在饮食障碍住院治疗中,PTSD和复杂PTSD症状的变化
Sinead Day1, Deborah Mitchison1, W Kathy Tannous2
1Graduate School of Health, University of Technology Sydney, Ultimo, New South Wales, Australia.
概括
饮食障碍治疗可以改善复杂的创伤后应激障碍 (CPTSD) 症状,包括PTSD和自我组织障碍 (DSO). 然而,症状可能会在治疗后持续存在,这表明需要综合创伤护理.
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:
- 饮食障碍 (ED) 和创伤相关疾病,包括复杂的创伤后应激障碍 (CPTSD) 之间存在很高的并发症.
- 关于ED治疗期间CPTSD症状的发展轨迹的研究有限.
- 创伤后应激障碍包括创伤后应激障碍 (PTSD) 症状和自我组织障碍 (DSO).
研究的目的:
- 为了调查创伤相关症状的改善,特别是PTSD和DSO,在住宅饮食障碍治疗期间.
- 检查从入院到出院6个月后的症状轨迹.
主要方法:
- 对95名正在接受住院治疗的饮食障碍患者进行前性研究.
- 在多个时间点评估与创伤相关的症状和ED精神病理:入院,第4周,出院和6个月的随访.
- 分析使用线性混合效应模型来跟踪随时间的症状变化.
主要成果:
- 在住院治疗期间,在PTSD和DSO症状领域均观察到显著改善.
- 创伤后应激障碍症状的变化遵循线性或二次趋势,而DSO症状显示立方趋势 (缓慢的初步改善,以后更快,退院后略有恶化).
- 即使没有针对创伤的具体干预措施,症状也有所改善.
结论:
- 住宿ED治疗可以改善PTSD和CPTSD症状.
- 与创伤相关的症状可能在治疗后仍然很明显.
- 建议在ED服务中整合创伤知情护理和创伤专注疗法,以帮助患有并发性ED和创伤的人.
- 在专业饮食障碍服务和以创伤为重点的疗法中,更多地纳入创伤知情护理,因为逐步护理可能有利于患有这种并发症的人.
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