OBJECTIVE This randomized trial tested the effectiveness of Skills Training in Affective and Interpersonal Regulation (STAIR) compared to present-centered therapy (PCT) delivered virtually to women veterans who had experienced military sexual trauma (MST) and screened positive for posttraumatic stress disorder (PTSD). METHOD One hundred sixty-one eligible women veterans were randomized into the study. The primary outcome was clinician-assessed PTSD severity (Clinician-Administered PTSD Scale-5), while secondary outcomes included social support and several other symptom measures at posttreatment through 2- and 4-month follow-up. RESULTS PTSD severity decreased in both conditions by posttreatment but significantly more (p = .028, d = 0.39) in STAIR (d = 1.12 [0.87, 1.37]) than PCT (d = .78 [0.54, 1.02]). STAIR was also superior in improving social support and emotion regulation and reducing depression and negative cognitions. Improvement in psychosocial functioning was moderate and did not differ between conditions. All changes were maintained through 2- and 4-month follow-ups. Dropout rates were low and did not differ (19.0% and 12.2%, respectively). CONCLUSION STAIR provided superior outcomes compared to PCT regarding PTSD, social support, and multiple types of mental health problems among women veterans with MST. The application of STAIR to other populations with social support and related concerns warrants investigation. The substantial effect sizes for PTSD symptoms in both treatments suggest that they are practical alternatives for individuals who do not wish to participate in trauma-focused therapy and may increase engagement in mental health services. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

中文翻译：

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一项以家庭为基础的远程医疗随机对照试验，针对经历过军事性创伤的女退伍军人进行情感和人际调节技能培训与以当下为中心的治疗。


目的 这项随机试验测试了情感和人际调节技能培训 (STAIR) 与以当下为中心的治疗 (PCT) 相比的有效性，该治疗以虚拟方式向经历过军事性创伤 (MST) 并筛查出创伤后应激障碍 (PTSD) 呈阳性的女退伍军人提供）。方法 161 名符合条件的女性退伍军人被随机纳入研究。主要结局是临床医生评估的 PTSD 严重程度（临床医生管理的 PTSD 量表-5），次要结局包括治疗后通过 2 个月和 4 个月随访的社会支持和其他几种症状测量。结果 治疗后两种情况下的 PTSD 严重程度均下降，但 STAIR (d = 1.12 [0.87, 1.37]) 中的 PTSD 严重程度明显高于 PCT (d = 0.78 [0.54, 1.02])。 STAIR 在改善社会支持和情绪调节以及减少抑郁和消极认知方面也表现出色。心理社会功能的改善是中等的，并且在不同情况下没有差异。所有变化均通过 2 个月和 4 个月的随访得以维持。辍学率较低且没有差异（分别为 19.0% 和 12.2%）。结论 与 PCT 相比，对于患有 MST 的女性退伍军人来说，在 PTSD、社会支持和多种类型的心理健康问题方面，STAIR 提供了优于 PCT 的结果。 STAIR 在其他有社会支持和相关问题的人群中的应用值得研究。两种治疗方法对 PTSD 症状的显着影响表明，对于那些不想参加以创伤为重点的治疗的个人来说，它们是实用的替代方案，并且可能会增加对心理健康服务的参与度。 （PsycInfo 数据库记录 (c) 2024 APA，保留所有权利）。