长期暴露与青少年女孩性虐待相关PTSD的支持性咨询:一个随机临床试验
Edna B Foa1, Carmen P McLean1, Sandra Capaldi1
1Department of Psychiatry, University of Pennsylvania, Philadelphia.
JAMA
|December 26, 2013
概括
与支持性咨询相比,长期暴露治疗显著改善了青少年女孩的创伤后应激障碍 (PTSD) 症状和功能. 这些好处在12个月的随访中持续存在,在这个人群中建立了对PTSD的有效治疗方法.
科学领域:
- 精神病学和行为科学
- 儿童和青少年心理健康
- 创伤和弹性研究 创伤和弹性研究
背景情况:
- 创伤后应激障碍 (PTSD) 在青少年中很普遍,但基于证据的治疗方法仍然有限.
- 这项研究解决了青少年PTSD有效干预的需要,特别是在女孩身上.
研究的目的:
- 为了比较辅导员提供的长期暴露 (PE) 治疗与青少年女孩患有PTSD的支持性咨询 (SC) 的疗效.
- 评估PE治疗对PTSD症状,诊断,抑郁和整体功能的长期影响.
主要方法:
- 一个单盲随机临床试验,涉及61名被诊断患有PTSD的青少年女孩.
- 参与者接受了PE治疗或SC的14次会议,由PE新手的辅导员提供.
- 结果,包括PTSD症状严重程度,诊断,抑郁症和功能,在治疗前,治疗中期,治疗后以及3个月,6个月和12个月的随访期间进行了评估.
主要成果:
- 与支持性咨询相比,长期暴露治疗显示PTSD症状严重程度的改善显著更大 (P < .001).
- 此外,PE治疗也导致了更高的PTSD诊断损失率 (P = .01),降低了抑郁症 (P = .008),并改善了整体功能 (P = .008).
- 这些治疗收益在所有测量结果中保持在12个月的随访期间.
结论:
- 辅导员提供的长期暴露疗法是性虐待相关PTSD的青少年女孩的有效治疗方法.
- 对于这个人群来说,PE治疗比支持性咨询提供了显著和持续的好处.
- 研究结果支持在社区精神卫生机构中更广泛地实施PE疗法.
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