreatment, and 3-month follow-up assessments. Participants assigned to the five-session STAIR condition reported significant improvements on all measures, whereas those assigned to TAU showed no change. Group × Treatment interactions were significant for all outcomes, and effect sizes for the interactions ranged from moderate to large, Hedge's gs = 0.81 for the PCL-5, 1.15 for the BDI-II, 0.75 for the DERS, and 0.81 for the WHODAS-2. The results indicate that five-session STAIR, a brief, skills-focused treatment, may be effective in reducing a range of symptoms and in improving social functioning among veterans treated in primary care settings.

Identifiants

pubmed: 32506563
doi: 10.1002/jts.22523
doi:

Types de publication

Journal Article Randomized Controlled Trial Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

401-409

Informations de copyright

© 2020 International Society for Traumatic Stress Studies.

Références

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Auteurs

Shaili Jain (S)

VA Palo Alto Health Care System, National Center for PTSD Dissemination and Training Division, VA Palo Alto Health Care System, Palo Alto, California, USA.
Department of Psychiatry and Behavioural Sciences, Stanford University, Stanford, California, USA.

Kile Ortigo (K)

VA Palo Alto Health Care System, National Center for PTSD Dissemination and Training Division, VA Palo Alto Health Care System, Palo Alto, California, USA.

Julia Gimeno (J)

VA Palo Alto Health Care System, National Center for PTSD Dissemination and Training Division, VA Palo Alto Health Care System, Palo Alto, California, USA.

Denine A Baldor (DA)

Integrated Care Team, VA Palo Alto Health Care System, Palo Alto, California, USA.

Brandon J Weiss (BJ)

VA Palo Alto Health Care System, National Center for PTSD Dissemination and Training Division, VA Palo Alto Health Care System, Palo Alto, California, USA.

Marylène Cloitre (M)

VA Palo Alto Health Care System, National Center for PTSD Dissemination and Training Division, VA Palo Alto Health Care System, Palo Alto, California, USA.
Department of Psychiatry and Behavioural Sciences, Stanford University, Stanford, California, USA.

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