对创伤后应激障碍的基于证据的心理治疗的实施:系统审查
Princess E Ackland1,2, Erin A Koffel, Elizabeth S Goldsmith3,4
1Center for Care Delivery and Outcomes Research, Minneapolis Veterans Affairs Health Care System, One Veterans Drive, Minneapolis, MN, 55417, USA. princess.ackland@va.gov.
像认知处理疗法 (CPT) 和长期暴露 (PE) 等以创伤为重点的疗法对PTSD有希望,但一致的实施面临挑战. 需要进一步的研究来解决障碍,并改善广泛采用.
科学领域:
- 心理健康 心理健康
- 心理治疗实施 心理治疗实施
- 创伤治疗 创伤治疗
背景情况:
- 推以创伤为重点的疗法,包括认知处理疗法 (CPT) 和长期暴露 (PE),用于创伤后应激障碍 (PTSD).
- 退伍军人卫生管理局 (VHA) 和其他机构的实施工作始于2006年.
- 进行了系统审查,以确定实施CPT和PE的促进者和挑战.
结论:
- 虽然培训和反提高了CPT/PE的可用性和提供者的态度,但一致的使用仍然是一个挑战.
- 未来的研究应该集中在解决培训后障碍的实施策略上,特别是患者层面的因素.
- 对非VHA环境中的实际与感知障碍的进一步调查是必要的.
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