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Mantram Repetition Fosters Self-Efficacy in Veterans for Managing PTSD: A Randomized Trial

机译:Mantram重复提高退伍军人管理PTSD的自我效能:一项随机试验。

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Posttraumatic stress disorder (PTSD) is a serious mental health condition that affects physical health. However, many military veterans with PTSD refuse or drop out of commonly used trauma-focused, evidence-based treatments. Growing research supports the value of spiritual components in diverse types of health care interventions. This study investigated the effects of the Mantram Repetition Program (MRP) on self-efficacy for managing PTSD symptoms. Outpatient veterans with PTSD (n = 132) were recruited through referrals, and were primarily male (98%), non-Hispanic white (59%) or black (23%), with mean age 58 years (SD = 9). Participants were randomized to case management plus MRP, or to case management alone. MRP participants chose a short, sacred phrase from a spiritual tradition (e.g., "Jesus," "Barukh attah Adonai," "Om mani padme hum"), repeating the phrase silently throughout the day to interrupt unwanted thoughts and behaviors, and to improve concentration and attention. Self-efficacy was assessed weekly, and participants were assessed at baseline (Week 1) and postintervention (Week 6) for PTSD symptoms, depressive symptoms, mental health, and spiritual well-being. Results revealed that MRP group self-efficacy means as well as treatment effects showed approximately linear weekly increases from baseline to postintervention. Treatment effects on self-efficacy were significant (p < .01), and mediated treatment effects on depression, mental health, spiritual well-being, satisfaction with physical health, and both self-reported and clinician-assessed PTSD symptoms (all ps < .05). We concluded that MRP fosters self-efficacy for managing PTSD symptoms, favorably affecting diverse facets of well-being, and that physical health effects merit investigation.
机译:创伤后应激障碍(PTSD)是一种严重的心理健康状况,会影响身体健康。但是,许多患有PTSD的退伍军人拒绝或放弃以创伤为重点的循证治疗。越来越多的研究支持精神成分在各种类型的医疗干预措施中的价值。这项研究调查了Mantram重复计划(MRP)对管理PTSD症状的自我效能的影响。通过转诊招募了PTSD的门诊退伍军人(n = 132),主要是男性(98%),非西班牙裔白人(59%)或黑人(23%),平均年龄58岁(SD = 9)。参加者被随机分配到病例管理加MRP或单独进行病例管理。 MRP参与者从一种精神传统中选择了一个简短而神圣的短语(例如“耶稣”,“巴鲁克·阿塔奈”,“嗡嗡嗡嗡”),全天默默地重复该短语以打断不必要的思想和行为,并改善集中注意力。每周评估一次自我效能,并在基线(第1周)和干预后(第6周)评估参与者的PTSD症状,抑郁症状,心理健康和精神健康。结果显示,MRP组的自我效能和治疗效果显示从基线到干预后每周线性增加。治疗对自我效能的影响显着(p <.01),并且介导的治疗对抑郁症,心理健康,精神健康,对身体健康的满意度以及自我报告和临床评估的PTSD症状的影响(所有ps < .05)。我们得出的结论是,MRP可以提高自我管理能力来管理PTSD症状,从而有利于影响人们的各种幸福感,并且身体健康的影响值得研究。

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