Hembree Elizabeth A, Foa Edna B, Dorfan Nicole M, Street Gordon P, Kowalski Jeanne, Tu Xin
School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
J Trauma Stress. 2003 Dec;16(6):555-62. doi: 10.1023/B:JOTS.0000004078.93012.7d.
Many studies have demonstrated the efficacy of exposure therapy in the treatment of chronic post-traumatic stress disorder (PTSD). Despite the convincing outcome literature, a concern that this treatment may exacerbate symptoms and lead to premature dropout has been voiced on the basis of a few reports. In this paper, we examined the hypothesis that treatments that include exposure will be associated with a higher dropout rate than treatments that do not include exposure. A literature search identified 25 controlled studies of cognitive-behavioral treatment for PTSD that included data on dropout. The results indicated no difference in dropout rates among exposure therapy, cognitive therapy, stress inoculation training, and EMDR. These findings are consistent with previous research about the tolerability of exposure therapy.
许多研究已证明暴露疗法在治疗慢性创伤后应激障碍（PTSD）方面的有效性。尽管有令人信服的结果文献，但基于一些报告，有人担心这种治疗可能会加重症状并导致过早退出。在本文中，我们检验了这样一个假设：与不包括暴露的治疗相比，包括暴露的治疗将与更高的退出率相关。文献检索确定了25项针对PTSD的认知行为治疗对照研究，这些研究包含了退出数据。结果表明，暴露疗法、认知疗法、压力接种训练和眼动脱敏再处理疗法在退出率上没有差异。这些发现与先前关于暴露疗法耐受性的研究一致。
