在表现出精神病症状的患者中长期暴露于创伤后应激障碍:范围审查
D H K Deleuran1, O Skov2, S Bo3
1Psychiatric Unit, Odense University Hospital, Svendborg, Denmark.
Clinical psychology & psychotherapy
|July 29, 2024
概括
长期暴露 (PE) 治疗可以有效地减少伴随性精神病患者的创伤后应激障碍 (PTSD) 症状. 研究发现精神病症状没有恶化,这表明PE是这个人群可行的创伤治疗选择.
科学领域:
- 精神病学是一个精神病学.
- 心理学 心理学 心理学
- 创伤研究 创伤研究
背景情况:
- 创伤显著增加了精神病的风险.
- 由于担心加剧精神病症,经常拒绝以创伤为重点的治疗方法.
- 长期暴露 (PE) 是一种有效的创伤治疗方法.
研究的目的:
- 评估长期暴露 (PE) 作为患有精神病症状的患者创伤后应激障碍 (PTSD) 的可行治疗方法的证据.
主要方法:
- 在主要数据库 (Scopus,PsycINFO,PubMed MEDLINE) 中进行了系统的文献搜索.
- 八项研究符合资格标准,其中五项是对伴随性精神病经历的PTSD的PE,三项是随访数据.
- 研究的质量和偏差风险都得到了评估.
主要成果:
- 长期暴露 (PE) 似乎有效地减少了伴随性精神病症状的患者的PTSD症状.
- 在审查的研究中没有观察到任何阳性催化剂效应,例如精神病症状增加.
结论:
- 长期暴露 (PE) 显示为对患有并发性精神病症状或疾病的个体的PTSD治疗有前途.
- 目前的证据有限,需要进行更大规模的试验才能得出最终的结论.
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