暴露或不暴露:对创伤后应激障碍治疗的全面视角
Arielle Rubenstein1, Or Duek1, Jennifer Doran1
1Department of Psychiatry, Yale University School of Medicine.
The American psychologist
|April 18, 2024
概括
暴露疗法是创伤后应激障碍 (PTSD) 的黄金标准,但并不总是必要的症状缓解. 非创伤重点疗法显示出希望,表明需要个性化的PTSD治疗方法.
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
背景情况:
- 以创伤为重点的心理治疗,如长期暴露 (PE),是PTSD的标准,但有局限性.
- 在当前基于暴露的治疗中,持续性PTSD诊断和不良参与/保留率很高.
- 新出现的证据表明,非创伤重点治疗也可能有效地治疗PTSD.
结论:
- 这些发现挑战了对PTSD恢复直接暴露的普遍要求.
- 临床研究应专注于确定促进创伤记忆处理的核心治疗过程.
- 在临床实践中,共享决策可以增强患者在选择适当的PTSD治疗中的自主权,无论是以创伤为重点还是否.
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