Johnson Dawn M, Zlotnick Caron
Summa-Kent State Center for the Treatment and Study of Traumatic Stress, Akron, OH 44310, USA.
J Trauma Stress. 2006 Aug;19(4):559-64. doi: 10.1002/jts.20148.
Despite the high rates of posttraumatic stress disorder (PTSD) among battered women in shelters, virtually no treatments for these women have been developed or tested. This study evaluated the initial feasibility and efficacy of an individual, cognitive-behavioral treatment for battered women with PTSD or subthreshold PTSD in shelters. Eighteen women participated in an open-trial where they received a new treatment, Helping to Overcome PTSD with Empowerment (HOPE). Intent-to-treat analyses indicate that participants experienced significant decreases in PTSD symptoms, depressive symptoms, in their loss of resources and degree of social impairment; and significant increases in their effective use of community resources. These gains were maintained over time. Results should be interpreted with caution due to the small sample size and lack of a control group.
尽管避难所中受虐妇女的创伤后应激障碍(PTSD)发病率很高,但针对这些妇女的治疗方法几乎没有得到开发或测试。本研究评估了一种针对避难所中患有PTSD或亚阈值PTSD的受虐妇女的个体认知行为治疗的初步可行性和疗效。18名妇女参与了一项开放试验,她们接受了一种新的治疗方法——“通过赋权帮助克服创伤后应激障碍”(HOPE)。意向性分析表明,参与者的PTSD症状、抑郁症状、资源损失和社会功能受损程度均显著降低;有效利用社区资源的能力显著提高。这些改善随着时间的推移得以维持。由于样本量小且缺乏对照组,对结果的解释应谨慎。