Frueh B Christopher, Monnier Jeannine, Yim Eunsil, Grubaugh Anouk L, Hamner Mark B, Knapp Rebecca G
Veterans Affairs Medical Center, and Medical University of South Carolina, Charleston, South Carolina, USA.
J Telemed Telecare. 2007;13(3):142-7. doi: 10.1258/135763307780677604.
We compared the efficacy of telepsychiatry and same-room treatment of combat-related post-traumatic stress disorder (PTSD) using cognitive behavioural therapy in 14 weekly, 90-min treatment sessions. Of 97 patients referred for study participation, 38 were randomized (17 into telepsychiatry, 21 into same-room), and approximately 25 (the number differed by instrument) had at least one post-baseline assessment. Measures of clinical and process outcomes were examined. No group differences were found on clinical outcomes at three-month follow-up. Satisfaction with treatment ratings was similar in both groups, with 'strong satisfaction' indicated by veterans in both modalities. Attendance and drop-out were similar in the two groups. The same-room group reported more comfort in talking with their therapist at post-treatment and had better treatment adherence. The results provide preliminary support for the use of telepsychiatry in the treatment of PTSD to improve access to care.
我们比较了远程精神病学和在同一房间进行认知行为疗法治疗与战斗相关创伤后应激障碍（PTSD）的疗效，治疗为期14周，每周90分钟。在97名被转介参与研究的患者中，38名被随机分组（17名进入远程精神病学治疗组，21名进入同一房间治疗组），约25名（数量因工具而异）患者进行了至少一次基线后评估。对临床和治疗过程结果的指标进行了检查。在三个月的随访中，两组在临床结果上未发现差异。两组对治疗评分的满意度相似，两种治疗方式中的退伍军人都表示“非常满意”。两组的出勤率和退出率相似。同一房间治疗组报告称，治疗后与治疗师交谈时更自在，且治疗依从性更好。这些结果为使用远程精神病学治疗PTSD以改善医疗服务可及性提供了初步支持。
