预测自杀念头 3 个月后的创伤后应激障碍强化治疗治疗
Dale L Smith1, Jessica B Tharaud1, Sarah A Pridgen1
1Department of Psychiatry and Behavioral Sciences, Rush University Medical Center.
Psychological trauma : theory, research, practice and policy
|November 30, 2023
概括
强化治疗计划有效地减少了创伤后应激障碍 (PTSD) 的退伍军人自杀念头 (SI). 在治疗期间PTSD症状的更大改善预测了随访时较低的SI.
科学领域:
- 精神病学和行为健康
- 创伤和与压力有关的疾病.
- 心理健康干预 心理健康干预
背景情况:
- 创伤后应激障碍 (PTSD) 是退伍军人的一个重大问题.
- 自杀念头 (SI) 是一种严重的,经常与PTSD同时发生的疾病.
- 对患有PTSD和SI的退伍军人进行有效和及时的治疗至关重要.
研究的目的:
- 调查在密集治疗计划 (ITP) 期间PTSD症状严重程度的变化是否预测治疗后自杀念头 (SI) 减少.
- 评估2周和3周ITPs在减少退伍军人中SI的有效性.
- 为了确定SI的减少是否在3个月的随访中保持.
主要方法:
- 患有PTSD的退伍军人参加了为期2周或3周的ITP.
- 创伤后应激障碍,抑郁症和SI症状是治疗前,治疗期间和3个月后的自我报告.
- 混合效应模型被用来分析症状变化及其与SI的预测关系.
主要成果:
- 在2周和3周的ITP中,退伍军人从基线到治疗后显示SI的适度降低.
- 三分之二的退伍军人与基线SI报告治疗后减少.
- 超过四分之三的那些减少SI的人在3个月的随访中保持了较低的SI水平.
结论:
- 在ITP期间PTSD症状严重程度的更大改善与随访时较低的SI有关.
- 对于患有PTSD和并发SI的退伍军人来说,密集治疗计划是有效的.
- 退伍军人可能会在密集治疗期间和之后经历SI减少.
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