行为激活增强认知处理疗法与美国服务人员的认知处理疗法的比较:一项随机临床试验
Kristen H Walter1, W Michael Hunt2, Nicholas P Otis3
1Health and Behavioral Sciences, Naval Health Research Center, San Diego, CA, USA.
Psychiatry research
|July 7, 2023
概括
用行为激活 (BA+CPT) 增强的认知处理疗法和标准的CPT在治疗服务人员同时出现的创伤后应激障碍和严重抑郁障碍方面表现出类似的有效性.
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
- 军人心理健康 军人心理健康
背景情况:
- 创伤后应激障碍 (PTSD) 和严重抑郁障碍 (MDD) 经常同时发生,导致严重损害.
- 有限的数据存在于针对PTSD和MDD的干预措施,而不是仅仅针对PTSD治疗.
研究的目的:
- 为了比较与行为激活 (BA+CPT) 增强的认知处理疗法的有效性,与伴随性PTSD和MDD的标准CPT进行比较.
- 评估与PTSD和MDD同时发生的服务人员的治疗结果.
主要方法:
- 一项随机试验涉及94名服务人员,他们患有并发性PTSD和MDD.
- 比较BA+CPT与CPT,主要结局是抑郁症症状严重程度 (MADRS) 从预治疗到3个月的随访.
主要成果:
- 随着时间的推移,BA+CPT和CPT都显示出抑郁症症状严重程度的统计和临床显著降低.
- 在初级或二级抑郁症和PTSD症状结果中,BA+CPT和CPT之间没有发现显著差异.
- 两组之间在诊断结果,会议出席率,学率或治疗满意度方面没有发现显著差异.
结论:
- BA+CPT和CPT对于患有并发性PTSD和MDD的个人来说都是同样有效的心理治疗选择.
- 这些发现表明,用BA增强CPT对这一群体没有比标准CPT提供额外的好处.
- 进一步的研究可能会探索特定的患者特征,这些特征可以从一种方法中获益.
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