在有或没有行为激活的认知处理疗法中,在患有并发性PTSD和MDD的服务人员中,突然获得了认知处理疗法
Nicholas P Otis1, Alexander C Kline1, Lisa H Glassman1
1Psychological Health & Readiness, Naval Health Research Center, San Diego, CA, USA; Leidos, Inc., San Diego, CA, USA.
Behaviour research and therapy
|April 27, 2025
概括
抑郁症症状的突然增加,而不是创伤后应激障碍,预测了同时出现创伤后应激障碍 (PTSD) 和严重抑郁障碍 (MDD) 的现役服务人员的更好的结果. 这一发现强调了抑郁症症状的变化作为一个关键的预后标志物.
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
- 军人心理健康 军人心理健康
背景情况:
- 突然的增长 (快速,稳定的症状减少) 与更好的治疗结果有关.
- 了解并发性创伤后应激障碍 (PTSD) 和主要抑郁障碍 (MDD) 的突然增长对于改善治疗至关重要.
- 这项研究的重点是现役服役人员,该人口中这些并发症的发病率很高.
研究的目的:
- 为了评估突然增加PTSD和抑郁症症状的发生.
- 检查伴随性PTSD和MDD的突然增长和治疗结果之间的关联.
- 在这个人群中确定治疗成功的潜在预后标志物.
主要方法:
- 一项随机对照试验比较行为激活增强认知处理疗法 (BA + CPT) 与单独使用CPT.
- 包括94名现役服役人员,他们患有PTSD和MDD并发症.
- 评估PTSD和抑郁症的严重程度,使用治疗后和3个月后期的访谈者评分.
主要成果:
- 27%的样本出现了抑郁症症状的突然增长,而PTSD突然增长发生在19%.
- 抑郁症的突然增长与PTSD和抑郁症严重程度的改善显著相关 (p < .001).
- 创伤后应激障碍症状的突然增加与创伤后应激障碍或抑郁症的结果没有显著的关联 (p > .137).
结论:
- 突发抑郁症的增加似乎是一个显著的预后标记,用于改善军事人员患有并发性PTSD和MDD的结果.
- 专注于减轻抑郁症症状可能特别重要,以提高这一群体的整体治疗成功率.
- 进一步的研究应该探索突发抑郁症增长背后的机制及其对伴随疾病的影响.
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