Cloitre Marylene
Child and Adolescent Psychiartry, Child Study Center at New York University School of Medicine, New York, NY, USA.
CNS Spectr. 2009 Jan;14(1 Suppl 1):32-43.
This report reviews and critiques the psychotherapy literature for the treatment of posttraumatic stress disorder (PTSD) and systematically presents data on sample size, rates of completion and effect sizes. Substantial progress has been made in the use of cognitive behavioral therapies and eye movement desensitization and reprocessing for the resolution of PTSD. Innovations in PTSD treatments are identified. Further advances are needed in the treatment of populations with complex and chronic forms of PTSD such as those found in childhood abuse populations, refugee populations, and those experiencing chronic mental illness. The need to address comorbid emotional, social, and physical health consequences of trauma, to implement treatments in community-based settings, and to incorporate larger systems of care into study designs is noted.
本报告回顾并评析了用于治疗创伤后应激障碍（PTSD）的心理治疗文献，并系统地呈现了关于样本量、完成率和效应量的数据。在使用认知行为疗法以及眼动脱敏再处理疗法来解决创伤后应激障碍方面已取得了重大进展。文中确定了创伤后应激障碍治疗方法的创新之处。对于患有复杂和慢性创伤后应激障碍的人群，如童年受虐人群、难民群体以及患有慢性精神疾病的人群，其治疗仍需进一步推进。报告指出，有必要应对创伤带来的共病性情绪、社会和身体健康后果，在社区环境中实施治疗，并将更大的护理体系纳入研究设计。
