创伤后应激障碍和复杂的创伤后应激障碍,当前的治疗方法和辩论:对评论的综述
1Division of Psychiatry, UCL, Wing A, 4th Floor, 149 Tottenham Court Road, London, W1T 7NF, United Kingdom.
已建立的以创伤为重点的疗法对于创伤后应激障碍 (PTSD) 仍然有效. 然而,高退学率和对新型干预措施和治疗比较的更多研究的需求是关键问题.
科学领域:
- 精神病学和心理学 精神病学和心理学
- 心理健康研究 心理健康研究
背景情况:
- 审查了关于创伤后应激障碍 (PTSD) 治疗的现有证据,更新了2018年国家卫生和护理卓越研究所的指南.
- 专注于2019年至2024年间发表的系统审查和元分析.
研究的目的:
- 要总结关于PTSD干预的最新证据.
- 确定共识,争议和未来研究方向的领域.
主要方法:
- 系统审查和对同行评审文献的元分析.
- 包括过去五年内发表的研究.
主要成果:
- 以创伤为重点的心理干预措施,包括以创伤为重点的认知行为疗法和眼动脱敏和再处理,在有效性和成本效益方面得到了一致的支持.
- 尽管证明了治疗的有效性,但高退学率仍然存在.
- 关于创新型PTSD干预的新兴研究往往缺乏质量和与既定疗法的直接比较.
结论:
- 正在开发用于已建立的PTSD治疗的新型传递方法,例如虚拟现实,密集格式和数字/远程选项.
- 需要进一步的定性研究来了解患者的体验.
- 高质量的研究和对不同PTSD治疗方法的对比是必不可少的.
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