创伤后应激障碍的在线基于组内部家庭系统治疗的随机对照试验:减轻和解决创伤和压力的计划 (PARTS) 研究
Diane Joss1, Alexandra Comeau1, River Chevannes1
1Cambridge Health Alliance Center for Mindfulness and Compassion, Department of Psychiatry, Harvard Medical School.
缓解和解决创伤和压力计划 (PARTS) 是一种可行的和可接受的在线小组治疗创伤后应激障碍 (PTSD). PARTS和一个以自然为基础的计划都有效地减少了创伤后应激障碍症状.
科学领域:
- 精神病学和行为科学
- 远程医疗干预 远程医疗干预
- 心理治疗研究 心理治疗研究
背景情况:
- 基于团体的创伤后应激障碍 (PTSD) 治疗非常受欢迎,特别是在资源有限的社区环境中.
- 缓解和解决创伤和压力的计划 (PARTS) 是一个新的在线,16周的小组心理治疗计划.
- PARTS的基础是内部家庭系统框架.
研究的目的:
- 评估 PARTS 计划的可行性和可接受性.
- 通过随机对照试验评估 PARTS 的初步疗效.
- 为了将PARTS与PTSD治疗的活性对照条件进行比较.
主要方法:
- 一项随机对照试验,涉及60名被诊断患有PTSD的患者.
- 参与者被分配到PARTS干预 (n=30) 或创伤幸存者的自然压力减轻对照组 (n=30).
- 两组人都接受了16个每周的小组会议和八个每两周一次的个人咨询会议. 测量了坚持,满意度和PTSD症状严重程度 (使用CAPS-5).
主要成果:
- PARTS组的患者在小组会议上表现出更高的出席率.
- PARTS组报告说,对小组干预的满意度明显更高 (p < .05).
- 两组治疗都在统计学上显著地减少了PTSD症状 (CAPS-5分数,p < .001),两组之间没有显著差异.
结论:
- 这项研究证实了PARTS计划对以集体为基础的PTSD治疗的可行性和可接受性.
- PARTS显示出作为一种有效的在线干预措施,对患有PTSD的人来说是有前途的.
- 这些发现支持在资源有限的环境中使用基于远程医疗的小组治疗.
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