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创伤后应激障碍的认知行为疗法

Cognitive behaviour therapy for posttraumatic stress disorder.

作者信息

Harvey Allison G, Bryant Richard A, Tarrier Nicholas

机构信息

Department of Experimental Psychology, University of Oxford, Oxford, UK.

出版信息

Clin Psychol Rev. 2003 May;23(3):501-22. doi: 10.1016/s0272-7358(03)00035-7.

Abstract

Following considerable empirical scrutiny, cognitive behaviour therapy (CBT) has proven to be a safe and effective treatment for posttraumatic stress disorder (PTSD). This article overviews the general principles of treatment and describes the components that comprise CBT for PTSD. We then move on to review the efficacy of CBT for the treatment of PTSD caused by various traumas, including assault, road traffic accident (RTA), combat, and terrorism. Recent advances in early intervention and in the treatment of disorders that are comorbid with PTSD are reviewed. Finally, future directions are discussed. In particular, it is proposed that randomised controlled trials (RCT) of CBT for PTSD must be conducted with enhanced methodological rigour and public health relevance.

摘要

经过大量实证研究,认知行为疗法(CBT)已被证明是治疗创伤后应激障碍(PTSD)的一种安全有效的方法。本文概述了治疗的一般原则,并描述了构成PTSD的认知行为疗法的组成部分。然后,我们继续回顾认知行为疗法对由各种创伤引起的PTSD的治疗效果,这些创伤包括袭击、道路交通事故(RTA)、战斗和恐怖主义。本文还回顾了早期干预以及PTSD共病障碍治疗方面的最新进展。最后,讨论了未来的发展方向。特别是,有人提议,必须以更高的方法严谨性和公共卫生相关性来开展针对PTSD的认知行为疗法的随机对照试验(RCT)。

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