VA National Center for PTSD, Boston, Massachusetts, USA; VA Boston Healthcare System, Boston, Massachusetts, USA; Psychiatry Department, Boston University School of Medicine, Boston, Massachusetts, USA.
J Trauma Stress. 2013 Dec;26(6):776-9. doi: 10.1002/jts.21858. Epub 2013 Nov 6.
There is a need to identify alternative treatment options for posttraumatic stress disorder (PTSD), especially among veterans where PTSD tends to be more difficult to treat and dropout rates are especially high. One potential alternative is written exposure therapy, a brief intervention shown to treat PTSD among civilians effectively. This study investigated the feasibility and tolerability of written exposure therapy in an uncontrolled trial with a sample of 7 male veterans diagnosed with PTSD. Findings indicated that written exposure therapy was well tolerated and well received. Only 1 of the 7 veterans dropped out of treatment, no adverse events occurred during the course of treatment, and veterans provided high treatment satisfaction ratings. Clinically significant improvements in PTSD symptom severity were observed for 4 veterans at posttreatment and 6 veterans at the 3-month follow up. Moreover, 5 of the 7 veterans no longer met diagnostic criteria for PTSD 3 months following treatment. These findings suggest that written exposure therapy holds promise as a brief, well tolerated treatment for veterans with PTSD. However, additional research using randomized controlled trial methodology is needed to confirm its efficacy.
需要确定创伤后应激障碍(PTSD)的替代治疗选择,特别是在退伍军人中,因为 PTSD 往往更难治疗,而且退出率特别高。一种潜在的替代方法是书面暴露疗法,这是一种已被证明对平民有效治疗 PTSD 的简短干预措施。本研究在一项非对照试验中,对 7 名被诊断患有 PTSD 的男性退伍军人进行了样本研究,以调查书面暴露疗法的可行性和耐受性。研究结果表明,书面暴露疗法的耐受性和接受度都很好。只有 1 名退伍军人退出治疗,在治疗过程中没有发生不良事件,退伍军人对治疗的满意度很高。在治疗后,有 4 名退伍军人 PTSD 症状严重程度有了明显改善,6 名退伍军人在 3 个月随访时也有了明显改善。此外,5 名退伍军人在治疗后 3 个月不再符合 PTSD 的诊断标准。这些发现表明,书面暴露疗法作为一种简短、耐受性好的 PTSD 治疗方法具有一定的前景。然而,需要使用随机对照试验方法进行更多的研究来证实其疗效。