对女性创伤后应激障碍的认知行为疗法:随机对照试验
Paula P Schnurr1, Matthew J Friedman, Charles C Engel
1National Center for PTSD, VA Medical Center, White River Junction, Vt 05009, USA. Paula.Schnurr@Dartmouth.edu
JAMA
|March 1, 2007
概括
与以现在为中心的治疗相比,长期暴露治疗显著减少了女性军人中创伤后应激障碍 (PTSD) 症状. 这种认知行为治疗方法在这个人群中为PTSD提供了有效的治疗方法.
科学领域:
- 精神病学是一个精神病学.
- 临床心理学 临床心理学
- 军人卫生保健 军人卫生保健
背景情况:
- 创伤后应激障碍 (PTSD) 在女性退伍军人中很普遍.
- 认知行为疗法 (CBT) 在PTSD治疗方面表现有前途.
- 关于女性军人群体中PTSD治疗疗效的研究有限.
研究的目的:
- 为了比较长期暴露 (PE) 治疗与以现在为中心的治疗 (PCT) 治疗PTSD的疗效.
- 评估PE作为女性退伍军人和现役军人中PTSD的治疗方法.
主要方法:
- 随机对照试验涉及284名患有PTSD的女性参与者.
- 参与者每周接受10次PE或PCT课程.
- 评估了症状严重程度,并发性疾病,功能和生活质量.
主要成果:
- 与以现在为中心的治疗相比,长期暴露治疗显示PTSD症状的减少更大 (P = .03).
- 在PE组中,更多的参与者不再符合PTSD诊断标准 (41.0%对27.8%),并实现了缓解 (15.2%对6.9%).
- 随着时间的推移,治疗效果保持一致.
结论:
- 长时间暴露是女性军人中PTSD的有效和可行的治疗方法.
- 前列腺炎治疗为这一群体提供了一种可行的临床选择.
- 支持在各种临床环境中进一步实施PE.
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