退伍军人的12个月的PTSD和抑郁症结局在2周和3周的基于认知处理治疗的强化认知处理治疗后
Philip Held1, Lia J Smith1, Angelee M Parmar1
1Department of Psychiatry and Behavioral Sciences, Rush University Medical Center, Chicago, IL, USA.
European journal of psychotraumatology
|May 21, 2024
概括
使用认知处理疗法 (CPT) 的较短密集的PTSD治疗计划 (ITP) 与较长的疗程同样有效. 基于CPT的2周ITP显示与3周ITP相比,相当于长期PTSD和抑郁症的结果.
科学领域:
- 心理健康 心理健康
- 精神病学是一个精神病学.
- 临床心理学 临床心理学
背景情况:
- 强化PTSD治疗计划 (ITPs) 提供每日基于证据的疗法,如认知处理疗法 (CPT) 是可行的和有效的.
- 之前的研究表明,较短的ITP持续时间,例如2周的计划,可以产生与较长的3周计划相比的结果.
- 需要进一步研究ITP的长度和组成如何影响长期结果.
研究的目的:
- 评估治疗后3,6个月和12个月的PTSD和抑郁症症状是否相当于2周和3周的基于CPT的ITPs.
- 为了确定较短的ITP持续时间对PTSD退伍军人的长期症状管理的非劣势.
主要方法:
- 一项比较性研究分析了638名退伍军人在为期2周的基于CPT的ITP和496名退伍军人在为期3周的基于CPT的ITP中的数据.
- 利用贝叶斯因子方法来评估两种ITP持续时间之间的PTSD和抑郁症症状严重程度结果的等价性.
- 在治疗结束后的3,6个月和12个月对症状的纵向评估.
主要成果:
- 在12个月的随访中,两周和3周的ITP都导致PTSD症状 (大效果大小,d=0.98) 和抑郁症症状 (中度到大效果大小,d=0.69) 的显著减少.
- 该研究发现,通过2周的ITP获得的PTSD和抑郁症症状减少相当于在3周的ITP中观察到的.
- 在较短和较长的治疗持续时间之间,没有发现长期症状严重程度的显著差异.
结论:
- 基于CPT的2周ITP显示,与3周ITP相比,对PTSD和抑郁症症状的长期有效性相当.
- 低的后续完成率是一个局限性,表明潜在的偏见.
- 未来的研究应该以更高的后续率为目标,并探索辅助服务对生活质量和功能的影响.
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