当会议频率有限时检查长期暴露结果:从退伍军人样本的初步发现
Charles A Hayes1, Rachel K Bieu1, Ryan W Schroeder1
1Behavioral Health, Robert J. Dole VA Medical Center, Wichita, Kansas.
概括
在临床实践中,长期暴露 (PE) 治疗PTSD仍然有效,即使会话频率在临床实践中不同. 这项研究发现,会议频率对退伍军人的治疗结果没有显著的影响.
科学领域:
- 精神病学和行为健康
- 临床心理学 临床心理学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 与疗效试验相比,治疗方案,如创伤后应激障碍 (PTSD) 的长期暴露 (PE),在临床实践中显示会话频率的变化.
- 这种变化可能会影响现实环境中的治疗结果.
研究的目的:
- 调查长期暴露 (PE) 会话频率对诊断为PTSD的退伍军人的临床样本治疗结果的影响.
- 为了确定偏离建议的会话频率是否会影响PE的疗效.
主要方法:
- 对648名被诊断患有PTSD的退伍军人进行了回顾性分析,他们在退伍军人事务局门诊诊所进行了亲身体验PE.
- 数据来源于退伍军人卫生管理局的企业数据仓库 (电子健康记录).
- 使用DSM-5 (PCL-5) 的PTSD检查清单测量治疗结果;统计分析包括线性多重回归和t测试.
主要成果:
- 线性多重回归和t-test分析显示,PE会话频率和PTSD治疗结果 (PCL-5变化得分) 之间没有显著的关系.
- 治疗前后PCL-5变化得分的效果大小是相当大的,从d = 1.25到1.40不等,表明总体有显著的改善.
- 调查结果表明,无论遵守严格的每周或每周两次会议时间表,PE都是有效的.
结论:
- 长期暴露 (PE) 似乎是对退伍军人PTSD的可行和有效干预,即使会话频率偏离了手册建议.
- 临床实践可以适应PE的灵活会话安排,而不会影响治疗效益.
- 建议进行更多涉及交叉验证的研究来证实这些发现.
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