一项针对102名患有与战争相关创伤后应激障碍的退伍军人的基于团体的暴露疗法的现场试验。

A field test of group based exposure therapy with 102 veterans with war-related posttraumatic stress disorder.

作者信息

Ready David J, Thomas Kaprice R, Worley Virginia, Backscheider Andrea G, Harvey Leigh Anne C, Baltzell David, Rothbaum Barbara Olasov

机构信息

Mental Health Service Line, VA Medical Center-Atlanta, Decatur, GA 30033, USA.

出版信息

J Trauma Stress. 2008 Apr;21(2):150-7. doi: 10.1002/jts.20326.

DOI:10.1002/jts.20326

PMID:18404634

Abstract

Group-based exposure therapy (GBET) was field-tested with 102 veterans with war-related posttraumatic stress disorder (PTSD). Nine to 11 patients attended 3 hours of group therapy per day twice weekly for 16-18 weeks. Stress management and a minimum of 60 hours of exposure was included (3 hours of within-group war-trauma presentations per patient, 30 hours of listening to recordings of patient's own war-trauma presentations and 27 hours of hearing other patients' war-trauma presentations). Analysis of assessments conducted by treating clinicians pre-, post- and 6-month posttreatment suggests that GBET produced clinically significant and lasting reductions in PTSD symptoms for most patients on both clinician symptoms ratings (6-month posttreatment effect size delta = 1.22) and self-report measures with only three dropouts.

摘要

基于小组的暴露疗法（GBET）在102名患有与战争相关创伤后应激障碍（PTSD）的退伍军人中进行了实地测试。9至11名患者每周两次，每天参加3小时的小组治疗，持续16至18周。治疗内容包括压力管理和至少60小时的暴露（每位患者3小时的组内战争创伤陈述、30小时收听患者自己的战争创伤陈述录音以及27小时收听其他患者的战争创伤陈述）。对治疗临床医生在治疗前、治疗后以及治疗后6个月所进行评估的分析表明，对于大多数患者而言，GBET在临床医生症状评分（治疗后6个月效应量增量 = 1.22）和自我报告测量方面均使PTSD症状产生了具有临床意义的持续减轻，且仅有三名患者退出治疗。