Foa Edna B, Zoellner Lori A, Feeny Norah C
Center for Treatment and Study of Anxiety, University of Pennsylvania, Philadelphia, 19104, USA.
J Trauma Stress. 2006 Feb;19(1):29-43. doi: 10.1002/jts.20096.
Ninety female recent assault survivors who met symptom criteria for posttraumatic stress disorder (PTSD) were randomized to one of three interventions: Brief Cognitive Behavioral Intervention, which focused on processing the traumatic event (B-CBT); assessment condition (AC); or supportive counseling (SC). Within 4 weeks of an assault, participants met weekly with a therapist for four 2-hr sessions. Across all interventions, participants reported decreases in PTSD symptoms, depression, and anxiety over time. At postintervention, participants in B-CBT reported greater decreases in self-reported PTSD severity and a trend toward lower anxiety than those in SC. At 3-month follow-up, participants in B-CBT evidenced lower general anxiety than those in SC and a trend toward lower self-reported PTSD severity. At last available follow-up (on average, 9-months postassault), all three interventions were generally similar in outcome. These findings suggest that a trauma-focused intervention aimed at those with severe PTSD symptoms after an assault can accelerate recovery.
九十名符合创伤后应激障碍（PTSD）症状标准的女性近期袭击幸存者被随机分为三种干预措施之一：专注于处理创伤事件的简短认知行为干预（B-CBT）；评估条件（AC）；或支持性咨询（SC）。在袭击发生后的4周内，参与者每周与治疗师会面一次，共进行四次两小时的疗程。在所有干预措施中，参与者报告随着时间的推移，PTSD症状、抑郁和焦虑有所减轻。干预后，B-CBT组的参与者报告自我报告的PTSD严重程度下降幅度更大，且焦虑水平有低于SC组的趋势。在3个月的随访中，B-CBT组的参与者表现出比SC组更低的总体焦虑水平，且自我报告的PTSD严重程度有降低的趋势。在最后一次可获得的随访中（平均在袭击后9个月），所有三种干预措施的结果总体相似。这些发现表明，针对袭击后患有严重PTSD症状的人的以创伤为重点的干预措施可以加速康复。
