美国退伍军人创伤后应激障碍的治疗:一项荟萃分析综述。
Treatment of posttraumatic stress disorder in U.S. combat veterans: a meta-analytic review.
作者信息
Goodson Jason, Helstrom Amy, Halpern Jacqueline M, Ferenschak Michael P, Gillihan Seth J, Powers Mark B
机构信息
Philadelphia VAMC, University of Pennsylvania, USA.
出版信息
Psychol Rep. 2011 Oct;109(2):573-99. doi: 10.2466/02.09.15.16.PR0.109.5.573-599.
Among U.S. veterans who have been exposed to combat-related trauma, significantly elevated rates of posttraumatic stress disorder (PTSD) are reported. Veterans with PTSD are treated for the disorder at Veterans Affairs (VA) hospitals through a variety of psychotherapeutic interventions. Given the significant impairment associated with PTSD, it is imperative to assess the typical treatment response associated with these interventions. 24 studies with a total sample size of 1742 participants were quantitatively reviewed. Overall, analyses showed a medium between-groups effect size for active treatments compared to control conditions. Thus, the average VA-treated patient fared better than 66% of patients in control conditions. VA treatments incorporating exposure-based interventions showed the highest within-group effect size. Effect sizes were not moderated by treatment dose, sample size, or publication year. Findings are encouraging for treatment seekers for combat-related PTSD in VA settings.
在美国曾遭受与战斗相关创伤的退伍军人中,创伤后应激障碍(PTSD)的发病率显著升高。患有创伤后应激障碍的退伍军人在退伍军人事务部(VA)医院通过各种心理治疗干预措施来治疗这种疾病。鉴于创伤后应激障碍会造成严重损害,评估这些干预措施的典型治疗反应势在必行。对24项研究进行了定量综述,这些研究的总样本量为1742名参与者。总体而言,分析表明与对照条件相比,积极治疗的组间效应量中等。因此,接受退伍军人事务部治疗的患者平均比处于对照条件下66%的患者表现更好。采用基于暴露的干预措施的退伍军人事务部治疗方法显示出最高的组内效应量。效应量不受治疗剂量、样本量或出版年份的影响。这些发现对于在退伍军人事务部环境中寻求与战斗相关创伤后应激障碍治疗的患者来说是令人鼓舞的。