远程医疗为土耳其地震幸存者提供认知处理疗法:试点随机对照试验
Büşra Acar1, John Moring2, Gülşah Kurt3
1Department of Psychology, Koç University, Istanbul, Türkiye.
Clinical psychology & psychotherapy
|November 21, 2025
概括
远程医疗提供的认知处理疗法 (CPT) 是低收入和中等收入国家 (LMICs) 遭受自然灾害影响的成年人可行的和可接受的干预措施. 这项试点研究发现,与通常治疗相比,CPT显著降低了创伤后应激障碍 (PTSD) 症状,并改善了心理健康结果.
科学领域:
- 心理健康研究 心理健康研究
- 创伤心理学 创伤心理学
- 远程医疗干预 远程医疗干预
背景情况:
- 自然灾害严重影响低收入和中等收入国家 (LMICs) 的心理健康,这些国家缺乏专门的创伤治疗.
- 认知处理疗法 (CPT) 是基于证据的,但在灾后环境中未得到充分利用.
- 本研究通过在LMIC环境中评估远程医疗提供的CPT来弥补这一差距.
研究的目的:
- 评估对受土耳其地震影响的成年人提供远程医疗CPT的可行性和可接受性.
- 预先评估这种干预措施对心理健康结果的有效性.
- 在类似的环境中为未来的大规模试验奠定基础.
主要方法:
- 一项试点随机对照试验,涉及36名患有高度创伤后应激障碍 (PTSD) 症状的成年人.
- 参与者被随机分配到远程医疗提供的CPT或常规治疗 (TAU).
- 包括创伤后应激障碍,抑郁,焦虑,心理困扰和幸福感在内的结果在基线,治疗后和1个月的随访中进行了评估.
主要成果:
- 远程医疗提供的CPT显示出高可行性和可接受性,治疗完成率为88.8%.
- 与TAU组相比,CPT组在1个月的随访中显示了PTSD症状的显著减少 (p < 0.001).
- 在CPT组中,抑郁症 (p = 0.045),焦虑 (p = 0.046),心理困扰 (p < 0.001) 和幸福感 (p = 0.014) 也有显著的改善.
结论:
- 远程医疗提供的CPT是一种可行,可接受和潜在的有效干预措施,用于在LMIC中灾后的心理健康护理.
- 这是首次在LMIC环境下适应和评估CPT的灾后护理试验.
- 调查结果支持扩大远程医疗提供的CPT,以改善自然灾害后在服务不足的地区提供心理健康支持.
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