OBJECTIVE Anxiety sensitivity (AS) is a transdiagnostic risk factor for persistent physical and psychological symptoms relevant to veterans, such as postconcussive symptoms following mild traumatic brain injury (mTBI). The Cognitive Anxiety Sensitivity Treatment (CAST) computerized intervention has been shown to reduce AS but has not been widely used among veterans. The purpose of this study was to assess the acceptability and feasibility of CAST among veterans with elevated AS and mTBI eligible to receive Veterans Health Administration (VHA) care. DESIGN Twenty-two veterans with mTBI, elevated cognitive AS, and history of deployment to Iraq and/or Afghanistan completed a single assessment and intervention session. Acceptability was assessed with the Client Satisfaction Quesitonnaire-8 (CSQ-8) and a qualitative interview. Measures of feasibility included study enrollment, ease of participation, and intervention completion. AS was assessed pre- and post-CAST completion. RESULTS Consistent with interview responses, 77.3% of participants' CSQ-8 scores indicated that veterans found the intervention acceptable. Technological issues, such as internet connectivity, decreased feasibility of consistently delivering the intervention in the research setting readily available to the study team. Decreases on pre-to-post intervention AS outcomes were observed. CONCLUSIONS Acceptability of the CAST intervention in this sample was generally supported. Feasibility of implementing CAST in this study was limited by technological issues. Data did not indicate a critical need to revise content of the CAST intervention. Identified strategies for increasing the feasibility of future research and clinical implementation of CAST are discussed. (PsycInfo Database Record (c) 2020 APA, all rights reserved).

中文翻译：

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患有 mTBI 的退伍军人对认知焦虑敏感性治疗的可接受性。

目的 焦虑敏感性（AS）是与退伍军人相关的持续性身体和心理症状的跨诊断危险因素，例如轻度创伤性脑损伤（mTBI）后的脑震荡后症状。认知焦虑敏感性治疗 (CAST) 计算机化干预已被证明可以减少 AS，但尚未在退伍军人中广泛使用。本研究的目的是评估有资格接受退伍军人健康管理局 (VHA) 护理的 AS 和 mTBI 升高的退伍军人中 CAST 的可接受性和可行性。设计 22 名患有 mTBI、认知 AS 升高且曾被部署到伊拉克和/或阿富汗的退伍军人完成了一次评估和干预课程。通过客户满意度调查问卷 8 (CSQ-8) 和定性访谈评估可接受性。可行性衡量标准包括研究注册、参与难易度和干预完成情况。AS 在 CAST 完成前和完成后进行评估。结果 与访谈回复一致，77.3% 的参与者的 CSQ-8 分数表明退伍军人认为干预措施可以接受。互联网连接等技术问题降低了在研究团队随时可用的研究环境中持续提供干预措施的可行性。观察到干预前后 AS 结果有所下降。结论 该样本中 CAST 干预的可接受性得到了普遍支持。在本研究中实施 CAST 的可行性受到技术问题的限制。数据并未表明迫切需要修改 CAST 干预内容。讨论了提高 CAST 未来研究和临床实施可行性的已确定策略。（PsycInfo 数据库记录 (c) 2020 APA，保留所有权利）。