在老兵和社区样本中,在集体认知处理治疗期间和之后,症状恶化率较低
Daniel Szoke1, Michelle Ptak1, Sarah Pridgen1
1Department of Psychiatry and Behavioral Sciences, Rush University Medical Center, Chicago, Illinois, USA.
Journal of traumatic stress
|April 8, 2025
概括
在创伤后应激障碍 (PTSD) 的认知处理疗法 (CPT) 中,担心症状恶化是常见的. 然而,这项研究发现,在接受大规模CPT的退伍军人和社区成员中,临床显著的症状恶化率较低.
科学领域:
- 心理学 心理学 心理学
- 临床心理学 临床心理学
- 创伤研究 创伤研究
背景情况:
- 临床医生对基于证据的创伤后应激障碍 (PTSD) 治疗期间症状恶化表示担忧.
- 认知处理疗法 (CPT) 是一种基于证据的PTSD治疗方法,但症状恶化是一个潜在的问题.
研究的目的:
- 检查经过集体认知处理疗法 (CPT) 的退伍军人和社区成员症状恶化率.
- 评估CPT期间症状恶化的临床意义和频率.
主要方法:
- 两个样本 (N=499名退伍军人,N=69名社区成员) 用DSM-5 (PCL-5) 的创伤后应激障碍检查清单进行了评估,在整个大规模CPT中进行了评估.
- 症状恶化是基于连续的PCL-5得分变化计算的.
- 临床可靠的恶化被定义为PCL-5得分增加超过8.83分.
主要成果:
- 在治疗期间,在27.3%的退伍军人和21.7%的社区成员中至少发生过一次临床可靠的恶化.
- 到治疗结束时,只有1.4%的退伍军人和5.8%的社区成员从基线上显示出可靠的症状.
- 这些发现表明,在大规模CPT期间,临床意义上的症状增加率很低.
结论:
- 大规模CPT在不同人群中具有实用性,临床上有意义的症状恶化率较低.
- 结果可以为患者和临床医生的讨论提供信息,减轻人们对CPT期间症状恶化的担忧.
- 该研究表明,CPT是一种可行的治疗选择,症状波动可控.
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