探索Huddinge在线长期暴露治疗 (HOPE) 对严重和复杂的PTSD的可行性和接受性
Maria Bragesjö1, Volen Z Ivanov1, Erik Andersson2
1Department of Clinical Neuroscience, Centre for Psychiatry Research, Karolinska Institutet, & Stockholm Health Care Services, Stockholm, Sweden.
European journal of psychotraumatology
|March 4, 2024
概括
数字长期暴露疗法 (HOPE) 是对严重创伤后应激障碍 (PTSD) 的可行和有效治疗方法. 这种数字干预表明,它有望弥合在获得基于证据的PTSD护理方面的差距.
科学领域:
- 精神病学是一个精神病学.
- 数字心理健康数字心理健康
- 临床心理学 临床心理学
背景情况:
- 以创伤为重点的认知行为疗法,就像长期暴露 (PE),是创伤后应激障碍 (PTSD) 的一线治疗方法.
- 在日常护理中,对PE的访问是有限的,这引起了对数字干预的兴趣.
- 对于严重和复杂的PTSD,数字治疗的有效性仍然不确定.
研究的目的:
- 检查数字治疗师指导的长期暴露 (HOPE) 干预的可行性,可接受性和初步治疗效果.
- 评估HOPE在门诊精神病治疗中提供基于证据的PTSD治疗的潜力.
主要方法:
- 一项为期10周的数字治疗师指导的长期暴露 (HOPE) 干预对30名中度至重度PTSD的参与者进行了治疗.
- 参与者,许多人患有复杂的PTSD症状和精神伴随性疾病,在基线,治疗期间,治疗后以及1个月和6个月的随访期间进行了评估.
- 使用临床医生管理的PTSD尺度版本5 (CAPS-5) 评估了PTSD症状严重程度.
主要成果:
- 希望证明了可行性和有效性,在17%的学率和没有严重的不良事件.
- 64%的人完成了暴露组件,报告的整体满意度中等.
- 在1个月的随访后,PTSD症状显著减少 (科恩d=1.30),并在6个月后持续.
结论:
- 数字长期暴露 (HOPE) 是严重和复杂的PTSD可行的干预措施.
- 希望提供了一个有前途的方法,以扩大获得基于证据的PTSD治疗的机会.
- 需要进一步进行大规模的受控试验,以验证HOPE的特定效应和长期益处.
关键词:
创伤后应激障碍;复杂的创伤后应激障碍;长期暴露;在互联网上提供指导治疗.创伤后应激障碍是一种创伤后应激障碍.数字化处理数字化处理长期暴露 长期暴露治疗是以创伤为中心的认知行为治疗.创伤后应激障碍是一个复杂的创伤后应激障碍.数字化治疗 数字化治疗治疗指导通过互联网交付.创伤集中认知行为疗法治疗.更多相关视频
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