Faculty of Life and Social Sciences, National eTherapy Centre, Swinburne University, Hawthorn, Victoria 3122, Australia.
Cogn Behav Ther. 2009;38(2):121-31. doi: 10.1080/16506070902803483.
Posttraumatic stress disorder (PTSD) is a debilitating mental health condition frequently associated with psychiatric comorbidity and diminished quality of life, and it typically follows a chronic, often lifelong, course. Previous research has shown that trauma-related psychopathology (but not necessarily clinical PTSD) can be effectively treated via the Internet. This study is the first of its kind to report on the online treatment of patients with a Diagnostic and Statistical Manual of Mental Disorders (fourth edition) clinical diagnosis of PTSD with therapist support by e-mail only. Preliminary findings are presented of an open trial involving a 10-week Internet-based therapist-assisted cognitive behavioural treatment for PTSD (PTSD Online). Pre and posttreatment measures of PTSD and related symptomatology were compared for 16 participants with a variety of trauma experiences. Participants showed clinically significant reductions in PTSD severity and symptomatology, moderate tolerance of the program content, and high therapeutic alliance ratings. No significant change was found on measures of more general psychological symptoms. The results suggest that PTSD Online appears to be an effective and accessible clinical treatment for people with a confirmed PTSD diagnosis.
创伤后应激障碍（PTSD）是一种使人衰弱的心理健康状况，常与精神共病和生活质量下降有关，且通常呈慢性、常为终身病程。既往研究表明，创伤相关精神病理学（但不一定是临床 PTSD）可通过互联网有效治疗。本研究首次报告了一种在线治疗方法，即仅通过电子邮件为有创伤后应激障碍诊断与统计手册（第四版）临床诊断的患者提供治疗师支持。本文初步介绍了一项开放试验的结果，该试验涉及 16 名有各种创伤经历的患者接受为期 10 周的基于互联网的治疗师辅助认知行为治疗（PTSD Online）。对 PTSD 及相关症状进行了治疗前后的比较。结果显示，PTSD 严重程度和症状显著减轻，对项目内容有中等程度的耐受，治疗联盟评价较高。更广泛的心理症状测量无显著变化。结果表明，PTSD Online 似乎是一种对有确诊 PTSD 诊断的患者有效的、可及的临床治疗方法。
