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基于心理教育和认知行为疗法的创伤后应激障碍稳定团体治疗:一项初步研究。

Stabilizing group treatment for Complex Posttraumatic Stress Disorder related to childhood abuse based on psycho-education and cognitive behavioral therapy: a pilot study.

机构信息

Stichting GGZ InGeest, Amsterdam, The Netherlands.

出版信息

Child Abuse Negl. 2010 Apr;34(4):284-8. doi: 10.1016/j.chiabu.2009.07.003. Epub 2010 Mar 19.

Abstract

OBJECTIVE

This study tests a Stabilizing Group Treatment protocol, designed for the management of the long-term sequelae of child abuse, that is, Complex Posttraumatic Stress Disorder (Complex PTSD). Evidence-based treatment for this subgroup of PTSD patients is largely lacking. This stabilizing treatment aims at improving Complex PTSD using psycho-education and cognitive behavioral interventions.

METHOD

Thirty-six patients with a history of childhood abuse, Complex PTSD and severe co-morbidity entered a 20-week treatment with pre-, post-, and follow-up-assessments.

RESULTS

Improvement was found for PTSD and borderline symptoms. Post-treatment 64% and after 6 months 78% of patients no longer met criteria for Complex PTSD.

CONCLUSIONS

This open study indicates both the feasibility of investigating treatment outcome and the initial efficacy of stabilizing group treatment in severely ill patients with Complex PTSD related to childhood abuse.

摘要

目的

本研究测试了一种稳定团体治疗方案,旨在管理儿童虐待的长期后果,即复杂创伤后应激障碍(Complex PTSD)。这一亚组 PTSD 患者的循证治疗方法基本缺乏。这种稳定治疗旨在通过心理教育和认知行为干预来改善复杂 PTSD。

方法

36 名有儿童期虐待史、复杂 PTSD 和严重合并症的患者接受了 20 周的治疗,包括治疗前、治疗后和随访评估。

结果

创伤后应激障碍和边缘症状得到改善。治疗后 64%的患者和 6 个月后 78%的患者不再符合复杂 PTSD 的诊断标准。

结论

这项开放研究表明,在与儿童期虐待有关的严重复杂 PTSD 患者中,调查治疗结果和稳定团体治疗的初步疗效是可行的。

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