VA Boston Healthcare System, United States; VA National Center for PTSD, United States; Boston University School of Medicine, United States.
VA Providence Medical Center, United States.
Contemp Clin Trials. 2016 Mar;47:123-30. doi: 10.1016/j.cct.2015.12.016. Epub 2015 Dec 21.
Despite significant advances in individual treatment approaches for PTSD, knowledge of group approaches has lagged behind. Much of the reason knowledge about group treatment for PTSD has been limited is due to the complexity of conducting randomized controlled trials in the group treatment context. This limited empirical knowledge is unfortunate given the frequency with which group treatment for PTSD is used in clinical settings, including the Department of Veteran Affairs. The goal of this study is to examine the efficacy of a group cognitive-behavioral treatment (GCBT) for PTSD relative to group supportive counseling approach (i.e. group present centered treatment; GPCT). The sample consists of 196 veterans diagnosed with PTSD who are randomly assigned to either GCBT (n=98) or GPCT (n=98). Both treatments are administered by two therapists over the course of 14 sessions. Assessments take place at baseline, mid-treatment, post-treatment and 3-, 6-, and 12-month follow-up. The primary outcome measure is the PTSD symptom severity assessed with a semi-structured diagnostic instrument. Given the substantial rise of veterans presenting for PTSD treatment services, identifying an efficacious group treatment approach is invaluable.
尽管 PTSD 的个体治疗方法取得了重大进展，但团体治疗方法的知识却落后了。导致 PTSD 团体治疗知识有限的原因很多，主要是因为在团体治疗环境中进行随机对照试验的复杂性。鉴于 PTSD 团体治疗在临床环境中（包括退伍军人事务部）的使用频率很高，这种有限的经验知识是不幸的。本研究的目的是检验一种团体认知行为治疗（GCBT）相对于团体支持性咨询方法（即团体以当下为中心的治疗；GPCT）治疗 PTSD 的疗效。该样本包括 196 名被诊断患有 PTSD 的退伍军人，他们被随机分配到 GCBT（n=98）或 GPCT（n=98）组。两种治疗方法均由两名治疗师在 14 次疗程中进行。评估在基线、治疗中期、治疗后以及 3、6 和 12 个月随访时进行。主要的结果衡量标准是使用半结构化诊断工具评估 PTSD 症状严重程度。鉴于大量退伍军人寻求 PTSD 治疗服务，确定一种有效的团体治疗方法是非常宝贵的。
