用记忆特异性训练增强创伤焦点认知行为疗法治疗创伤后应激障碍:一个随机对照试验
Richard A Bryant1,2, Katie S Dawson1, Srishti Yadav1
1School of Psychology, University of New South Wales, Sydney, NSW, Australia.
概括
记忆特异性训练显著提高创伤集中认知行为疗法 (TF-CBT) 的创伤后应激障碍 (PTSD). 这种补充改善了PTSD症状的减少,并减少了第一响应者的酒精使用.
科学领域:
- 临床心理学 临床心理学
- 创伤研究 创伤研究
- 心理治疗研究 心理治疗研究
背景情况:
- 以创伤为重点的认知行为疗法 (TF-CBT) 是治疗创伤后应激障碍 (PTSD) 的推疗法.
- 很大一部分患者 (高达50%) 不能完全响应标准TF-CBT.
- 对于提高TF-CBT疗效的策略有着至关重要的需要.
研究的目的:
- 调查将记忆特异性训练 (MT) 纳入TF-CBT是否可以改善创伤后应急症患者的治疗结果.
- 为了比较TF-CBT与记忆特异性训练 (TF-CBT/MT) 结合TF-CBT与单独TF-CBT的有效性.
主要方法:
- 进行了一项受控试验,100名现任或前任的急救人员被诊断患有PTSD.
- 参与者被随机分配1:1接受每周12次TF-CBT/MT或单独TF-CBT.
- 主要结局是基线,治疗后和6个月随访时评估的PTSD严重程度的变化;次要结局包括抑郁症,创伤认知,酒精使用和生活质量.
主要成果:
- 在6个月后,TF-CBT/MT与单独TF-CBT相比,显著减少了PTSD严重程度 (平均差异:9.2,p=0.003),这表明效果大小很大.
- 参与TF-CBT/MT组的参与者在酒精使用 (平均差异:5.3,p=0.007) 和自责认知 (平均差异:0.8,p=0.008) 中显著减少.
- 在TF-CBT/MT干预中,PTSD严重程度和酒精使用减少的效果大.
结论:
- 记忆特异性训练显著提高了标准TF-CBT在治疗PTSD的有效性.
- 这种综合方法提供了一个简单的,可实施的策略,以改善PTSD的治疗结果.
- 这些发现支持整合记忆特异性训练以增加PTSD治疗收益.
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