对PTSD和复杂的PTSD进行集中创伤治疗后,伴随性抑郁症的变化
Paul Paridaen1,2, Eline M Voorendonk1,3, Georgy Gomon4
1Research Department, PSYTREC, Bilthoven, the Netherlands.
European journal of psychotraumatology
|October 5, 2023
概括
专注于创伤的强化治疗显著减少创伤后应激障碍 (PTSD) 和严重抑郁症 (MDD) 的症状. 然而,患有复杂PTSD (CPTSD) 的患者可能会出现抑郁症状复发,需要额外的支持.
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
- 创伤研究 创伤研究
背景情况:
- 在患有创伤后应激障碍 (PTSD) 的患者中,针对并发性严重抑郁症 (MDD) 的集中创伤治疗的有效性尚未得到充分证实.
- PTSD和MDD的并发症很常见,需要综合治疗方法.
研究的目的:
- 评估PTSD的简短,密集的创伤集中治疗是否也可以减少MDD症状和诊断状态.
- 测试这种治疗导致PTSD和MDD显著改善的假设.
主要方法:
- 一组334名患有PTSD的成年患者,其中189名患有并发性MDD,接受了集中创伤治疗.
- 治疗包括EMDR治疗,长时间暴露,体力活动和精神教育.
- 使用混合效应模型,对PTSD和MDD的症状严重程度和诊断状态进行了治疗前,治疗后和6个月后期的评估.
主要成果:
- 在治疗后和6个月的随访期间 (大效果大小) 观察到PTSD和MDD症状的显著减少.
- 符合MDD诊断标准的患者比例在6个月的随访后从57%降至33%.
- 虽然患有并发性MDD的人和没有并发性MDD的人的初始治疗反应相似,但在6个月后抑郁症状出现了显著的复发,特别是在患有复杂PTSD (CPTSD) 的患者中.
结论:
- 对患有PTSD和并发性MDD的人来说,简短的,集中的创伤治疗是有效的.
- 患有CPTSD的患者有更高的抑郁症状复发风险,并且可能从额外或量身定制的干预中受益.
- 需要进一步的研究来优化CPTSD和并发性抑郁症的治疗策略.
关键词:
复杂的创伤后应激障碍 (CPTSD)在EMDR疗法中,使用EMDR疗法.在EMDR治疗,延长暴露治疗和线性混合模型中.创伤后复杂性压力障碍 (TEPTC)丧的市长 (TDM) 的悲伤强化创伤为重点的治疗治疗.线性混合模型线性混合模型大型抑郁症 (MDD) 是一种主要的抑郁症.模型是线性混合的.长期暴露治疗的治疗方法治疗 EMDR 治疗长期暴露疗法 长期暴露治疗集中治疗集中集中在创伤上强化创伤的重点治疗.重性抑郁障碍 (MDD) 是一种严重的抑郁障碍.复杂的创伤后应激障碍 (CPTSD)更多相关视频
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