一项利用远程医疗技术实施的创伤后应激障碍延长暴露疗法的初步研究。
A pilot study of prolonged exposure therapy for posttraumatic stress disorder delivered via telehealth technology.
机构信息
Ralph H. Johnson Department of Veterans Affairs Medical Center, Medical University of South Carolina, Charleston, SC, USA.
出版信息
J Trauma Stress. 2010 Feb;23(1):116-23. doi: 10.1002/jts.20494.
Abstract
The authors present a pilot study of 12 veterans diagnosed with combat-related PTSD and treated with prolonged exposure therapy (PE) via telehealth technology. A reference sample of 35 combat veterans treated with in-person PE in the same clinic is also included for a comparison. Feasibility and clinical outcomes of interest include technical performance and practicality of the telehealth equipment, patient safety, treatment completion rates, number of sessions required for termination, and clinical outcomes. Results indicated large statistically significant decreases in self-reported pathology for veterans treated with PE via telehealth technology. Preliminary results support the feasibility and safety of the modality. Suggestions for the implementation of PE via telehealth technology are discussed.
摘要
作者报告了一项针对 12 名被诊断患有与战斗相关的创伤后应激障碍的退伍军人的试点研究，这些退伍军人接受了远程医疗技术的延长暴露疗法 (PE)治疗。还包括一个参考样本，即 35 名在同一诊所接受面对面 PE 治疗的战斗退伍军人，以进行比较。感兴趣的可行性和临床结果包括远程医疗设备的技术性能和实用性、患者安全性、治疗完成率、终止所需的疗程数和临床结果。结果表明，通过远程医疗技术接受 PE 治疗的退伍军人的自我报告病理学有显著的统计学意义下降。初步结果支持该模式的可行性和安全性。讨论了通过远程医疗技术实施 PE 的建议。
相似文献
1
A pilot study of prolonged exposure therapy for posttraumatic stress disorder delivered via telehealth technology.
J Trauma Stress. 2010 Feb;23(1):116-23. doi: 10.1002/jts.20494.
2
Randomized Controlled Trial of Home-Based Telehealth Versus In-Person Prolonged Exposure for Combat-Related PTSD in Veterans: Preliminary Results.
J Clin Psychol. 2015 Jun;71(6):500-12. doi: 10.1002/jclp.22168. Epub 2015 Mar 25.
3
Treatment satisfaction of home-based telehealth versus in-person delivery of prolonged exposure for combat-related PTSD in veterans.
J Telemed Telecare. 2018 Jan;24(1):51-55. doi: 10.1177/1357633X16671096. Epub 2016 Sep 26.
4
Exposure therapy for PTSD delivered to veterans via telehealth: predictors of treatment completion and outcome and comparison to treatment delivered in person.
Behav Ther. 2011 Jun;42(2):276-83. doi: 10.1016/j.beth.2010.07.005. Epub 2011 Jan 27.
5
BEHAVIORAL ACTIVATION AND THERAPEUTIC EXPOSURE FOR POSTTRAUMATIC STRESS DISORDER: A NONINFERIORITY TRIAL OF TREATMENT DELIVERED IN PERSON VERSUS HOME-BASED TELEHEALTH.
Depress Anxiety. 2016 May;33(5):415-23. doi: 10.1002/da.22476. Epub 2016 Feb 10.
6
Face to face but not in the same place: A pilot study of prolonged exposure therapy.
J Trauma Dissociation. 2017 Jan-Feb;18(1):116-130. doi: 10.1080/15299732.2016.1205704. Epub 2016 Jun 27.
7
Home-based telehealth to deliver evidence-based psychotherapy in veterans with PTSD.
Contemp Clin Trials. 2012 Mar;33(2):402-9. doi: 10.1016/j.cct.2011.11.007. Epub 2011 Nov 11.
8
Factors contributing to veterans' satisfaction with PTSD treatment delivered in person compared to telehealth.
J Telemed Telecare. 2023 Jul;29(6):426-434. doi: 10.1177/1357633X20987704. Epub 2021 Jan 26.
9
Incorporating peer support during in vivo exposure to reverse dropout from prolonged exposure therapy for posttraumatic stress disorder: Clinical outcomes.
Int J Psychiatry Med. 2017 Jul-Sep;52(4-6):366-380. doi: 10.1177/0091217417738938.
10
Prolonged Exposure for PTSD in a Veteran group: a pilot effectiveness study.
J Anxiety Disord. 2015 Mar;30:23-7. doi: 10.1016/j.janxdis.2014.12.008. Epub 2014 Dec 29.
引用本文的文献
1
Telepsychology revolution in the mental health care delivery: a global overview of emerging clinical and legal issues.
Forensic Sci Res. 2024 Feb 2;9(3):owae008. doi: 10.1093/fsr/owae008. eCollection 2024 Sep.
2
Synchronous Web-Based Psychotherapy for Mental Disorders From a Health Quality Perspective: Scoping Review.
J Med Internet Res. 2023 Nov 3;25:e40710. doi: 10.2196/40710.
3
Economic costs of implementing evidence-based telemedicine outreach for posttraumatic stress disorder in VA.
Implement Res Pract. 2022 Aug 2;3:26334895221116771. doi: 10.1177/26334895221116771. eCollection 2022 Jan-Dec.
4
Fully remote intensive trauma-focused treatment for PTSD and Complex PTSD.
Eur J Psychotraumatol. 2022 Sep 22;13(2):2103287. doi: 10.1080/20008066.2022.2103287. eCollection 2022.
5
Benefits of Digital Mental Health Care Interventions for Correctional Workers and Other Public Safety Personnel: A Narrative Review.
Front Psychiatry. 2022 Jul 8;13:921527. doi: 10.3389/fpsyt.2022.921527. eCollection 2022.
6
Enhancing Prolonged Exposure therapy for PTSD using physiological biomarker-driven technology.
Contemp Clin Trials Commun. 2022 May 27;28:100940. doi: 10.1016/j.conctc.2022.100940. eCollection 2022 Aug.
7
Winning The Game Against Depression: A Systematic Review of Video Games for the Treatment of Depressive Disorders.
Curr Psychiatry Rep. 2022 Jan;24(1):23-35. doi: 10.1007/s11920-022-01314-7. Epub 2022 Feb 3.
8
In-office, in-home, and telehealth cognitive processing therapy for posttraumatic stress disorder in veterans: a randomized clinical trial.
BMC Psychiatry. 2022 Jan 17;22(1):41. doi: 10.1186/s12888-022-03699-4.
9
Implementation of Telemental Health Services Before COVID-19: Rapid Umbrella Review of Systematic Reviews.
J Med Internet Res. 2021 Jul 20;23(7):e26492. doi: 10.2196/26492.
10
The impacts of and outcomes from telehealth delivered in prisons: A systematic review.
PLoS One. 2021 May 17;16(5):e0251840. doi: 10.1371/journal.pone.0251840. eCollection 2021.
本文引用的文献
1
Clinical Case Discussion: Combat PTSD and Substance Use Disorders.
J Addict Med. 2009 Dec;3(4):189-93. doi: 10.1097/ADM.0b013e3181a9d276.
2
Diagnosis and treatment of PTSD-related compulsive checking behaviors in veterans of the Iraq war: the influence of military context on the expression of PTSD symptoms.
Am J Psychiatry. 2009 Jul;166(7):762-7. doi: 10.1176/appi.ajp.2009.08091315.
3
Prolonged exposure for PTSD in a Veterans Health Administration PTSD clinic.
J Trauma Stress. 2009 Feb;22(1):60-4. doi: 10.1002/jts.20380.
4
New onset and persistent symptoms of post-traumatic stress disorder self reported after deployment and combat exposures: prospective population based US military cohort study.
BMJ. 2008 Feb 16;336(7640):366-71. doi: 10.1136/bmj.39430.638241.AE. Epub 2008 Jan 15.
5
A randomized trial of telepsychiatry for post-traumatic stress disorder.
J Telemed Telecare. 2007;13(3):142-7. doi: 10.1258/135763307780677604.
6
Cognitive behavioral therapy for posttraumatic stress disorder in women: a randomized controlled trial.
JAMA. 2007 Feb 28;297(8):820-30. doi: 10.1001/jama.297.8.820.
7
PTSD and Vietnam Veterans.
Science. 2007 Jan 12;315(5809):184-7; author reply 184-7.
8
Randomized trial of prolonged exposure for posttraumatic stress disorder with and without cognitive restructuring: outcome at academic and community clinics.
J Consult Clin Psychol. 2005 Oct;73(5):953-64. doi: 10.1037/0022-006X.73.5.953.
9
Are primary care services a substitute or complement for specialty and inpatient services?
Health Serv Res. 2005 Oct;40(5 Pt 1):1422-42. doi: 10.1111/j.1475-6773.2005.00424.x.
10
Cognitive intervention for community-dwelling older persons with memory problems: telemedicine versus face-to-face treatment.
Int J Geriatr Psychiatry. 2005 Mar;20(3):285-6. doi: 10.1002/gps.1282.
Zotero 插件