患有复杂形式的PTSD患者对高度密集的创伤治疗的反应:一项临床队列研究
Mayaris Zepeda Méndez1, Mirjam J Nijdam1, F Jackie June Ter Heide1
1ARQ Centrum'45, ARQ National Psychotrauma Center.
概括
患有复杂创伤后应激障碍 (PTSD) 和分裂性亚型 (PTSD + DS) 的创伤后应激障碍患者从密集创伤治疗中显著受益. 这些复杂的PTSD表现并不是治疗成功的禁忌.
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
- 创伤研究 创伤研究
背景情况:
- 强化创伤治疗方案在创伤后应激障碍 (PTSD) 中显示出有效性.
- 对于复杂的PTSD表现,包括具有分裂亚型 (PTSD + DS) 和可能复杂的PTSD (CPTSD) 的PTSD,密集计划的有效性不太清楚.
研究的目的:
- 为了比较高强度创伤治疗方案的好处,对于患有PTSD + DS和可能的CPTSD的患者与患有标准PTSD的患者.
- 为了确定复杂的PTSD表现是否是密集创伤治疗的禁忌.
主要方法:
- 一项临床队列研究,涉及接受5天强化创伤计划的患者 (眼动脱敏和再处理,暴露,创伤敏感).
- 使用DSM-5 (CAPS-5) 的临床医生管理的PTSD尺度对PTSD + DS的评估.
- 使用国际创伤问卷进行CPTSD的临时诊断.
- 主要结局:通过DSM-5的PTSD检查清单,自我报告的PTSD症状严重程度,测量治疗前后.
主要成果:
- 无论是PTSD + DS还是可能的CPTSD组,PTSD症状严重程度都显著降低 (d = 0.85).
- 复杂的PTSD组和标准的PTSD组之间的症状减轻的程度是可比的.
- 诊断PTSD + DS和CPTSD与较差的治疗结果没有关联.
结论:
- 强化,简短的创伤治疗计划对于复杂的PTSD呈现是有效的,包括PTSD + DS和CPTSD.
- 这些发现扩展了对重创治疗的先前研究.
- 需要进一步的随机临床试验来证实复杂的PTSD强化治疗的有效性.
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