J. Med. Internet Res. - Chinese My Trauma Recovery, a Web-based intervention for traumatized persons in two parallel samples: randomized controlled trial.

Tópicos

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Resumo

CKGROUND: Guided self-help interventions for PTSD (post-traumatic stress disorder) are a promising tool for the dissemination of contemporary psychological treatment.OBJECTIVE: This study investigated the efficacy of the Chinese version of the My Trauma Recovery (CMTR) website.METHODS: In an urban context, 90 survivors of different trauma types were recruited via Internet advertisements and allocated to a randomized controlled trial (RCT) with a waiting list control condition. In addition, in a rural context, 93 survivors mainly of the 2008 Sichuan earthquake were recruited in-person for a parallel RCT in which the website intervention was conducted in a counseling center and guided by volunteers. Assessment was completed online on a professional Chinese survey website. The primary outcome measure was the Post-traumatic Diagnostic Scale (PDS); secondary outcome measures were Symptom Checklist 90-Depression (SCL-D), Trauma Coping Self-Efficacy Scale (CSE), Post-traumatic Cognitive Changes (PCC), and Social Functioning Impairment (SFI) questionnaires adopted from the My Trauma Recovery website.RESULTS: For the urban sample, findings indicated a significant group?time interaction in post-traumatic symptom severity (F1,88=7.65, P=.007). CMTR reduced post-traumatic symptoms significantly with high effect size after one month of treatment (F1,45=15.13, Cohen's d=0.81, P<.001) and the reduction was sustained over a 3-month follow-up (F1,45=17.29, Cohen's d=0.87, P<.001). In the rural sample, the group?time interaction was also significant in post-traumatic symptom severity (F1,91=5.35, P=.02). Post-traumatic symptoms decreased significantly after treatment (F1,48=43.97, Cohen's d=1.34, P<.001) and during the follow-up period (F1,48=24.22, Cohen's d=0.99, P<.001). Additional outcome measures (post-traumatic cognitive changes, depression) indicated a range of positive effects, in particular in the urban sample (group?time interactions: F1,88=5.32-8.37, all Ps<.03), contributing to the positive evidence for self-help interventions. Differences in the effects in the two RCTs are exploratorily explained by sociodemographic, motivational, and setting feature differences between the two samples.CONCLUSIONS: These findings give support for the short-term efficacy of CMTR in the two Chinese populations and contribute to the literature that self-help Web-based programs can be used to provide mental health help for traumatized persons.TRIAL REGISTRATION: Australia New Zealand Clinical Trials Registry (ANZCTR): ACTRN12611000951954; https://www.anzctr.org.au/Trial/Registration/TrialReview.aspx?ACTRN=12611000951954 (Archived by WebCite at http://www.webcitation.org/6G7WyNODk).

Resumo Limpo

ckground guid selfhelp intervent ptsd posttraumat stress disord promis tool dissemin contemporari psycholog treatmentobject studi investig efficaci chines version trauma recoveri cmtr websitemethod urban context survivor differ trauma type recruit via internet advertis alloc random control trial rct wait list control condit addit rural context survivor main sichuan earthquak recruit inperson parallel rct websit intervent conduct counsel center guid volunt assess complet onlin profession chines survey websit primari outcom measur posttraumat diagnost scale pds secondari outcom measur symptom checklist depress scld trauma cope selfefficaci scale cse posttraumat cognit chang pcc social function impair sfi questionnair adopt trauma recoveri websiteresult urban sampl find indic signific grouptim interact posttraumat symptom sever f p cmtr reduc posttraumat symptom signific high effect size one month treatment f cohen d p reduct sustain month followup f cohen d p rural sampl grouptim interact also signific posttraumat symptom sever f p posttraumat symptom decreas signific treatment f cohen d p followup period f cohen d p addit outcom measur posttraumat cognit chang depress indic rang posit effect particular urban sampl grouptim interact f ps contribut posit evid selfhelp intervent differ effect two rcts exploratorili explain sociodemograph motiv set featur differ two samplesconclus find give support shortterm efficaci cmtr two chines popul contribut literatur selfhelp webbas program can use provid mental health help traumat personstri registr australia new zealand clinic trial registri anzctr actrn httpswwwanzctrorgautrialregistrationtrialreviewaspxactrn archiv webcit httpwwwwebcitationorggwynodk

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