与认知处理疗法对军事性创伤相关的创伤后应激障碍:一个随机临床试验
Belle Zaccari1,2,3, Melinda Higgins4, Terri N Haywood5
1Research and Development Service, Veterans Affairs Portland Health Care System, Portland, Oregon.
JAMA network open
|December 8, 2023
概括
创伤敏感 (TCTSY) 在减轻遭受军事性创伤的女性退伍军人的PTSD症状方面,与认知处理疗法 (CPT) 相同有效. TCTSY显示治疗完成率显著更高,这表明接受度更高.
科学领域:
- 心理健康 心理健康
- 创伤研究 创伤研究
- 疗法 疗法 治疗
背景情况:
- 退伍军人PTSD的第一线治疗方法,如创伤集中治疗,面临着低启动率,高退学率和治疗阻力等挑战.
- 军事性创伤 (MST) 是女性退伍军人中PTSD的重要贡献者,需要有效和易于获得的治疗选择.
研究的目的:
- 为了比较创伤中心创伤敏感 (TCTSY) 与认知处理疗法 (CPT) 的有效性,作为MST的女性退伍军人中PTSD的第一线治疗.
- 假设TCTSY和CPT干预措施之间的PTSD结果的潜在差异.
主要方法:
- 一个多站点随机临床试验,涉及131名女性退伍军人,被诊断患有MST相关的PTSD.
- 参与者被随机分配,接受TCTSY的10周一次小组会议或CPT的12周一次小组会议.
- 使用CAPS-5和PCL-5在基线,中期干预以及干预后2周和3个月时评估PTSD症状严重程度.
主要成果:
- 随着时间的推移,TCTSY和CPT组在PTSD症状严重程度上均显著改善.
- 在降低PTSD症状严重程度方面,TCTSY和CPT之间没有发现显著差异.
- 与CPT组 (45.8%) 相比,TCTSY组的治疗完成率显著更高 (65.3%).
结论:
- TCTSY是一种有效且相当于CPT的替代方案,用于减少MST相关PTSD的女性退伍军人中PTSD症状严重程度.
- 较高的治疗完成率表明TCTSY可能是一个更可接受和更容易获得的治疗选择,可能解决当前VA PTSD治疗的局限性.
相关概念视频
01:27Post-traumatic Stress Disorder
35
Post-traumatic stress disorder (PTSD) is a psychiatric condition that arises following exposure to traumatic events such as natural disasters, forced displacement, or severe accidents. It significantly impairs individuals' ability to cope with daily activities and disrupts their emotional and psychological equilibrium.
Symptoms and Behavioral Manifestations
A spectrum of distressing symptoms characterizes PTSD. Recurrent flashbacks, where individuals involuntarily relive traumatic events,...
Symptoms and Behavioral Manifestations
A spectrum of distressing symptoms characterizes PTSD. Recurrent flashbacks, where individuals involuntarily relive traumatic events,...
35
01:25Cognitive Therapy
153
Cognitive therapy, pioneered by Aaron T. Beck in the 1960s, is a structured approach to addressing psychological distress by focusing on the influence of thoughts on emotions and behaviors. All cognitive therapies involve the basic assumption that human beings have control over their feelings, and that how individuals feel about something depends on how they think about it. Unlike psychoanalytic methods that delve into unconscious processes or humanistic approaches emphasizing...
153
01:24Treatment Strategies for Psychological Disorders
137
Treatment approaches for psychological disorders fall into three main categories: psychological, biological, and sociocultural. Each approach targets different aspects of mental health, requiring varying levels of education and training.
Psychological therapies focus on modifying emotions, thoughts, and behaviors through talking, interpreting, listening, rewarding, challenging, and modeling. Clinical psychologists, counselors, and social workers commonly practice psychotherapy. Clinical...
Psychological therapies focus on modifying emotions, thoughts, and behaviors through talking, interpreting, listening, rewarding, challenging, and modeling. Clinical psychologists, counselors, and social workers commonly practice psychotherapy. Clinical...
137
01:20Psychological Responses to Stress
54
Psychological responses to stress encompass the various cognitive and emotional reactions individuals experience when faced with challenging or threatening situations, such as a job loss. Prolonged exposure to stressors can disturb emotional balance, increasing negative emotions (e.g., anxiety and sadness) and diminishing positive emotions (e.g., joy and satisfaction). These persistent emotional shifts are associated with an increased risk of both physical illness and mental health issues, such...
54
01:26Stress Prevention and Stress Management Techniques IV
29
Stress often leads to unhealthy habits like smoking, excessive drinking, and overeating, which offer short-term relief but ultimately increase long-term health risks. These behaviors create a cycle that temporarily lowers stress levels but can result in severe long-term health consequences. Breaking these habits is essential to reduce the risk of chronic diseases and improve overall well-being. Three primary changes that support better health include quitting smoking, reducing alcohol intake,...
29
01:22Behavior Therapy
52
Behavior therapy incorporates diverse techniques rooted in classical conditioning principles to address maladaptive behaviors and anxiety disorders. These methods aim to reduce avoidance behaviors, foster adaptive coping mechanisms, and alter associations between stimuli and responses, making them effective in a wide range of therapeutic contexts.
Exposure therapy is a cornerstone of behavioral treatment for anxiety disorders. It involves systematic exposure to feared stimuli, either in real...
Exposure therapy is a cornerstone of behavioral treatment for anxiety disorders. It involves systematic exposure to feared stimuli, either in real...
52