对于患有PTSD的退伍军人进行计算机化工作记忆训练的随机对照试验
J Bomyea1, M M Caudle2, A L Bartolovich3
1Center of Excellence for Stress and Mental Health, VA San Diego Healthcare System, USA; Department of Psychiatry, University of California San Diego, USA.
Journal of psychiatric research
|December 6, 2024
概括
工作记忆训练可以帮助患有创伤后应激障碍 (PTSD) 的退伍军人减少再次经历症状. 高强度训练在一些参与者中显示出更大的症状减轻,这表明潜在的PTSD干预.
科学领域:
- 神经科学是一个神经科学.
- 精神病学是一个精神病学.
- 认知心理学 认知心理学
背景情况:
- 创伤后应激障碍 (PTSD) 在退伍军人中很普遍,经常伴随着工作记忆缺陷.
- 标准的PTSD治疗是有效的,但在参与和充分受益方面存在局限性.
- 认知训练,特别是工作记忆训练 (WMT),被探索为减轻PTSD症状的替代方案.
研究的目的:
- 为了评估一个16个会议的WMT程序,为退伍军人与PTSD.
- 评估WMT的可行性,可接受性和临床疗效.
- 为了比较WMT程序中的两个级别的干扰控制培训.
主要方法:
- 对患有PTSD的退伍军人进行了16次工作记忆训练计划.
- 两种干扰控制训练条件 (高和低) 被比较.
- 评估了可行性,可接受性和PTSD症状严重程度 (包括再次经历症状).
主要成果:
- 对于退伍军人来说,WMT计划通常是可行的和可以接受的.
- 对治疗意图的分析显示,培训组之间的效果相似.
- 高干扰组的协议坚持的参与者表现出更大的再次体验症状减少 (Hedges' g = 0.57).
- 在两组中,整体PTSD严重程度显著下降.
结论:
- 工作记忆训练显示出作为退伍军人中PTSD可行的干预措施的潜力.
- WMT可能有助于减少再次经历症状,特别是通过更高的干扰控制.
- 需要进一步的研究来验证这些发现,并探索更广泛的临床结果.
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