在常规护理中的有效性:对PTSD的创伤集中治疗
Antje Krüger-Gottschalk1, Sascha T Kuck1, Anne Dyer2
1Institute of Psychology, University of Münster, Münster, Germany.
European journal of psychotraumatology
|February 13, 2025
概括
以创伤为重点的认知行为疗法 (tf-CBT) 在常规临床环境中有效治疗PTSD,显示出大而稳定的效果. 这种方法被很好地容忍,并且可以广泛应用于各种患者个人资料.
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
- 基于证据的实践.
背景情况:
- 以创伤为重点的认知行为疗法 (tf-CBT) 在随机对照试验 (RCT) 中已经证明有效.
- 需要进一步的研究来确认tf-CBT在现实世界临床实践中的有效性.
- 创伤后应激障碍 (PTSD) 需要有效和易于获得的治疗选择.
研究的目的:
- 评估tf-CBT在常规门诊临床护理环境中的有效性.
- 评估Tf-CBT对患有PTSD的患者的耐受性和适用性.
- 在临床人群中调查治疗结果的潜在调节者.
主要方法:
- 八十五名被诊断患有PTSD的患者在两个德国门诊中心接受了tf-CBT.
- 治疗涉及准备,创伤重点和恢复阶段,由受过培训的治疗师提供.
- 治疗意图分析使用线性混合效应模型与DSM-5 (PCL-5) 的PTSD检查清单和DSM-5 (CAPS-5) 的临床医生管理的PTSD尺度数据.
主要成果:
- 在治疗意向分析中,对CAPS-5 (科恩d=2.07) 和PCL-5 (科恩d=2.02) 均观察到较大的治疗效应.
- 这些显著的治疗效应在治疗后的六个月和一年内保持稳定.
- 该研究报告了31.48%的学率,其中14.12%的患者尽管退出研究,但仍完成了治疗.
结论:
- 以创伤为重点的认知行为疗法 (tf-CBT) 在常规临床护理中耐受良好且有效.
- 实质性的治疗效果凸显了tf-CBT的实用性和好处.
- 这些发现支持tf-CBT在具有不同临床特征和并发症的个体中的广泛适用性.
关键词:
创伤后应激障碍 (PTSD) 是一种这就是TEPTT的意思.创伤中心的治疗是创伤.以创伤为重点的治疗方法临床常规 临床常规治疗的有效性.结果预测者结果预测者预测结果的预测者常规的 临床 临床 临床治疗的有效性治疗的有效性.更多相关视频
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