创伤后应激障碍的汇报替代方法及认知行为疗法的调整
Alternatives to debriefing and modifications to cognitive behavior therapy for posttraumatic stress disorder.
作者信息
Belaise Carlotta, Fava Giovanni A, Marks Isaac M
机构信息
Laboratory of Experimental Psychotherapy, Department of Psychology, University of Bologna, Bologna, Italy.
出版信息
Psychother Psychosom. 2005;74(4):212-7. doi: 10.1159/000085144.
BACKGROUND
Psychological debriefing uses brief unsystematic exposure, and is ineffective for posttraumatic stress symptoms and disorder. Systematic exposure alone and cognitive restructuring alone are each effective. Other approaches too may be useful.
METHODS
The treatment of 3 posttraumatic stress disorder (PTSD) patients is detailed in which there was no exposure to the main traumatic event. There was exposure to related cues in case 1, exposure to related and other cues followed by well-being therapy (WBT) in case 2 and WBT in case 3.
RESULTS
The 3 patients improved enduringly, confirming earlier findings that exposure to the main trauma is not essential for PTSD to improve.
CONCLUSIONS
A study is needed of therapeutic mechanisms in PTSD and of the value of WBT in a randomized controlled trial.
背景
心理疏导采用简短的非系统性暴露，对创伤后应激症状及障碍无效。单独的系统性暴露和单独的认知重构均有效。其他方法可能也有用。
方法
详细介绍了3例创伤后应激障碍（PTSD）患者的治疗情况，这些患者均未暴露于主要创伤事件。病例1暴露于相关线索，病例2暴露于相关及其他线索，随后接受幸福疗法（WBT），病例3仅接受WBT。
结果
3例患者均持续改善，证实了早期研究结果，即暴露于主要创伤事件并非PTSD改善的必要条件。
结论
需要开展一项关于PTSD治疗机制以及WBT在随机对照试验中的价值的研究。
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