トラウマ関連解離性障害に対する段階指向治療の有効性:体系的なレビュー
Thomas A Griffiths1,2, Lora I Dimitrova3, Mark Linington3
1Institute of Psychiatry, Psychology & Neuroscience, King's College London, London, UK.
European journal of psychotraumatology
|September 2, 2025
まとめ
このレビューでは,相指向治療 (PoT) を含む心理療法は,解離性障害 (DD) の症状を改善することを発見しました. これらのトラウマ関連疾患の有効性を確認し,臨床実践を導くために,さらなる研究が必要である.
科学分野:
- 精神科
- 臨床心理学
- トラウマ研究
背景:
- 解離性障害 (DD) は 子どもの頃のトラウマから生じた アイデンティティ,記憶,感情からの断絶を伴うものです
- トラウマと解離の研究のための国際社会 (ISSTD) は,トラウマ情報に基づく段階的治療 (PoT) をDDに推奨しています.
- 以前は,DDsにおけるPoTの有効性の体系的な評価が欠けていました.
研究 の 目的:
- 他の治療法と比較して,PDに対する PoTの有効性に関する証拠を体系的に検討し評価する.
- 分離性障害に対する心理的介入に関する現在の研究を評価する.
主な方法:
- 4つのデータベース (1980年−2025年) とコア・ペーパー・リファレンスで体系的な文献検索が行われました.
- 統合失調症 (DID) または他の特定の統合失調症 (OSDD) に焦点を当てた研究を含む.
- 効果的な公衆衛生実践プロジェクト (EPHPP) ツールを用いて研究の質を評価した.
主要な成果:
- 審査された6088件の記事のうち,19件が登録基準を満たした.
- 診断された治療法はすべて,解離性症状,精神的健康,精神病理,機能の改善を示した.
- 測定された特定の結果に応じて,異なる治療法によって独特の強度が示されました.
結論:
- DDの治療に心理的介入の利用を 支持する新たな証拠基盤が生まれています
- 発見を強化し,臨床実践に情報を提供するために,強力な制御試験が必要である.
- DD患者に対する治療戦略を最適化するためにさらなる研究が不可欠です.
キーワード:
分離する分離分離性障害分離性アイデンティティ障害インターベンション介入について他の特定の解離性障害otro trastorno disociativo specifiado 特定された別居障害フェーズ指向処理心理療法心理療法アイデンティティ・ディソシエティブ障害トラストーノ・ディソシエティブトリートメントトリートメント・オリエンテド・ア・フェーズトラウマトリートメントさらに関連する動画
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