治疗师辅助的在线心理疗法,不同于创伤焦点的创伤后应激障碍 (STOP-PTSD):英国一项基于单盲,随机对照试验
Anke Ehlers1, Jennifer Wild2, Emma Warnock-Parkes3
1Department of Experimental Psychology, University of Oxford, Oxford, UK; Oxford Health NHS Foundation Trust, Oxford, UK.
The lancet. Psychiatry
|July 21, 2023
概括
在减少PTSD症状方面,通过互联网提供的创伤后应激障碍 (iCT-PTSD) 的认知疗法比压力管理疗法 (iStress-PTSD) 更有效. 这种以创伤为中心的方法为PTSD患者提供了可访问和有效的治疗选择.
科学领域:
- 临床心理学 临床心理学
- 精神病学是一个精神病学.
- 数字健康干预措施 数字健康干预措施
背景情况:
- 许多患者面临障碍,无法获得创伤后应激障碍 (PTSD) 的心理治疗.
- 不同治疗师辅助的基于互联网的PTSD治疗方法的有效性仍然不清楚.
- 这项研究解决了对可访问和有效的PTSD干预措施的需求.
研究的目的:
- 为了比较互联网提供的PTSD认知治疗 (iCT-PTSD) 与互联网提供的PTSD压力管理治疗 (iStress-PTSD) 的疗效.
- 评估iCT-PTSD作为一种与NICE指导方针相一致的新,以创伤为中心的干预.
- 评估治疗在减少PTSD症状严重性的优越性.
主要方法:
- 一个单盲,随机对照试验,涉及217名符合DSM-5 PTSD标准的参与者.
- 参与者被分配到iCT-PTSD,iStress-PTSD或等待名单上.
- 在13周使用DSM-5 (PCL-5) 的PTSD检查清单测量结果;进行了治疗意图分析.
主要成果:
- 在减少PTSD症状方面,iCT-PTSD表现出优于iStress-PTSD (在PCL-5上调整差异: -4.92,p=0.016).
- 两种iCT-PTSD和iStress-PTSD都比等候名单更有效.
- 治疗效益在具有高度分离或复杂的PTSD症状的参与者中更为明显.
结论:
- 以创伤为重点的ICT-PTSD是PTSD的有效和可接受的治疗方法.
- iCT-PTSD优于iStress-PTSD,为NICE推的以创伤为中心的认知治疗提供了一种有效的交付方法.
- 与传统的面对面治疗相比,这种方法可能会减少治疗师的时间.
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