创伤后应激障碍的成功集中创伤集中治疗后症状保留
Frédérique A M Wesseling1, Eline M Voorendonk1,2, Linda Rozendaal1
1Research Department, PSYTREC, Zeist, The Netherlands.
European journal of psychotraumatology
|August 12, 2025
概括
即使在成功治疗创伤后应激障碍 (PTSD) 后,许多人报告持续的PTSD症状. 持续监测和有针对性的干预措施对于解决这些残留症状至关重要.
科学领域:
- 精神病学是一个精神病学.
- 心理学 心理学 心理学
- 创伤研究 创伤研究
背景情况:
- 越来越多的证据表明,经过成功治疗创伤后应激障碍 (PTSD) 的人可能仍然会出现残留症状.
- 这种现象仍然存在,尽管它不再符合PTSD的诊断标准.
研究的目的:
- 为了量化持续性PTSD症状在集中创伤集中治疗后的患病率.
- 在不再符合PTSD诊断标准的个体中,在六个月的随访中评估症状的持续性.
主要方法:
- 1015名患有PTSD的人接受了为期8天的重心创伤治疗计划.
- 临床医生管理的DSM-5 (CAPS-5) 的PTSD尺度评估了基线,治疗后和六个月后续的症状.
- 后勤回归确定了持续症状的预测因素.
主要成果:
- 在治疗后和随访时观察到CAPS-5得分的显著降低.
- 尽管有诊断性缓解,56.1%和44.7%的患者在治疗后和随访时分别报告了残留症状.
- 最常见的残留症状包括负面信念,负面感受和侵入性记忆;避免和侵入性记忆是最持久的.
结论:
- 很大一部分患者在成功治疗创伤后也会出现特定的PTSD症状.
- 这些发现强调了需要持续监测和量身定制的干预措施来解决残留症状.
- 持续症状的预测因素包括创伤史,自杀倾向和社会经济因素.
关键词:
在CAPS-5中,CAPS-5是最重要的.创伤后应激障碍 (PTSD) 是一种这就是TEPTT的意思.后续行动 后续行动强化创伤为重点的治疗治疗.治疗后的结果.预测者就是预测者.预测者 预测者 预测者其他残留症状.治疗后的结果.接下来,我们将继续跟进.剩余的症状症状集中治疗集中在创伤中心.更多相关视频
08:25Polar Histogram Visualization of Acute Stress Disorder Scale Scores for Comprehensive Clinical Assessment
Published on: December 6, 2024
515
10:43Developing Neuroimaging Phenotypes of the Default Mode Network in PTSD: Integrating the Resting State, Working Memory, and Structural Connectivity
Published on: July 1, 2014
15.3K
相关概念视频
Post-traumatic Stress Disorder
114
Post-traumatic stress disorder (PTSD) is a psychiatric condition that arises following exposure to traumatic events such as natural disasters, forced displacement, or severe accidents. It significantly impairs individuals' ability to cope with daily activities and disrupts their emotional and psychological equilibrium.
Symptoms and Behavioral Manifestations
A spectrum of distressing symptoms characterizes PTSD. Recurrent flashbacks, where individuals involuntarily relive traumatic events,...
Symptoms and Behavioral Manifestations
A spectrum of distressing symptoms characterizes PTSD. Recurrent flashbacks, where individuals involuntarily relive traumatic events,...
114
Traumatic Memory
178
Emotionally traumatic events often lead to memories that are exceptionally vivid and enduring, sometimes persisting with remarkable clarity throughout an individual's life. A classic example of this phenomenon is a person who survives a car accident. Even years later, they may recall every detail of the event with startling accuracy — the screeching of the tires, the jarring impact, and the acrid smell of burning rubber. Such vividness contrasts sharply with how an individual...
178
Repressed Memory
160
Repressed memories are a psychological phenomenon where memories of traumatic events are unconsciously blocked from a person's awareness. This process occurs as a defense mechanism, protecting the mind from the emotional impact of distressing or painful experiences. For example, a person who has experienced childhood trauma may grow up with no conscious recollection of the event. In such cases, the memories are thought to be buried deep within the subconscious, inaccessible to the conscious...
160
Dissociative Disorders
182
Dissociative disorders represent complex psychological conditions characterized by disruptions in consciousness, memory, identity, or perception. These disruptions cause individuals to experience a disconnection from their thoughts, emotions, and memories. The phenomenon is not merely an occasional lapse in attention but a profound alteration in mental functioning that can severely impact daily life.
Dissociative Fugue
A hallmark feature of dissociative disorders is the dissociative fugue...
Dissociative Fugue
A hallmark feature of dissociative disorders is the dissociative fugue...
182
Interpersonal Psychotherapy
99
Interpersonal psychotherapy (IPT) is a structured, time-limited therapeutic approach initially developed to treat depression. It integrates key concepts from psychodynamic, humanistic, and cognitive-behavioral therapies, making it a uniquely eclectic framework. The therapy is rooted in the interpersonal theories of Adolph Meyer and Harry Stack Sullivan, as well as John Bowlby's attachment theory, and focuses on the interplay between interpersonal relationships and emotional well-being.
99
Behavior Therapy
110
Behavior therapy incorporates diverse techniques rooted in classical conditioning principles to address maladaptive behaviors and anxiety disorders. These methods aim to reduce avoidance behaviors, foster adaptive coping mechanisms, and alter associations between stimuli and responses, making them effective in a wide range of therapeutic contexts.
Exposure therapy is a cornerstone of behavioral treatment for anxiety disorders. It involves systematic exposure to feared stimuli, either in real...
Exposure therapy is a cornerstone of behavioral treatment for anxiety disorders. It involves systematic exposure to feared stimuli, either in real...
110
