暴露与认知重组技术在简短的基于互联网的认知行为治疗中对阿拉伯语说话的人患有创伤后应激障碍:随机临床试验
Jana Stein1,2, Max Vöhringer2, Birgit Wagner3
1Clinical Psychological Intervention, Department of Education and Psychology, Freie Universität Berlin, Berlin, Germany.
JMIR mental health
|December 13, 2023
概括
基于互联网的认知行为疗法 (CBT) 有效地治疗阿拉伯语说话者的创伤后应激障碍 (PTSD). 与等候名单对照组相比,暴露和认知重组治疗都显示出显著的症状减少.
科学领域:
- 心理健康 心理健康
- 心理学 心理学 心理学
- 临床研究 临床研究
背景情况:
- 基于互联网的认知行为干预 (CBT) 对创伤后应激障碍 (PTSD) 有效.
- 这些治疗方法的特定组成部分需要进一步研究,特别是在受冲突影响的中东和北非地区.
- 这项研究解决了需要了解在阿拉伯语人口中治疗PTSD的不同CBT方法的有效性.
研究的目的:
- 为了评估两种简短的基于互联网的CBT治疗PTSD的疗效.
- 为了比较暴露治疗 (自我对抗和社交分享) 与认知重组治疗 (认知重组和社交分享) 的有效性.
- 评估治疗期间PTSD症状严重程度的变化,并将结果与等待名单对照组进行比较.
主要方法:
- 来自中东和北非的365名讲阿拉伯语,患有PTSD的参与者被随机分为认知重组,暴露治疗或等候名单对照组.
- 评估包括PTSD症状严重程度,不适应性认知,焦虑,抑郁和体形症状以及生活质量.
- 使用多组变化建模分析数据,对缺失数据进行多次归算.
主要成果:
- 这两种基于互联网的CBT治疗都显著减少了PTSD,焦虑,抑郁和体形症状,并改善了生活质量.
- 在两组治疗中,症状严重程度在4次治疗后显著下降.
- 这两种治疗方法都明显优于等候名单对照组,两种活性治疗方法之间没有显著差异.
结论:
- 简短的基于互联网的CBT干预,以自我对抗或认知重组为重点,适用于阿拉伯语说话的PTSD患者,并且有效.
- 这些发现支持在多种语言和文化背景下使用PTSD的数字心理健康干预措施.
- 进一步的研究可以探索针对特定人群的治疗成分的最佳组合.
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