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创伤后应激障碍的暴露疗法。

Exposure therapy for posttraumatic stress disorder.

作者信息

Rothbaum Barbara Olasov, Schwartz Ann C

机构信息

Trauma and Anxiety Recovery Program, Emory University School of Medicine, USA.

出版信息

Am J Psychother. 2002;56(1):59-75. doi: 10.1176/appi.psychotherapy.2002.56.1.59.

Abstract

Exposure therapy is a well-established treatment for Posttraumatic Stress Disorder (PTSD) that requires the patient to focus on and describe the details of a traumatic experience. Exposure methods include confrontation with frightening, yet realistically safe, stimuli that continues until anxiety is reduced. A review of the literature on exposure therapy indicates strong support from well-controlled studies applied across trauma populations. However, there are many misconceptions about exposure therapy that may interfere with its widespread use. These myths and clinical guidelines are addressed. It is concluded that exposure therapy is a safe and effective treatment for PTSD when applied as directed by experienced therapists.

摘要

暴露疗法是一种针对创伤后应激障碍(PTSD)的成熟治疗方法,该方法要求患者专注于并描述创伤经历的细节。暴露方法包括面对令人恐惧但实际安全的刺激物,持续进行直到焦虑减轻。对暴露疗法相关文献的综述表明,在针对不同创伤人群的严格对照研究中,该疗法获得了有力支持。然而,对于暴露疗法存在许多误解,这些误解可能会妨碍其广泛应用。本文将探讨这些误解及临床指南。结论是,在经验丰富的治疗师指导下应用时,暴露疗法是一种治疗PTSD的安全有效方法。

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