了解退伍军人对PTSD治疗的感知改善:检查其与临床预测因素的关联以及临床上有意义的改善值
Emily E Patton1, Rhea Mundle2, Sarah Pridgen3
1Georgia State University, Atlanta, USA.
Cognitive therapy and research
|September 19, 2025
概括
接受PTSD治疗的退伍军人报告了显著的症状减少和自我调节的改善,与感知到的改善保持一致. 患者整体改善印象 (PGI-I) 是评估治疗有效性的一个有价值的以患者为中心的工具.
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
- 创伤研究 创伤研究
背景情况:
- 患者报告的结果对于评估创伤后应激障碍 (PTSD) 治疗成功至关重要.
- 了解感知改善和客观临床措施之间的关系对于完善PTSD治疗方案至关重要.
研究的目的:
- 研究退伍军人的感知改善与PTSD症状严重程度和其他临床因素的变化之间的关联.
- 评估患者整体改善印象 (PGI-I) 的实用性,以衡量治疗有效性.
主要方法:
- 一组259名接受强化PTSD治疗的退伍军人完成了自我报告措施,包括DSM-5 (PCL-5) 的PGI-I和PTSD检查清单.
- 使用顺序逻辑回归分析来检查症状变化,临床因素和感知改善之间的关系.
主要成果:
- 退伍军人显示PCL-5平均改善20.93分,87.65%的退伍军人报告治疗后感觉更好.
- 减少PTSD严重程度,增加自我效能,改善情绪调节显著预测更高的感知改善.
- 抑郁症,负面认知和弹性方面的变化并不是感知改善的显著预测因素.
结论:
- 在PTSD治疗中感知到的改善与PTSD症状的减少和增强的自我调节能力密切相关.
- PGI-I是一个简短的,以患者为中心的工具,与关键治疗结果保持一致,可以帮助评估有效性.
- 需要进一步的研究来探索PGI-I在补充或取代现有措施方面的作用及其在不同环境中的长期效用.
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