NIHR Biomedical Research Centre for Mental Health, South London and Maudsley NHS Trust and King's College London, UK.
Behav Cogn Psychother. 2010 Jul;38(4):383-98. doi: 10.1017/S1352465810000214.
Cognitive Behaviour Therapy (CBT) of anxiety disorders is usually delivered in weekly or biweekly sessions. There is evidence that intensive CBT can be effective in phobias and obsessive compulsive disorder. Studies of intensive CBT for posttraumatic stress disorder (PTSD) are lacking.
A feasibility study tested the acceptability and efficacy of an intensive version of Cognitive Therapy for PTSD (CT-PTSD) in 14 patients drawn from consecutive referrals. Patients received up to 18 hours of therapy over a period of 5 to 7 working days, followed by 1 session a week later and up to 3 follow-up sessions.
Intensive CT-PTSD was well tolerated and 85.7 % of patients no longer had PTSD at the end of treatment. Patients treated with intensive CT-PTSD achieved similar overall outcomes as a comparable group of patients treated with weekly CT-PTSD in an earlier study, but the intensive treatment improved PTSD symptoms over a shorter period of time and led to greater reductions in depression.
The results suggest that intensive CT-PTSD is a feasible and promising alternative to weekly treatment that warrants further evaluation in randomized trials.
焦虑障碍的认知行为疗法（CBT）通常以每周或每两周一次的频率进行。有证据表明，密集的 CBT 对恐惧症和强迫症有效。关于创伤后应激障碍（PTSD）的密集 CBT 的研究尚缺乏。
一项可行性研究测试了从连续转诊中抽取的 14 名患者接受 PTSD 密集认知疗法（CT-PTSD）的可接受性和疗效。患者在 5 到 7 个工作日内接受多达 18 小时的治疗，之后每周进行 1 次治疗，最多进行 3 次随访。
密集 CT-PTSD 耐受性良好，85.7%的患者在治疗结束时不再患有 PTSD。接受密集 CT-PTSD 治疗的患者与早期一项每周 CT-PTSD 治疗的可比患者组相比，总体结果相似，但密集治疗在更短的时间内改善了 PTSD 症状，并导致抑郁症状的更大减轻。
结果表明，密集 CT-PTSD 是每周治疗的一种可行且有前途的替代方法，值得在随机试验中进一步评估。
