STAIR Group Treatment for Veterans with PTSD: Efficacy and Impact of Gender on Outcome.
Identifieur interne : 000676 ( Main/Corpus ); précédent : 000675; suivant : 000677STAIR Group Treatment for Veterans with PTSD: Efficacy and Impact of Gender on Outcome.
Auteurs : Christie Jackson ; Brandon J. Weiss ; Marylene CloitreSource :
- Military medicine [ 1930-613X ] ; 2019.
English descriptors
- KwdEn :
- Adult (MeSH), Aged (MeSH), Female (MeSH), Humans (MeSH), Male (MeSH), Middle Aged (MeSH), Patient Outcome Assessment (MeSH), Psychometrics (instrumentation), Psychometrics (methods), Self Report (MeSH), Sex Factors (MeSH), Stress Disorders, Post-Traumatic (complications), Stress Disorders, Post-Traumatic (epidemiology), Stress Disorders, Post-Traumatic (psychology), Surveys and Questionnaires (MeSH), Treatment Outcome (MeSH), United States (epidemiology), United States Department of Veterans Affairs (organization & administration), United States Department of Veterans Affairs (statistics & numerical data), Veterans (psychology), Veterans (statistics & numerical data).
- MESH :
- geographic , epidemiology : United States.
- complications : Stress Disorders, Post-Traumatic.
- epidemiology : Stress Disorders, Post-Traumatic.
- instrumentation : Psychometrics.
- methods : Psychometrics.
- organization & administration : United States Department of Veterans Affairs.
- psychology : Stress Disorders, Post-Traumatic, Veterans.
- statistics & numerical data : United States Department of Veterans Affairs, Veterans.
- Adult, Aged, Female, Humans, Male, Middle Aged, Patient Outcome Assessment, Self Report, Sex Factors, Surveys and Questionnaires, Treatment Outcome.
Abstract
Introduction
Group Skills Training in Affective and Interpersonal Regulation (STAIR) is an evidence-based, manualized treatment for individuals with post-traumatic stress symptoms, that focuses on improving functioning through mood management (e.g., emotion regulation) and relationship skills development. To date, no study has evaluated the potential benefit of group STAIR among Veterans. Feasibility of delivering STAIR in a mixed-gender group format and the potential impact of gender on outcome were examined.
Materials and Methods
Participants (n = 39) were Veterans enrolled in a post-traumatic stress disorder (PTSD) Clinic at a large VA Medical Center. Veterans participated in one of four mixed-gender STAIR groups and completed self-report questionnaires of PTSD symptoms and general psychological distress at pre-treatment and post-treatment. Institutional review board approval was obtained for this study.
Results
There was significant pre-treatment to post-treatment improvements in PTSD symptoms as measured by the Post-traumatic Stress Checklist (PCL) (Cohen's d = 0.91), as well as in general psychological distress as measured by the Brief Symptom Inventory (BSI) (Cohen's d = 0.90). Change in PTSD symptoms from pre-treatment to post-treatment did not differ across gender. However, the interaction between gender and time on change in (BSI) was significant, where change in general psychological distress significantly decreased from pre-treatment to post-treatment for male Veterans but not for female Veterans.
Conclusion
The results from this study demonstrate the feasibility and initial effectiveness of STAIR delivered in a mixed-gender group format for Veterans with PTSD. It should be noted, however, that male Veterans benefited more from this approach than female Veterans. The findings suggest the value of investigating Veterans' attitudes and beliefs about the benefits and drawbacks of mixed-gender group therapy for trauma-related difficulties.
DOI: 10.1093/milmed/usy164
PubMed: 30007286
Links to Exploration step
pubmed:30007286Le document en format XML
<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">STAIR Group Treatment for Veterans with PTSD: Efficacy and Impact of Gender on Outcome.</title><author><name sortKey="Jackson, Christie" sort="Jackson, Christie" uniqKey="Jackson C" first="Christie" last="Jackson">Christie Jackson</name><affiliation><nlm:affiliation>New York Harbor Healthcare System - Manhattan Campus, 423 East 23rd Street, New York, NY.</nlm:affiliation></affiliation></author><author><name sortKey="Weiss, Brandon J" sort="Weiss, Brandon J" uniqKey="Weiss B" first="Brandon J" last="Weiss">Brandon J. Weiss</name><affiliation><nlm:affiliation>National Center for PTSD Dissemination and Training Division, VA Palo Alto Health Care System, 795 Willow Rd., Menlo Park, CA.</nlm:affiliation></affiliation></author><author><name sortKey="Cloitre, Marylene" sort="Cloitre, Marylene" uniqKey="Cloitre M" first="Marylene" last="Cloitre">Marylene Cloitre</name><affiliation><nlm:affiliation>National Center for PTSD Dissemination and Training Division, VA Palo Alto Health Care System, 795 Willow Rd., Menlo Park, CA.</nlm:affiliation></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2019">2019</date><idno type="RBID">pubmed:30007286</idno><idno type="pmid">30007286</idno><idno type="doi">10.1093/milmed/usy164</idno><idno type="wicri:Area/Main/Corpus">000676</idno><idno type="wicri:explorRef" wicri:stream="Main" wicri:step="Corpus" wicri:corpus="PubMed">000676</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">STAIR Group Treatment for Veterans with PTSD: Efficacy and Impact of Gender on Outcome.</title><author><name sortKey="Jackson, Christie" sort="Jackson, Christie" uniqKey="Jackson C" first="Christie" last="Jackson">Christie Jackson</name><affiliation><nlm:affiliation>New York Harbor Healthcare System - Manhattan Campus, 423 East 23rd Street, New York, NY.</nlm:affiliation></affiliation></author><author><name sortKey="Weiss, Brandon J" sort="Weiss, Brandon J" uniqKey="Weiss B" first="Brandon J" last="Weiss">Brandon J. Weiss</name><affiliation><nlm:affiliation>National Center for PTSD Dissemination and Training Division, VA Palo Alto Health Care System, 795 Willow Rd., Menlo Park, CA.</nlm:affiliation></affiliation></author><author><name sortKey="Cloitre, Marylene" sort="Cloitre, Marylene" uniqKey="Cloitre M" first="Marylene" last="Cloitre">Marylene Cloitre</name><affiliation><nlm:affiliation>National Center for PTSD Dissemination and Training Division, VA Palo Alto Health Care System, 795 Willow Rd., Menlo Park, CA.</nlm:affiliation></affiliation></author></analytic><series><title level="j">Military medicine</title><idno type="eISSN">1930-613X</idno><imprint><date when="2019" type="published">2019</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult (MeSH)</term><term>Aged (MeSH)</term><term>Female (MeSH)</term><term>Humans (MeSH)</term><term>Male (MeSH)</term><term>Middle Aged (MeSH)</term><term>Patient Outcome Assessment (MeSH)</term><term>Psychometrics (instrumentation)</term><term>Psychometrics (methods)</term><term>Self Report (MeSH)</term><term>Sex Factors (MeSH)</term><term>Stress Disorders, Post-Traumatic (complications)</term><term>Stress Disorders, Post-Traumatic (epidemiology)</term><term>Stress Disorders, Post-Traumatic (psychology)</term><term>Surveys and Questionnaires (MeSH)</term><term>Treatment Outcome (MeSH)</term><term>United States (epidemiology)</term><term>United States Department of Veterans Affairs (organization & administration)</term><term>United States Department of Veterans Affairs (statistics & numerical data)</term><term>Veterans (psychology)</term><term>Veterans (statistics & numerical data)</term></keywords><keywords scheme="MESH" type="geographic" qualifier="epidemiology" xml:lang="en"><term>United States</term></keywords><keywords scheme="MESH" qualifier="complications" xml:lang="en"><term>Stress Disorders, Post-Traumatic</term></keywords><keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Stress Disorders, Post-Traumatic</term></keywords><keywords scheme="MESH" qualifier="instrumentation" xml:lang="en"><term>Psychometrics</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Psychometrics</term></keywords><keywords scheme="MESH" qualifier="organization & administration" xml:lang="en"><term>United States Department of Veterans Affairs</term></keywords><keywords scheme="MESH" qualifier="psychology" xml:lang="en"><term>Stress Disorders, Post-Traumatic</term><term>Veterans</term></keywords><keywords scheme="MESH" qualifier="statistics & numerical data" xml:lang="en"><term>United States Department of Veterans Affairs</term><term>Veterans</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adult</term><term>Aged</term><term>Female</term><term>Humans</term><term>Male</term><term>Middle Aged</term><term>Patient Outcome Assessment</term><term>Self Report</term><term>Sex Factors</term><term>Surveys and Questionnaires</term><term>Treatment Outcome</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><b>Introduction</b></p><p>Group Skills Training in Affective and Interpersonal Regulation (STAIR) is an evidence-based, manualized treatment for individuals with post-traumatic stress symptoms, that focuses on improving functioning through mood management (e.g., emotion regulation) and relationship skills development. To date, no study has evaluated the potential benefit of group STAIR among Veterans. Feasibility of delivering STAIR in a mixed-gender group format and the potential impact of gender on outcome were examined.</p></div><div type="abstract" xml:lang="en"><p><b>Materials and Methods</b></p><p>Participants (n = 39) were Veterans enrolled in a post-traumatic stress disorder (PTSD) Clinic at a large VA Medical Center. Veterans participated in one of four mixed-gender STAIR groups and completed self-report questionnaires of PTSD symptoms and general psychological distress at pre-treatment and post-treatment. Institutional review board approval was obtained for this study.</p></div><div type="abstract" xml:lang="en"><p><b>Results</b></p><p>There was significant pre-treatment to post-treatment improvements in PTSD symptoms as measured by the Post-traumatic Stress Checklist (PCL) (Cohen's d = 0.91), as well as in general psychological distress as measured by the Brief Symptom Inventory (BSI) (Cohen's d = 0.90). Change in PTSD symptoms from pre-treatment to post-treatment did not differ across gender. However, the interaction between gender and time on change in (BSI) was significant, where change in general psychological distress significantly decreased from pre-treatment to post-treatment for male Veterans but not for female Veterans.</p></div><div type="abstract" xml:lang="en"><p><b>Conclusion</b></p><p>The results from this study demonstrate the feasibility and initial effectiveness of STAIR delivered in a mixed-gender group format for Veterans with PTSD. It should be noted, however, that male Veterans benefited more from this approach than female Veterans. The findings suggest the value of investigating Veterans' attitudes and beliefs about the benefits and drawbacks of mixed-gender group therapy for trauma-related difficulties.</p></div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">30007286</PMID><DateCompleted><Year>2019</Year><Month>07</Month><Day>15</Day></DateCompleted><DateRevised><Year>2019</Year><Month>07</Month><Day>15</Day></DateRevised><Article PubModel="Print"><Journal><ISSN IssnType="Electronic">1930-613X</ISSN><JournalIssue CitedMedium="Internet"><Volume>184</Volume><Issue>1-2</Issue><PubDate><Year>2019</Year><Month>01</Month><Day>01</Day></PubDate></JournalIssue><Title>Military medicine</Title><ISOAbbreviation>Mil Med</ISOAbbreviation></Journal><ArticleTitle>STAIR Group Treatment for Veterans with PTSD: Efficacy and Impact of Gender on Outcome.</ArticleTitle><Pagination><MedlinePgn>e143-e147</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1093/milmed/usy164</ELocationID><Abstract><AbstractText Label="Introduction">Group Skills Training in Affective and Interpersonal Regulation (STAIR) is an evidence-based, manualized treatment for individuals with post-traumatic stress symptoms, that focuses on improving functioning through mood management (e.g., emotion regulation) and relationship skills development. To date, no study has evaluated the potential benefit of group STAIR among Veterans. Feasibility of delivering STAIR in a mixed-gender group format and the potential impact of gender on outcome were examined.</AbstractText><AbstractText Label="Materials and Methods">Participants (n = 39) were Veterans enrolled in a post-traumatic stress disorder (PTSD) Clinic at a large VA Medical Center. Veterans participated in one of four mixed-gender STAIR groups and completed self-report questionnaires of PTSD symptoms and general psychological distress at pre-treatment and post-treatment. Institutional review board approval was obtained for this study.</AbstractText><AbstractText Label="Results">There was significant pre-treatment to post-treatment improvements in PTSD symptoms as measured by the Post-traumatic Stress Checklist (PCL) (Cohen's d = 0.91), as well as in general psychological distress as measured by the Brief Symptom Inventory (BSI) (Cohen's d = 0.90). Change in PTSD symptoms from pre-treatment to post-treatment did not differ across gender. However, the interaction between gender and time on change in (BSI) was significant, where change in general psychological distress significantly decreased from pre-treatment to post-treatment for male Veterans but not for female Veterans.</AbstractText><AbstractText Label="Conclusion">The results from this study demonstrate the feasibility and initial effectiveness of STAIR delivered in a mixed-gender group format for Veterans with PTSD. It should be noted, however, that male Veterans benefited more from this approach than female Veterans. The findings suggest the value of investigating Veterans' attitudes and beliefs about the benefits and drawbacks of mixed-gender group therapy for trauma-related difficulties.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Jackson</LastName><ForeName>Christie</ForeName><Initials>C</Initials><AffiliationInfo><Affiliation>New York Harbor Healthcare System - Manhattan Campus, 423 East 23rd Street, New York, NY.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Weiss</LastName><ForeName>Brandon J</ForeName><Initials>BJ</Initials><AffiliationInfo><Affiliation>National Center for PTSD Dissemination and Training Division, VA Palo Alto Health Care System, 795 Willow Rd., Menlo Park, CA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Cloitre</LastName><ForeName>Marylene</ForeName><Initials>M</Initials><AffiliationInfo><Affiliation>National Center for PTSD Dissemination and Training Division, VA Palo Alto Health Care System, 795 Willow Rd., Menlo Park, CA.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList></Article><MedlineJournalInfo><Country>England</Country><MedlineTA>Mil Med</MedlineTA><NlmUniqueID>2984771R</NlmUniqueID><ISSNLinking>0026-4075</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000368" MajorTopicYN="N">Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D063868" MajorTopicYN="Y">Patient Outcome Assessment</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D011594" MajorTopicYN="N">Psychometrics</DescriptorName><QualifierName UI="Q000295" MajorTopicYN="N">instrumentation</QualifierName><QualifierName UI="Q000379" MajorTopicYN="N">methods</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D057566" MajorTopicYN="N">Self Report</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D012737" MajorTopicYN="Y">Sex Factors</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D013313" MajorTopicYN="N">Stress Disorders, Post-Traumatic</DescriptorName><QualifierName UI="Q000150" MajorTopicYN="Y">complications</QualifierName><QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName><QualifierName UI="Q000523" MajorTopicYN="N">psychology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D011795" MajorTopicYN="N">Surveys and Questionnaires</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D016896" MajorTopicYN="N">Treatment Outcome</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D014481" MajorTopicYN="N" Type="Geographic">United States</DescriptorName><QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D014493" MajorTopicYN="N">United States Department of Veterans Affairs</DescriptorName><QualifierName UI="Q000458" MajorTopicYN="N">organization & administration</QualifierName><QualifierName UI="Q000706" MajorTopicYN="N">statistics & numerical data</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D014728" MajorTopicYN="N">Veterans</DescriptorName><QualifierName UI="Q000523" MajorTopicYN="Y">psychology</QualifierName><QualifierName UI="Q000706" MajorTopicYN="N">statistics & numerical data</QualifierName></MeshHeading></MeshHeadingList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2018</Year><Month>03</Month><Day>05</Day></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2018</Year><Month>7</Month><Day>15</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2019</Year><Month>7</Month><Day>16</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2018</Year><Month>7</Month><Day>15</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">30007286</ArticleId><ArticleId IdType="pii">5051963</ArticleId><ArticleId IdType="doi">10.1093/milmed/usy164</ArticleId></ArticleIdList></PubmedData></pubmed></record>Pour manipuler ce document sous Unix (Dilib)
EXPLOR_STEP=$WICRI_ROOT/Bois/explor/WillowV1/Data/Main/Corpus
HfdSelect -h $EXPLOR_STEP/biblio.hfd -nk 000676 | SxmlIndent | more
Ou
HfdSelect -h $EXPLOR_AREA/Data/Main/Corpus/biblio.hfd -nk 000676 | SxmlIndent | more
Pour mettre un lien sur cette page dans le réseau Wicri
{{Explor lien
|wiki= Bois
|area= WillowV1
|flux= Main
|étape= Corpus
|type= RBID
|clé= pubmed:30007286
|texte= STAIR Group Treatment for Veterans with PTSD: Efficacy and Impact of Gender on Outcome.
}}
Pour générer des pages wiki
HfdIndexSelect -h $EXPLOR_AREA/Data/Main/Corpus/RBID.i -Sk "pubmed:30007286" \
| HfdSelect -Kh $EXPLOR_AREA/Data/Main/Corpus/biblio.hfd \
| NlmPubMed2Wicri -a WillowV1
| This area was generated with Dilib version V0.6.37. |  |