在退伍军人中减少创伤后应激障碍:随机临床试验
Melissa A Polusny1, Christopher R Erbes1, Paul Thuras2
1Minneapolis Veterans Affairs Health Care System, Minneapolis, Minnesota2Center for Chronic Disease Outcomes Research, Minneapolis, Minnesota3Department of Psychiatry, University of Minnesota, Minneapolis.
与以现在为中心的治疗相比,基于正念的减压疗法显著减少了退伍军人的创伤后应激障碍 (PTSD) 症状. 虽然有效,但整体改善是适度的.
科学领域:
- 精神病学与行为科学
- 临床心理学
- 创伤研究
背景情况:
- 基于正念的干预措施可能为退伍军人提供一种替代方案,
- 经过创伤后应激障碍的退伍军人经常难以坚持基于证据的治疗方法.
研究的目的:
- 将基于正念的减压疗法 (MBSR) 与以现状为中心的小组疗法 (PCGT) 治疗退伍军人的疗效进行比较.
- 评估PTSD症状严重程度和诊断的变化.
主要方法:
- 这是一项随机临床试验, 涉及116名经过创伤后应激障碍的退伍军人.
- 参与者被分配到MBSR (9次会议包括一个复习) 或PCGT (9次每周会议).
- 结果包括PTSD症状严重程度 (PTSD检查清单) 和诊断 (临床医生管理的PTSD尺度),在治疗前,治疗期间,治疗后和2个月后进行评估.
主要成果:
- 与PCGT相比,MBSR组在治疗期间和2个月后的随访中显示出自我报告的PTSD症状严重程度的显著降低.
- 在MBSR组的参与者中,更高的比例在随访时实现了自我报告的PTSD症状的临床显著改善.
- 两组患者在失去PTSD诊断的速度上没有显著差异.
结论:
- 与以现实为中心的小组治疗相比, 基于正念的减压疗法使得退伍军人中PTSD症状的严重程度更大.
- 观察到的平均改善表明MBSR在老兵群体中具有适度的治疗效果.
- 对于患有PTSD的退伍军人来说,MBSR可能是一个有价值的,虽然适度有效的治疗选择,特别是那些有其他治疗方法的坚持问题的人.
更多相关视频
12:22Mindfulness in Motion MIM: An Onsite Mindfulness Based Intervention MBI for Chronically High Stress Work Environments to Increase Resiliency and Work Engagement
Published on: July 1, 2015
08:25Polar Histogram Visualization of Acute Stress Disorder Scale Scores for Comprehensive Clinical Assessment
Published on: December 6, 2024
相关概念视频
Post-traumatic Stress Disorder
Symptoms and Behavioral Manifestations
A spectrum of distressing symptoms characterizes PTSD. Recurrent flashbacks, where individuals involuntarily relive traumatic events,...
Stress Prevention and Stress Management Techniques III
The Role of Exercise in Stress Management
Regular physical activity is essential for reducing stress and promoting cardiovascular health. Exercise strengthens the heart, enhances blood flow, keeps blood vessels flexible, and helps lower blood pressure, all of which reduce the body's stress response. Research shows that adults who exercise regularly have nearly half the...
Stress Prevention and Stress Management Techniques IV
Stress Prevention and Stress Management Techniques VI
Motivation and Self-Determination
Motivation, the driving force behind behavior, plays a pivotal role at every stage of the change process. The research...
Stress Prevention and Stress Management Techniques V
Introduction to Stress and Lifestyle
