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Goal-Directed Resilience in Training (GRIT): A Biopsychosocial Model of Self-Regulation, Executive Functions, and Personal Growth (Eudaimonia) in Evocative Contexts of PTSD, Obesity, and Chronic Pain.

Kent M, Rivers CT, Wrenn G - Behav Sci (Basel) (2015)

Bottom Line: Existing models of attention, cognition, and physiology were sourced in combination with qualitative study findings in developing this resilience skills intervention.We used qualitative methods to uncover life skills that are most salient in cases of extreme adversity, finding that goal-directed actions that reflected an individual's values and common humanity with others created a context-independent domain that could compensate for the effects of adversity.Feasibility studies for groups with comorbid diagnoses, such as chronic pain and PTSD, also showed positive results, leading to the application of the GRIT intervention to other evocative contexts such as obesity and chronic pain.

View Article: PubMed Central - PubMed

Affiliation: Research Department R151, Phoenix VA Health Care System, 650 E. Indian School Rd., Phoenix, AZ 85012, USA. market@ix.netcom.com.

ABSTRACT
This paper presents a biopsychosocial model of self-regulation, executive functions, and personal growth that we have applied to Goal-Directed Resilience in Training (GRIT) interventions for posttraumatic stress disorder (PTSD), obesity, and chronic pain. Implications of the training for the prevention of maladaptation, including psychological distress and health declines, and for promoting healthy development are addressed. Existing models of attention, cognition, and physiology were sourced in combination with qualitative study findings in developing this resilience skills intervention. We used qualitative methods to uncover life skills that are most salient in cases of extreme adversity, finding that goal-directed actions that reflected an individual's values and common humanity with others created a context-independent domain that could compensate for the effects of adversity. The efficacy of the resilience skills intervention for promoting positive emotion, enhancing neurocognitive capacities, and reducing symptoms was investigated in a randomized controlled trial with a veteran population diagnosed with PTSD. The intervention had low attrition (8%) and demonstrated improvement on symptom and wellbeing outcomes, indicating that the intervention may be efficacious for PTSD and that it taps into those mechanisms which the intervention was designed to address. Feasibility studies for groups with comorbid diagnoses, such as chronic pain and PTSD, also showed positive results, leading to the application of the GRIT intervention to other evocative contexts such as obesity and chronic pain.

No MeSH data available.


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Mean scores on symptoms and well-being for treatment and wait-list control, pre- and post- intervention.
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behavsci-05-00264-f003: Mean scores on symptoms and well-being for treatment and wait-list control, pre- and post- intervention.

Mentions: In descending order of magnitude, the findings showed large to moderate declines for the treatment group in self-reported symptoms, and gains in well-being and neuropsychological test performance. Thus PTSD and depression symptoms declined in comparison to wait list controls, a change that was comparable in magnitude to that obtained with exposure therapy [114]. Indeed, at pre-testing (PDS) 70% of the treatment group scored in the severe range for PTSD. At the close of resilience skills training only 30% of the treatment group scored in the severe range at post-testing. A comparable decrease was obtained for depression in the treatment condition. Substantial pre- to post-test changes were obtained for self-report well-being measures, with gains in Vitality and Social Functioning and the combined Well-Being subscales of Purpose in Life, Positive Relations with Others, and Personal Growth. Executive functions showed moderate to small gains in Word Generation, Category Fluency, and Color-Word Switching. List Learning, List Recall, and Story Recall, also reflected cognitive gains at pre- and post-test for the resilience skills trained group in comparison to the wait list control group. The above findings are summarized in Figure 3 and Figure 4 below.


Goal-Directed Resilience in Training (GRIT): A Biopsychosocial Model of Self-Regulation, Executive Functions, and Personal Growth (Eudaimonia) in Evocative Contexts of PTSD, Obesity, and Chronic Pain.

Kent M, Rivers CT, Wrenn G - Behav Sci (Basel) (2015)

Mean scores on symptoms and well-being for treatment and wait-list control, pre- and post- intervention.
© Copyright Policy
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4493448&req=5

behavsci-05-00264-f003: Mean scores on symptoms and well-being for treatment and wait-list control, pre- and post- intervention.
Mentions: In descending order of magnitude, the findings showed large to moderate declines for the treatment group in self-reported symptoms, and gains in well-being and neuropsychological test performance. Thus PTSD and depression symptoms declined in comparison to wait list controls, a change that was comparable in magnitude to that obtained with exposure therapy [114]. Indeed, at pre-testing (PDS) 70% of the treatment group scored in the severe range for PTSD. At the close of resilience skills training only 30% of the treatment group scored in the severe range at post-testing. A comparable decrease was obtained for depression in the treatment condition. Substantial pre- to post-test changes were obtained for self-report well-being measures, with gains in Vitality and Social Functioning and the combined Well-Being subscales of Purpose in Life, Positive Relations with Others, and Personal Growth. Executive functions showed moderate to small gains in Word Generation, Category Fluency, and Color-Word Switching. List Learning, List Recall, and Story Recall, also reflected cognitive gains at pre- and post-test for the resilience skills trained group in comparison to the wait list control group. The above findings are summarized in Figure 3 and Figure 4 below.

Bottom Line: Existing models of attention, cognition, and physiology were sourced in combination with qualitative study findings in developing this resilience skills intervention.We used qualitative methods to uncover life skills that are most salient in cases of extreme adversity, finding that goal-directed actions that reflected an individual's values and common humanity with others created a context-independent domain that could compensate for the effects of adversity.Feasibility studies for groups with comorbid diagnoses, such as chronic pain and PTSD, also showed positive results, leading to the application of the GRIT intervention to other evocative contexts such as obesity and chronic pain.

View Article: PubMed Central - PubMed

Affiliation: Research Department R151, Phoenix VA Health Care System, 650 E. Indian School Rd., Phoenix, AZ 85012, USA. market@ix.netcom.com.

ABSTRACT
This paper presents a biopsychosocial model of self-regulation, executive functions, and personal growth that we have applied to Goal-Directed Resilience in Training (GRIT) interventions for posttraumatic stress disorder (PTSD), obesity, and chronic pain. Implications of the training for the prevention of maladaptation, including psychological distress and health declines, and for promoting healthy development are addressed. Existing models of attention, cognition, and physiology were sourced in combination with qualitative study findings in developing this resilience skills intervention. We used qualitative methods to uncover life skills that are most salient in cases of extreme adversity, finding that goal-directed actions that reflected an individual's values and common humanity with others created a context-independent domain that could compensate for the effects of adversity. The efficacy of the resilience skills intervention for promoting positive emotion, enhancing neurocognitive capacities, and reducing symptoms was investigated in a randomized controlled trial with a veteran population diagnosed with PTSD. The intervention had low attrition (8%) and demonstrated improvement on symptom and wellbeing outcomes, indicating that the intervention may be efficacious for PTSD and that it taps into those mechanisms which the intervention was designed to address. Feasibility studies for groups with comorbid diagnoses, such as chronic pain and PTSD, also showed positive results, leading to the application of the GRIT intervention to other evocative contexts such as obesity and chronic pain.

No MeSH data available.


Related in: MedlinePlus