治疗常见的并发症:在为期3周的基于认知处理疗法的强化治疗后,针对创伤后应激障碍的疼痛结果
Merdijana Kovacevic1, Mauricio Montes1, Vanessa Tirone1
1Department of Psychiatry and Behavioral Sciences, Rush University Medical Center, Chicago, Illinois, USA.
Journal of traumatic stress
|December 13, 2023
概括
对创伤后应激障碍 (PTSD) 的密集治疗减少了疼痛干扰. 疼痛干扰的减少与退伍军人的PTSD症状的更大改善有关.
科学领域:
- 精神病学是一个精神病学.
- 疼痛医学 医学 疼痛医学
- 临床心理学 临床心理学
背景情况:
- 创伤后应激障碍 (PTSD) 经常与慢性疼痛同时发生.
- 创伤后应激障碍干预措施对同时发生的疼痛的影响需要进一步调查.
研究的目的:
- 为了检查PTSD强化治疗计划 (ITP) 后疼痛,PTSD和抑郁症状的变化.
- 探索治疗前疼痛干扰和症状严重程度之间的关系.
- 评估疼痛干扰的变化是否预测PTSD和抑郁症状的变化.
主要方法:
- 125名患有PTSD的退伍军人完成了为期3周的基于认知处理疗法 (CPT) 的ITP.
- 线性混合模型分析了疼痛干扰,PTSD和抑郁症状的变化.
- 治疗前的疼痛干扰被评估为一个预测变量.
主要成果:
- 在ITP期间,疼痛干扰显著减少 (d = 0.15,p = .039).
- 较高的治疗前疼痛干扰与随着时间的推移更大的PTSD和抑郁症状严重程度相关.
- 疼痛干扰的较大减少与PTSD症状的显著改善有关 (β = -.03,p < .001).
结论:
- 强化PTSD治疗方案可以减少退伍军人的疼痛干扰.
- 疼痛干扰的减少与改善PTSD症状严重程度有关.
- 需要进一步的研究来确定特定的治疗组件,以提高与PTSD同时发生的疼痛和PTSD的结果.
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