回溯创伤后应激障碍:一个随机对照试验
Laurence Astill Wright1,2, Kali Barawi1, Neil Kitchiner1
1Division of Psychological Medicine and Clinical Neurosciences, Cardiff University School of Medicine, UK.
Depression and anxiety
|April 14, 2025
概括
反技术 (Rewind) 是一种治疗创伤后应激障碍 (PTSD) 的疗法,在远程传递时显示出显著的疗效. 这项研究表明,远程回旋是一种可行的,有效的治疗PTSD症状.
科学领域:
- 心理学 心理学 心理学
- 临床心理学 临床心理学
- 心理健康 心理健康
背景情况:
- 逆转技术 (Rewind) 是一种针对创伤后应激障碍 (PTSD) 的成熟心理治疗方法.
- 它目前在英国国家卫生服务 (NHS),第三部门组织和私人诊所内使用.
- 这项研究调查了在PTSD治疗中远程提供Rewind疗法的潜在有效性和可行性.
研究的目的:
- 探索远程传递的PTSD回旋疗法的初步疗效.
- 评估远程回旋干预的可行性和遵守性.
- 在远程环境中识别影响治疗结果的因素.
主要方法:
- 一个探索性随机对照试验 (RCT) 进行了两支手臂:即时回滚和等候名单对照组.
- 整个试验,包括治疗课程和结果评估,通过视频通话远程进行.
- 40名参与者被随机分配,在8周的初级终点保持率为80%.
主要成果:
- 在DSM-5得分的临床医生管理的PTSD尺度中,在8周后的立即和延迟回滚组之间观察到一个统计学上显著的差异 (差异=12.64,p=0.02).
- 在8周后,观察到一个很大的效果大小 (科恩d=1.05),表明症状有了很大改善.
- 在16周的随访评估中,症状的改善仍然存在.
结论:
- 远程传递的 Rewind 疗法在减少 PTSD 症状方面表现出很大的效果.
- 这些发现为在PTSD的临床实践中使用远程回旋的疗效提供了初步信号.
- 远程传递是回旋疗法的可行方法,支持其更广泛的应用.
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