精神科の外科クリニックでのPTSDに対する書面による暴露治療の実現可能性:本人および遠隔発送
Hannes Hedvall1, Erik Andersson2, Volen Z Ivanov3
1Stockholm Health Care Services, Region Stockholm, Stockholm, Sweden.
European journal of psychotraumatology
|September 2, 2025
まとめ
書面による露出療法 (WET) は,日常的な精神科医療におけるトラウマ後ストレス障害 (PTSD) の実現可能で効果的な治療法である. この資源効率的な介入は 5~6週間にわたって実施され,PTSDの症状を大幅に軽減し, 患者さんの満足度も高くなります
科学分野:
- 精神科
- 臨床心理学
- 精神 疾患 の 治療
背景:
- 書き込みによる暴露療法 (WET) はPTSDに対して有効で,より長い治療法と比べますが,従順性も優れています.
- 既存の研究は,制御試験におけるWETの有効性を強調しています.
- 日常的な診療環境におけるWETの実現性,耐受性,柔軟性に関するギャップが残っています.
研究 の 目的:
- 専門精神科の外科医院でのWETの可行性,許容性,および有効性を評価する.
- WETの遵守,クライアントの満足度,有害事象,時間要求を評価する.
- 精神科の診療所でのWETの適性を判断する.
主な方法:
- 中等から重度のPTSDと併発性疾患を有する24人の患者は5~6週間にわたってWETを受けた.
- 治療は対面セッションやビデオ会議を通じて行われました.
- PTSD症状の重さは,DSM-5のPTSDチェックリストを使用して,ベースライン,治療後の,およびフォローアップで測定されました.
主要な成果:
- 高度なアデンス (被験者23/ 24人が治療を終えた) と優れた顧客満足度が観察されました.
- 1ヶ月のフォローアップでPTSDの症状の有意な減少が見られた (d=1. 08).
- WETは実行可能で,リソース効率が高く,ビデオ対応で,患者当たり6時間未満のセラピスト時間が必要で,深刻な有害事象はありませんでした.
結論:
- 書き込みによる暴露療法は 精神疾患の治療において 実行可能で効果的で 資源効率的な介入です
- WETの実施は,証拠に基づいた治療へのアクセスを向上させ,全量認知行動療法 (CBT) の依存を潜在的に減らすことができます.
- 介護経路の最適化と治療待ちリストの管理におけるWETの役割を探求するためのさらなる研究が推奨されています.
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