以数据为基础选择基于证据的治疗方法,治疗创伤后应激障碍和同时出现的症状
Victoria Alicia Torres1,2, Elizabeth Coe1,2, Jalisa Jackson1
1Warriors Research Institute, Baylor Scott & White Health, Waco, Texas, USA.
Journal of traumatic stress
|February 17, 2025
概括
选择正确的PTSD治疗方法很重要. 对那些没有其他疾病的人来说,以创伤为重点的治疗可能是最好的,而跨诊断方法可以帮助那些同时使用物质和抑郁症的人.
科学领域:
- 精神病学是一个精神病学.
- 心理学 心理学 心理学
- 临床心理学 临床心理学
背景情况:
- 创伤后应激障碍 (PTSD) 经常与其他心理健康状况同时发生.
- 对于PTSD和并发性疾病,有基于证据的治疗方法,但根据基线症状选择治疗方法的指导是有限的.
研究的目的:
- 检查退伍军人和他们的家人可能患有PTSD的基线症状和治疗轨迹.
- 通过识别可能预测对创伤重点治疗和跨诊断疗法的反应的模式,为数据驱动的治疗选择提供信息.
主要方法:
- 一项对90名可能患有PTSD (通过PCL-5评估) 的个人进行的研究,这些人通过远程医疗接受了以创伤为重点 (CPT,PE) 或跨诊断 (ACT,UP) 的治疗.
- 分析基线症状,以根据可能出现的物质使用障碍 (SUD) 和主要抑郁障碍 (MDD) 的同时存在来确定治疗有效性.
主要成果:
- 在跨诊断和以创伤为重点的治疗之间,整体PTSD症状改善没有显著差异.
- 一种潜在的模式出现了:对于可能同时出现SUD和MDD的个体,跨诊断治疗可能更有效,而对没有这些并发症的人来说,以创伤为重点的治疗可能更有效.
结论:
- 基线症状数据,特别是同时出现的SUD和MDD的存在,可能有助于指导PTSD的治疗选择.
- 需要进行更大规模的随机研究来证实这些初步发现,并为临床实践提供信息.
- 未来的研究还应该探索功能性结果,如创伤后生长和生活质量.
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