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在精神病中以创伤为重点的治疗:系统性审查
I Hellen1,2, S G Døsvig3, B E Liseth2
1Faculty of Psychology, University of Bergen, Bergen, Norway.
Early intervention in psychiatry
|July 1, 2025
概括
创伤集中治疗 (TF) 在患有精神障碍的患者中改善创伤和精神病症状方面表现有前途. 需要更多的研究来证实对焦虑,抑郁和心理社会功能有好处.
科学领域:
- 精神病学是一个精神病学.
- 心理学 心理学 心理学
- 临床研究 临床研究
背景情况:
- 大多数患有精神病的患者都有创伤史,但以创伤为重点 (TF) 的疗法不是标准的护理.
- 这篇综述考察了患有精神疾病和同时出现创伤症状的个体的TF治疗方法.
研究的目的:
- 系统地审查TF治疗在患有精神疾病的患者的疗效.
- 评估对创伤,精神病,焦虑,抑郁和心理社会功能的影响.
主要方法:
- 按照PRISMA指南进行了系统的文献搜索.
- 在分析中包括了17项研究,报告在19个记录中.
主要成果:
- TF治疗对创伤症状产生了积极的影响 (87.5%的研究),特别是精神病的TF-CBT,EMDR和PE.
- 对于精神病症状 (72.2%的研究) 也观察到积极的影响.
- 对抑郁症,焦虑症和功能表现的结果是不确定的,并且报告的频率较低.
结论:
- 初步证据支持TF治疗这一群体中创伤和精神病症状.
- 需要进一步的研究来澄清对焦虑,抑郁和心理社会功能的影响.
- 个人和群体TF治疗都显示出支持,但证据基础正在芽,面临着方法论上的挑战.
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