书面暴露治疗组在虚拟门诊环境中的可行性和可接受性
Adam G Horwitz1, Kaitlyn McCarthy1, James Abelson1
1Department of Psychiatry, University of Michigan Medical School, Ann Arbor, Michigan, USA.
Journal of traumatic stress
|June 3, 2025
概括
虚拟书面暴露疗法 (WET) 组显示出治疗创伤后应激障碍 (PTSD) 的前景. 这项研究在社区环境中发现了高出席率,满意度和显著的症状减少.
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
- 心理健康干预 心理健康干预
背景情况:
- 书面暴露疗法 (WET) 是创伤后应激障碍 (PTSD) 的有希望的治疗方法.
- 将WET调整为团体格式可以克服参与障碍.
- 很少有研究在小组环境中探索WET,特别是虚拟格式.
研究的目的:
- 评估虚拟WET组的可行性,可接受性和临床结果.
- 从门诊精神病诊所的质量改进项目中收集初步数据.
- 评估患者对基于群体的虚拟WET干预的参与度和满意度.
主要方法:
- 一个质量改进项目,涉及6个虚拟WET组队伍中的28名成年人.
- 收集关于出席率,完成率,患者满意度和症状严重程度 (PTSD和抑郁症) 的数据.
- 使用PCL-5和PHQ-9进行干预前后评估.
主要成果:
- 出席率高 (78.2%) 和完成率高 (67.9%完成了5次以上的会议).
- 患者满意度高 (80.0%) 和愿意推 (86.7%).
- 在PTSD (d = 1.39) 和抑郁症 (d = 0.86) 中减轻症状的效果大.
结论:
- 虚拟的WET团体在社区环境中是可行的和可以接受的.
- 这项干预表明了患者的高度参与和满意度.
- 初步数据支持显著的临床益处,需要在随机对照试验中进一步调查.
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