与创伤相关的分离性疾病的阶段导向治疗的有效性:一个系统性审查
Thomas A Griffiths1,2, Lora I Dimitrova3, Mark Linington3
1Institute of Psychiatry, Psychology & Neuroscience, King's College London, London, UK.
European journal of psychotraumatology
|September 2, 2025
概括
这项审查发现,心理治疗,包括面向阶段治疗 (PoT),可以改善分离性障碍 (DD) 的症状. 需要更多的研究来证实这些创伤相关疾病的有效性和指导临床实践.
科学领域:
- 精神病学
- 临床心理学
- 创伤研究
背景情况:
- 分离性障碍 (DDs) 涉及与身份,记忆和情绪的脱节,
- 国际创伤与分离研究协会 (ISSTD) 建议对DD患者进行创伤导向的阶段性治疗.
- 此前缺乏对DD的PoT有效性的系统评估.
研究的目的:
- 与其他治疗方法相比,系统地审查和评估PoT对DDs有效性的证据.
- 评估目前关于分离性障碍心理干预的研究成果.
主要方法:
- 在四个数据库 (1980-2025) 和核心论文中进行了系统的文献搜索.
- 包括集中在分离性身份障碍 (DID) 或其他特定分离性障碍 (OSDD) 的研究,包括治疗前和治疗后的结果.
- 使用有效公共卫生实践项目 (EPHPP) 工具评估了研究质量.
主要成果:
- 在接受选的6088篇文章中,有19篇符合入选标准.
- 所有检查的治疗类型都显示出解离性症状,一般心理健康,精神病理和功能改善.
- 不同的治疗方法表现出独特的强度,具体取决于测量结果.
结论:
- 新出现的证据支持使用心理干预来治疗DD.
- 需要进行高强度的受控试验,以加强研究结果并为临床实践提供信息.
- 进一步的研究对于优化DD患者的治疗策略至关重要.
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