对抗创伤后应激障碍的退伍军人住院与密集虚拟治疗的有效性进行比较
Katherine M Craig1, Brandon C Bryan2, Victoria L O'Connor1
1Research and Academic Affairs Service Line, Salisbury VA Healthcare System.
概括
对创伤后应激障碍 (PTSD) 的虚拟密集门诊计划 (VIOPP) 与住院治疗一样有效. 这一发现支持虚拟干预作为PTSD护理的可行选择.
科学领域:
- 心理健康 心理健康
- 临床心理学 临床心理学
- 远程医疗服务是远程医疗服务.
背景情况:
- 由于COVID-19的流行,人们不得不迅速转向虚拟医疗保健.
- 创伤后应激障碍 (PTSD) 住房康复治疗计划 (P-RRTP) 是退伍军人的密集干预.
- 开发了PTSD虚拟密集门诊计划 (VIOPP),以保持治疗机会.
研究的目的:
- 为了比较VIOPP与PTSD退伍军人的传统P-RRTP的有效性.
主要方法:
- 对370名退伍军人的分析 (P-RRTP中的193人,VIOPP中的177人) 使用DSM-5 (PCL-5) 评分的治疗前和治疗后PTSD检查清单.
- 对254名退伍军人进行了治疗前和治疗后抑郁症状评分 (PHQ-9) 的分析.
- 配对和独立样本t试验比较了住宅和虚拟模式之间的治疗结果.
主要成果:
- 无论是VIOPP还是P-RRTP,PCL-5得分都显著下降 (p < .001).
- 尽管在VIOPP中初始PCL-5得分较高,但在虚拟治疗和住院治疗之间,变化得分并没有显著差异 (p = .910).
- 抑郁症症状 (PHQ-9) 在两组中也显著下降.
结论:
- 强化虚拟治疗PTSD的疗效与住院治疗相美.
- 虚拟干预是一种可行的替代方案,也是PTSD护理连续性的宝贵补充.
- 这支持了远程医疗服务在退伍军人的心理健康护理中的扩展.
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