Creamer M, Morris P, Biddle D, Elliott P
National Centre for PTSD, Victoria, Australia.
J Trauma Stress. 1999 Oct;12(4):545-58. doi: 10.1023/A:1024702931164.
This study investigated treatment outcome in combat-related posttraumatic stress disorder (PTSD). Participants were 419 Australian Vietnam veterans who completed a 12-week hospital-based program. A comprehensive protocol assessed PTSD, comorbidity, and social functioning at admission and at 3 and 9 months posttreatment. Overall, the group showed significant improvements in core PTSD symptoms, anxiety, depression, alcohol abuse, social dysfunction, and anger. Changes occurred mostly between admission and 3 months posttreatment, with gains maintained at 9 months. Ratings by patients and their partners indicated perceived improvement and strong satisfaction with treatment. Nevertheless, treatment gains were variable and, for most veterans, considerable pathology remained following the programs. The current study provides grounds for cautious optimism in the treatment of combat-related PTSD.
本研究调查了与战斗相关的创伤后应激障碍（PTSD）的治疗效果。参与者为419名澳大利亚越战退伍军人，他们完成了一个为期12周的住院治疗项目。一项综合方案在入院时以及治疗后3个月和9个月评估了PTSD、共病情况和社会功能。总体而言，该组在PTSD核心症状、焦虑、抑郁、酒精滥用、社会功能障碍和愤怒方面有显著改善。变化大多发生在入院至治疗后3个月之间，且在9个月时仍保持改善。患者及其伴侣的评分表明他们感受到了改善，并对治疗非常满意。然而，治疗效果存在差异，对大多数退伍军人来说，项目结束后仍存在相当程度的病理症状。本研究为与战斗相关的PTSD治疗带来了谨慎乐观的依据。
