研讨会后的咨询是否会影响哪些患者接受长期暴露,哪些患者得到最好的改善?
Carmen P McLean1, Edna B Foa2, Alan L Peterson3
1Dissemination and Training Division, National Center for PTSD, Veteran Affairs Palo Alto Health Care System.
Psychological services
|December 8, 2025
概括
研讨会后的咨询显著改善了在患有并发症的患者中治疗创伤后应激障碍 (PTSD) 的长期暴露 (PE) 治疗实施. 咨询增强了PE使用和临床结果,特别是对于那些有物质使用障碍或自杀倾向的人.
科学领域:
- 心理学 心理学 心理学
- 临床心理学 临床心理学
- 心理治疗研究 心理治疗研究
背景情况:
- 对行为健康提供者的有效培训对于广泛采用治疗至关重要.
- 不同培训模式对提供者遵守和患者结果的影响仍未得到充分研究.
- 长期暴露 (PE) 疗法适用于创伤后应激障碍 (PTSD),但其在各种患者个人资料中的应用需要调查.
研究的目的:
- 评估长期暴露 (PE) 治疗培训对提供者实施和PTSD患者结果的影响.
- 检查患者的并发症 (例如,物质使用障碍,焦虑障碍,自杀倾向) 如何缓和PE培训的影响.
- 为了比较标准PE研讨会与研讨会后咨询的研讨会的有效性.
主要方法:
- 在军事诊所的103名行为健康提供者被随机分配到为期4天的PE工作坊,每周进行或不进行咨询.
- 提供者治疗了242名患有PTSD的患者,并评估了他们使用PE组件的情况.
- 统计分析,包括波桑回归和多层次模型,检查了患者特征对PE实施和PTSD症状变化的缓解影响.
主要成果:
- 提供者培训与研讨会后咨询改善了PE的实施,特别是在患有并发性物质使用障碍 (SUD) 的患者中.
- 没有咨询的提供者在共同疾病中使用了较少的PE组件.
- 患有并发性SUD和自杀倾向的患者在接受咨询的提供者治疗时显示出更大的PTSD改善.
结论:
- 研讨会后的咨询加强了对PTSD的PE治疗的实施,特别是在复杂的情况下.
- 咨询对于改善军事精神卫生机构的临床结果至关重要.
- 结合持续支持的培训模式在促进基于证据的实践方面更有效.
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