一项随机对照试验帮助患有复杂创伤和分离的个体寻找坚固的地面.
Bethany L Brand1, Hygge J Schielke2, Karen Putnam3
1Department of Psychology, Towson University.
Psychological trauma : theory, research, practice and policy
|February 27, 2025
概括
一个在线程序改善了创伤相关解离症 (TRD) 患者的情绪调节,PTSD症状和自我同情. 这种辅助疗法增强了适应能力,对复杂的PTSD患者显示出显著的益处.
科学领域:
- 精神病学和心理学 精神病学和心理学
- 创伤研究 创伤研究
- 心理健康干预 心理健康干预
背景情况:
- 创伤相关解离症 (TRD) 需要有效的治疗方法,经常出现复杂的PTSD和高自杀倾向.
- 目前对TRD (包括分离性障碍) 的治疗选择有限.
- 寻找坚实的基础 (FSG) 计划为管理创伤相关症状提供心理教育.
研究的目的:
- 评估辅助在线精神教育计划 (FSG) 对高创伤相关解离 (TRD) 患者的有效性.
- 评估在接受FSG以及标准心理治疗的患者症状和适应能力的变化.
- 确定FSG对情绪调节,PTSD症状和自我同情的影响.
主要方法:
- 一项随机对照试验 (RCT) 涉及291名门诊患者,各种TRD诊断 (ICD-10).
- 参与者被分配到FSG即时访问或6个月等候名单对照组.
- 门诊治疗师继续为所有参与者提供标准心理治疗.
主要成果:
- 与等待名单组相比,直接FSG组在6个月后表现出情绪调节,PTSD症状,自我同情和适应能力的显著改善.
- 从研究开始到12个月,在直接的FSG组中观察到这些改善的大效果大小 (dosaeggadus = 0.95-1.32).
- 等候名单小组在进入FSG计划6个月后取得了相似的改善.
结论:
- 将Finding Solid Ground (FSG) 计划添加到心理治疗中,可以显著改善创伤相关解离症 (TRD) 患者的结果.
- 在这种人群中,FSG增强了情绪调节,减少了PTSD症状,增加了自我同情,并改善了适应性功能.
- 这项研究支持FSG作为复杂的PTSD和相关离散性障碍的有价值的辅助治疗.
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