治愈的持久强度:患者对PTSD的密集门诊治疗的患者观点
Maria Bragesjö1, Volen Z Ivanov1, Sara Farman1
1Centre for Psychiatry Research, Department of Clinical Neuroscience, Karolinska Institutet, & Stockholm Health Care Services, Stockholm, Sweden.
对创伤后应激障碍 (PTSD) 进行强度长期暴露 (iPE) 是要求苛刻但非常有效的. 患者发现具有挑战性的iPE治疗具有变革性,导致症状减轻之外的显著益处.
科学领域:
- 精神病学是一种精神病学.
- 临床心理学 临床心理学
- 创伤研究 创伤研究
背景情况:
- 长期暴露 (PE) 是一线PTSD治疗方法,但其学率高,有效性可变.
- 强化治疗形式的建议是为了改善结果,但患者的偏好被研究不足.
研究的目的:
- 调查患者对PTSD的强度长期暴露 (iPE) 的经验.
主要方法:
- 在iPE完成后,与12名参与者进行了半结构化采访.
- 用专题分析来分析采访数据.
主要成果:
- 总体主题是"残酷但值得".
- 这些子主题包括承诺,社会支持,克服挑战,治疗收益和促进进步.
- 参与者报告了短期的困难,但认识到长期的实质性好处,包括减少PTSD症状.
结论:
- 患者认为iPE是激烈和苛刻的,但最终是变革性的和值得的.
- 个人因素和社会支持是iPE体验的关键.
- 这些发现可以为设计更有效和以患者为中心的强化PTSD治疗提供信息.
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