长期暴露 (PE) 在犯罪受害者支持中心实施后的有效性
Azusa Saito1,2, Nobuko Tsuruta2, Yoko Arai2
1Faculty of Human Sciences, Department of Psychology, Sophia University, Tokyo, Japan.
European journal of psychotraumatology
|January 24, 2024
概括
长期暴露 (PE) 疗法在现实环境中有效治疗犯罪引起的创伤后应激障碍 (PTSD). 这项研究发现,PE在低学率的情况下是有效的,特别是当系统和患者参与因素得到支持时.
科学领域:
- 精神病学和心理学 精神病学和心理学
- 临床心理学 临床心理学
- 创伤研究 创伤研究
背景情况:
- 基于证据的心理治疗 (EBP) 是推用于创伤后应激障碍 (PTSD).
- 之前的研究发现了EBP的实施障碍和高退学率.
- 长期暴露 (PE) 疗法的有效性先前在日本得到证实,促使其在现实世界中实施.
研究的目的:
- 在东京受害者支持中心 (VSCT) 评估PE对犯罪引起的PTSD的有效性和益处.
- 在这种临床环境中,确定导致治疗中断的因素.
主要方法:
- 在VSCT,有100名患有暴力犯罪受害后创伤后应激障碍的成年客户接受了PE.
- 在治疗前和治疗后评估PTSD症状时,使用事件影响规模修订 (IES-R) 和临床医生管理的DSM-IVPTSD规模 (CAPS-IV).
主要成果:
- 93名参与者完成了PE,其中7人学.
- 完成者在PTSD症状 (IES-R,CAPS-IV) 中显著改善,没有症状恶化.
- 49名完成者中有40人离开工作/学校,在治疗后返回.
- 学是年轻的女性,经常是强奸幸存者,受害者和治疗之间的间隔较短;原因包括安排冲突和并发症.
结论:
- 在现实世界的临床环境中,对于犯罪引起的PTSD,PE是有效和可行的.
- 通过加强系统优势,政策,组织背景,忠诚度支持和患者参与,可以实现较低的退学率.
- 解决后勤和并发症挑战对于优化PE治疗完成至关重要.
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