对PTSD进行密集的门诊治疗的影响
Suzy J M A Matthijssen1, Sophie D F Menses1, Hilde M Huisman-van Dijk1
1Altrecht Academic Anxiety Centre, Utrecht, the Netherlands.
European journal of psychotraumatology
|April 26, 2024
概括
这项研究表明,六天的密集门诊创伤治疗有效地减少创伤后应激障碍 (PTSD) 症状. 该疗法结合了暴露疗法,EMDR,运动和精神教育,以获得持久的结果.
科学领域:
- 心理学 心理学 心理学
- 精神病学是一个精神病学.
- 创伤研究 创伤研究
背景情况:
- 创伤后应激障碍 (PTSD) 经常用基于证据的疗法来治疗.
- 综合治疗的密集住院形式显示出提高效率和降低学率的前景.
- 门诊密集型格式需要对PTSD治疗疗效进行调查.
研究的目的:
- 评估诊断为PTSD的患者进行为期六天的集中门诊创伤治疗计划的有效性.
- 评估密集治疗后的症状减缓和诊断缓解率.
主要方法:
- 分析了146名患有PTSD的患者队列,主要是女性,有多重创伤和并发性疾病的病史.
- 治疗涉及两周内六天,每天有个别创伤专注会议 (长期暴露和EMDR),运动和精神教育.
- 在治疗前测量PTSD症状,在一个月的随访期和六个月的随访期使用DSM-5 (CAPS-5) 的临床医生管理的PTSD尺度和DSM-5 (PCL-5) 的PTSD检查清单.
主要成果:
- 从治疗前到一个月和六个月的随访期间,观察到PTSD症状的显著减少 (科恩d = 1.13-1.63).
- 在一个月的随访后,52.4%的患者不再符合PTSD诊断标准 (CAPS-5).
- 可靠变化指数表明,73.9% (CAPS-5) 和77.6% (PCL-5) 的患者有改善,症状恶化最小.
结论:
- 一个密集的门诊创伤治疗计划,整合基于证据的疗法,运动和精神教育,对于多重创伤导致的PTSD是有效的.
- 这些发现支持强化门诊模式治疗PTSD的有效性,显示持续的症状减轻和缓解.
- 建议通过对照性研究进行进一步的研究,以将这种密集型模型与其他治疗方法进行比较.
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