危险饮酒对创伤后应激障碍结果的差异影响跨越两个长期暴露治疗格式
Casey L Straud1,2,3, Kiara H Buccellato1,2, Edna B Foa4
1Department of Psychiatry and Behavioral Sciences, University of Texas Health Science Center at San Antonio, San Antonio, TX 78229, USA.
Behavioral sciences (Basel, Switzerland)
|July 29, 2025
概括
长期暴露 (PE) 疗法有效地减少创伤后应激障碍 (PTSD) 症状,即使对于有危险饮酒的人来说也是如此. 然而,同时危险饮酒可能会减少PTSD治疗的全部好处.
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
- 成 药物 药物 药物 药物
背景情况:
- 创伤后应激障碍 (PTSD) 经常与危险饮酒同时发生.
- 危险饮酒会使创伤后应激障碍治疗复杂化,并对以创伤为重点的治疗结果产生负面影响.
研究的目的:
- 研究长期暴露 (PE) 治疗PTSD在患有和没有危险饮酒的个体中的差异效应.
- 为了检查PE治疗结果是否根据PE输送格式 (大规模 vs 密集门诊) 有所不同.
主要方法:
- 从一项涉及军事人员和退伍军人的随机对照试验中获得的数据的二次分析 (N = 234).
- 在有危险饮酒和没有危险饮酒的个人之间比较PTSD症状减少和饮酒行为变化.
- 评估不同PE格式的治疗参与和结果.
主要成果:
- 没有危险饮酒的人与危险饮酒的人相比,PTSD症状的减少更大 (d = 0.42,p = 0.001).
- 危险饮酒组在随访时仍然实现了显著的PTSD症状减少 (d = 1.46,p < 0.001) 和减少每周酒精消费 (d = 0.63,p = 0.025).
- 根据PE格式,没有发现治疗参与或治疗结果的显著差异.
结论:
- 长期暴露 (PE) 疗法是对患有PTSD和同时出现危险饮酒的个体的合适治疗方法.
- 同时危险饮酒可能会降低PE治疗对PTSD症状减轻的整体益处.
- 对于PTSD和危险饮酒的治疗结果在集体和密集的门诊PE格式之间没有区别.
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