Центр психічного здоров’я та психосоціального супроводу

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https://ekmair.ukma.edu.ua/handle/123456789/12188
Метою діяльності Центру є організація та ведення наукових досліджень та освітніх заходів у галузі психології, психосоціальної реабілітаціїта психосоціального супроводу, а також організація надання психологічної, соціально-правової допомоги особам, які постраждали внаслідок психотравмуючих подій.

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Browsing Центр психічного здоров’я та психосоціального супроводу by Author "Pastukhova, Alona"

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    The added benefit of including cognitive coping in brief psychosocial interventions: A randomized controlled trial among veterans and family members in Ukraine
    (2025) Nguyen, Amanda; Russell, Tara; Van Wyk Skavenski, Stephanie; Bogdanov, Sergiy; Pastukhova, Alona; Lomakina, Kira; Bolton, Paul; Murray, Laura; Bass, Judith
    Psychosocial programs in low- and middle-income countries (LMIC) often omit cognitive strategies due to perceived difficulty for clients and lay providers. We evaluated the benefit of including "cognitive copin"” in a brief, online intervention for conflict-affected Ukrainian veterans and family members with mild to moderate psychosocial distress. Participants were randomized to two treatment conditions based on the Common Elements Treatment Approach Psychosocial Program (CPSS). CPSS-Basic (CPSS-B) included a self-assessment, safety screening and psychoeducation. CPSS-Enhanced (CPSS-E) included these as well as cognitive coping. Distress, functional impairment, alcohol use, aggression, social disconnectedness and conflict resolution were assessed after one month. Participants also evaluated program accessibility, acceptability, appropriateness, feasibility and adoption. Of 1,177 study participants, 788 (67%) completed follow-up. Both conditions significantly improved distress, functional impairment, aggression and social disconnectedness; CPSS-E producing a greater reduction in distress than CPSS-B (ES: d = .22, p = .002). Implementation outcomes were positive across conditions, favoring CPSS-E for appropriateness (d = .48, 95% CI: .33, .62), feasibility (d = .15, 95% CI: .00, .29), adoption (d = .34, 95% CI: .19, .48) and acceptability (d = .29, 95% CI: .15, .44). Findings support the feasibility and added value of incorporating cognitive techniques into psychosocial programming in LMIC.
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    Efectiveness and cost-efectiveness of a transdiagnostic intervention targeting alcohol misuse and psychological distress for men in Ukraine : study protocol for a randomised controlled trial
    (2025) Van Der Boor, Catharina; Kachai, Vita; Harbar, Kateryna; Pastukhova, Alona; Neuman, Melissa; Weiss, Helen A.; Greco, Giulia; Carl, May; Nadkarni, Abhijit; Roberts, Bayard; Bogdanov, Sergiy; Fuhr, Daniela C.
    Background. Ukraine has experienced armed conflict since 2014, with significant escalation in 2022. Since then, an estimated 3.7 million people have been internally displaced. Alcohol misuse remains a substantial public health challenge in Ukraine, with high levels of psychological distress among the displaced population. The current study aims to evaluate the effectiveness and cost-effectiveness of a transdiagnostic intervention (CHANGE) to address alcohol misuse and psychological distress through problem-solving therapy and selected behavioural strategies for managing alcohol misuse. We hypothesize that CHANGE, together with enhanced usual care (EUC), will be more effective in increasing the percentage of days abstinent (PDA) than EUC alone. Methods. This study is a parallel-arm, single-blind, individually randomised controlled trial across Ukraine government-controlled territories. Following informed consent, we will recruit 500 adult war-affected men, randomised 1:1 to EUC and CHANGE, or EUC alone. Inclusion criteria include elevated levels of alcohol use (between 8 and 19, inclusive, on the Alcohol Use Disorder Identification Test); psychological distress (≥ 16 on the Kessler Psychological Distress Scale) and ability to speak Ukrainian or Russian. CHANGE will be delivered over 6 weeks by 14 community-based facilitators, with outcomes assessed at 3 months post-randomisation. The primary outcome for CHANGE is the PDA from alcohol at 3 months, measured using the Timeline Follow Back. Secondary outcomes include percentage days of heavy drinking, alcohol misuse, psychological distress (depression, anxiety, and posttraumatic stress disorder), functional disability, intimate partner violence perpetration and health economics indicators at 3 months. The primary analysis will follow an intention-to-treat approach. A mixed-methods process evaluation will examine facilitator competency, recruitment, retention/completion, appropriateness, dose received, fidelity and feasibility of delivery and acceptability. Discussion. CHANGE is the first intervention aiming to address alcohol misuse and psychological distress in an active conflict setting.