在体内暴露期间的同行支持 家庭作业增加了长期暴露治疗完成的可能性
Melba A Hernandez-Tejada1, Madeline J Bruce1, Wendy Muzzy2
1Department of Psychiatry and Behavioral Sciences, University of Texas Health Science Center at Houston, Houston, Texas.
概括
暴露治疗家庭作业期间的同行支持显著降低了创伤后应激障碍 (PTSD) 的退伍军人学率. 增加长期暴露 (PE) 与同行辅助的体内暴露作业,在治疗完成方面显示出有希望的结果.
科学领域:
- 精神病学是一个精神病学.
- 临床心理学 临床心理学
- 退伍军人事务 心理健康
背景情况:
- 长期暴露疗法 (PE) 对患有创伤后应激障碍 (PTSD) 的退伍军人有效.
- 高的退学率 (高达50%) 限制了PE的有效性.
- 同行支持是用来提高参与度,但不是经常用于PE家庭作业完成.
研究的目的:
- 使用两种形式的同行支持来比较PE治疗完成率.
- 调查同行支持是否可以减少接受PE治疗的退伍军人中断.
主要方法:
- 一个随机对照试验,包括109名退伍军人考虑从PE中退出.
- 对比标准的基于电话的同行支持与同行辅助的体内暴露.
- 同行辅助的体内暴露涉及同行在暴露任务期间陪同退伍军人.
主要成果:
- 一般与工具性同行支持小组之间没有显著差异.
- 后期分析:那些至少有一次同行辅助的体内暴露的人完成了87%的完成率,而没有这种情况的人是56%.
- 剂量反应效应:93%完成2+同行辅助暴露,97%完成3+.
结论:
- 在体内暴露的家庭作业期间,通过工具性同行支持来增加PE,可能会减少学业学.
- 同行辅助的体内暴露显示了对治疗完成的剂量依赖性影响.
- 未来的研究应该探索在治疗早期提供同行辅助的体内暴露.
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