Glynn S M, Eth S, Randolph E T, Foy D W, Urbaitis M, Boxer L, Paz G G, Leong G B, Firman G, Salk J D, Katzman J W, Crothers J
Research Service, VAMC, West Los Angeles, California 90073, USA.
J Consult Clin Psychol. 1999 Apr;67(2):243-51. doi: 10.1037//0022-006x.67.2.243.
This study tested a family-based skills-building intervention in veterans with chronic combat-related posttraumatic stress disorder (PTSD). Veterans and a family member were randomly assigned to 1 of 3 conditions: (a) waiting list, (b) 18 sessions of twice-weekly exposure therapy, or (c) 18 sessions of twice-weekly exposure therapy followed by 16 sessions of behavioral family therapy (BFT). Participation in exposure therapy reduced PTSD positive symptoms (e.g., reexperiencing and hyperarousal) but not PTSD negative symptoms. Positive symptom gains were maintained at 6-month follow-up. However, participation in BFT had no additional impact on PTSD symptoms.
本研究对患有慢性战斗相关创伤后应激障碍（PTSD）的退伍军人进行了一项基于家庭的技能培养干预。退伍军人及其一名家庭成员被随机分配到以下三种情况之一：（a）等待名单组；（b）每周两次、共18节的暴露疗法组；或（c）每周两次、共18节的暴露疗法组，之后再进行16节的行为家庭疗法（BFT）组。参与暴露疗法可减轻PTSD的阳性症状（如再次体验和过度警觉），但不能减轻PTSD的阴性症状。阳性症状的改善在6个月随访时得以维持。然而，参与BFT对PTSD症状没有额外影响。
