一项随机对照试验比较了情绪障碍退伍军人的群体跨诊断行为疗法 (TBT) 和群体疾病特异性心理疗法
Daniel F Gros1,2, Nicholas P Allan3,4, Jeffrey M Pavlacic2
1Mental Health Service, Ralph H. Johnson Veterans Affairs Health Care System, Charleston, South Carolina, USA.
Journal of clinical psychology
|November 7, 2025
概括
群体跨诊断行为疗法 (G-TBT) 对于患有抑郁症和PTSD的退伍军人来说,与疾病特异性疗法一样有效. G-TBT提供了更快的访问和更低的消耗率,改善了精神卫生保健服务的提供.
科学领域:
- 精神病学和行为健康
- 临床心理学 临床心理学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 跨诊断性心理疗法比传统的,特定于疾病的方法提供了优势,用于管理并发性疾病和改善患者获取.
- 基于小组的跨诊断干预措施尽管有可能得到更广泛的传播,但仍未得到充分研究.
研究的目的:
- 为了比较群体跨诊断行为疗法 (G-TBT) 与退伍军人的群体疾病特异性疗法 (G-DST) 的疗效,患者满意度,参与和获取.
- 评估G-TBT对主要抑郁症 (MDD) 和创伤后应激障碍 (PTSD) 的有效性.
主要方法:
- 一项随机临床试验,涉及243名被诊断患有MDD和/或PTSD的退伍军人.
- 将G-TBT与匹配的G-DST (抑郁症的认知行为疗法,PTSD的认知处理疗法) 进行比较.
- 评估临床症状结果,患者满意度,参与度和治疗开始时间.
主要成果:
- G-TBT显示了MDD和PTSD症状的持续减少,与G-DST相比.
- 在G-TBT和G-DST组中,患者满意度水平相似.
- 与G-DST相比,G-TBT显示了明显更快的组分配和较低的消耗率.
结论:
- 对于患有MDD和PTSD的退伍军人来说,G-TBT是一种有效的群体治疗,其结果与已建立的G-DST相似.
- 在G-TBT中进行跨诊断的分配可能会改善与传统的特定疾病组分配相比,获得心理健康护理的机会.
- 研究结果支持G-TBT作为群体心理健康治疗的可行和潜在更容易获得的替代方案.
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