在退伍军人健康管理系统中治疗创伤后应激障碍的加速长期暴露疗法
Allison C Aosved1, Theresa B Brown1, Jodi C Bell1
1Veterans Affairs Pacific Islands Health Care System, Honolulu, Hawaii.
概括
这项研究表明,强化虚拟长期暴露 (PE) 治疗方案对患有创伤后应激障碍 (PTSD) 的退伍军人有效. 远程医疗方法改善了患者的治疗结果和工作人员的幸福感.
科学领域:
- 心理健康 心理健康
- 心理治疗研究 心理治疗研究
- 远程医疗创新 远程医疗创新
背景情况:
- 长期暴露 (PE) 治疗是一种基于证据的心理治疗 (EBP),用于创伤后应激障碍 (PTSD).
- 多个临床实践指南支持对PTSD的PE治疗.
- 这篇文章详细介绍了一项创新计划,为患有PTSD的退伍军人提供EBP PE治疗.
研究的目的:
- 描述开发和实施一项创新的远程医疗计划,为患有PTSD的退伍军人提供PE治疗.
- 评估大量虚拟PE疗法的可行性,可接受性和有效性,用于患有PTSD的退伍军人.
- 评估该计划对患者结果和精神卫生保健从业人员福祉的影响.
主要方法:
- 在退伍军人事务太平洋群岛医疗保健系统中实施了PTSD计划的强化虚拟EBP团队 (iVET).
- 创伤后应激障碍的iVET是一个为期3周的远程医疗计划,包括集体PE治疗,整体健康和健康课程以及个人健康指导.
- 收集了关于患者保留,PTSD症状,抑郁,焦虑,物质使用,生活质量和从业人员幸福感的数据.
主要成果:
- 该计划在2.5年内实现了81%的保留率.
- 患者在PTSD,抑郁症,焦虑和物质使用方面显著减少,生活质量改善和高满意度.
- 精神卫生从业人员报告说,同情度,满意度和支持度增加,倦怠和痛苦减少.
结论:
- 虚拟质量PE疗法是一种可行,可接受和有效的治疗方式,用于患有PTSD的退伍军人,表现出高保留率和患者满意度.
- 提供大量虚拟格式的PE治疗对员工来说是可行的和可以接受的,这可能会提高工作满意度和职业生活质量.
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