退伍军人恢复控制;基于辩证行为疗法的住院病人的PTSD治疗初步效果
Gerda Wesseling1, Evelyn Nispeling1, Juernene Tholel1
1Sinai Centrum Arkin, Amstelveen, The Netherlands.
European journal of psychotraumatology
|October 27, 2025
概括
这项试点研究表明,为期12周的综合辩证行为疗法 (DBT) 和创伤集中治疗 (TFT) 计划对于患有PTSD和并发性疾病的退伍军人来说是可行的和有效的,显著减少了症状并提高了自我效能.
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:
- 创伤集中治疗 (TFT) 对创伤后应激障碍 (PTSD) 有效.
- 在特定人群中,TFT的有效性可能是有限的,包括退伍军人和患有并发性人格障碍,情绪调节问题或物质使用障碍的人.
- 需要针对复杂的PTSD呈现的退伍军人进行量身定制的,密集的治疗.
研究的目的:
- 调查一个12周的强化治疗计划的可行性和有效性,整合辩证行为疗法 (DBT) 和TFT.
- 评估荷兰退伍军人诊断出PTSD和伴随性情绪调节和/或物质使用问题的治疗结果.
主要方法:
- 采用了一个前后试点研究设计.
- 该治疗计划在12周内整合了DBT和TFT.
- 通过治疗后测量的响应率来评估可行性.
主要成果:
- 观察到自我报告的PTSD症状 (PCL-5) 和一般精神病症状 (OQ-45) 的显著减少,效果大小很大.
- 自效性 (荷兰SES) 显著增加 (中等效果大小).
- 虽然整体边界人格症状 (PAI-BOR) 没有显著下降,但情感不稳定性显示出显著的中等下降.
结论:
- 基于DBT的12周综合密集治疗计划证明了PTSD和并发性疾病的退伍军人的可行性和积极的初步结果.
- 这种方法为一组患者提供了一个有希望的替代方案,这些患者可能不会对标准的基于证据的PTSD治疗做出反应.
- 这些发现支持进一步的研究和这种密集治疗模式的潜在实施.
关键词:
这就是为什么DBT DBT DBT创伤后应激障碍 (PTSD) 是一种这就是TEPTT的意思.退伍军人是一些老兵.退伍军人退伍军人退伍军人自动有效性 自动有效性情绪调节 情绪调节这就是情绪调节.自我有效性的自我效能.更多相关视频
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