对创伤后应激障碍的治疗时间和症状改善在长期暴露和以现状为中心的治疗:在两个手动干预中比较剂量反应和良好的足够水平模型
Johanna Thompson-Hollands1, Carole A Lunney2, Denise M Sloan1
1Behavioral Science Division, National Center for PTSD, VA Boston Healthcare System.
Journal of consulting and clinical psychology
|July 20, 2023
概括
心理治疗剂量反应模型得到支持:更多的疗程改善了长时间暴露于PTSD的结果. 在以创伤为重点和非创伤为重点的疗法之间,退学模式有显著的差异.
科学领域:
- 心理学 心理学 心理学
- 临床心理学 临床心理学
- 心理治疗研究 心理治疗研究
背景情况:
- 两个模型解释了治疗变化:剂量-反应 (每次疗程的增量效益) 和良好的足够水平 (满意后停止治疗).
- 之前的研究产生了混合的结果,经常使用非结构化的治疗方法.
- 本研究将这些模型与使用手动治疗创伤后应激障碍 (PTSD) 的手动治疗方法进行比较.
研究的目的:
- 为了比较剂量反应模型和治疗变化的良好水平模型.
- 研究两种手动化PTSD疗法的治疗结果:长期暴露 (PE) 和以现在为中心的治疗 (PCT).
主要方法:
- 284名女性退伍军人和患有PTSD的军人被随机分配到10次PE或PCT.
- 参与者定期完成PTSD检查清单 (PCL).
- 监测了放弃时间和治疗完成情况.
主要成果:
- 退学风险因治疗而异;PE的最高风险是在成像暴露的早期.
- 在PE中,更多的会话与临床上显著的改善相关,与PCT不同.
- 根据两种治疗方案完成的疗程,整体症状变化率没有显著差异.
结论:
- 这些发现支持心理治疗变化的剂量反应模型.
- 在PE和PCT之间观察到放弃率,时间和结果的显著差异.
- 这些变化很可能源于每个方案的独特治疗内容.
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