对博障碍和PTSD进行随机对照试验:寻求安全和CBT
Lisa M Najavits1,2, David M Ledgerwood3,4, Tracie O Afifi5
1Treatment Innovations, Newton Centre, MA, USA. director@treatment-innovations.org.
Journal of gambling studies
|June 12, 2023
概括
这项研究发现,寻求安全,一种综合治疗,以及病态博的认知行为疗法,对于同时出现的博障碍和创伤后应激障碍同样有效. "寻求安全"显示了更好的患者参与度.
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
- 行为科学 行为科学
背景情况:
- 博障碍和创伤后应激障碍经常同时发生.
- 之前没有任何随机对照试验研究过这种并发症的治疗方法.
研究的目的:
- 为了将综合治疗 (寻求安全) 与特定疾病治疗 (病理性博的认知行为疗法) 进行比较,用于同时出现博障碍和创伤后应激障碍的人.
- 通过远程医疗来评估治疗有效性和参与.
主要方法:
- 一个随机控制的非劣等性试验,涉及65名参与者,患有博障碍和创伤后应激障碍.
- 参与者被随机分配到寻求安全 (综合) 或病态博的认知行为疗法 (单独博).
- 结果包括博损失,博会,PTSD症状,应对技能和精神症状,在多个时间点进行评估.
主要成果:
- 这两种治疗都带来了随着时间的推移显著的改善,主要结果 (博损失,会议) 没有显著差异.
- "寻求安全"展示了显著更高的会议出席率,这表明了更好的参与.
- 博,创伤后应激障碍和应对技能的效果大,其他措施的效果中等.
结论:
- 寻求安全是一种可行且有效的治疗选择,用于患有同时出现的博障碍和创伤后应激障碍的人,其疗效与已建立的博障碍治疗方法相美.
- 通过远程医疗提供的综合方法被参与者容忍得很好,并得到了积极的评价.
- 寻求安全的更高的出席率表明,它有可能改善患者在并发症人群中的参与度.
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