Ralph H. Johnson Veterans Affairs Medical Center, Charleston, SC, United States.
National Center for PTSD, VA Boston Healthcare System, Boston, MA, United States; Department of Psychiatry, Boston University School of Medicine, Boston, MA, United States.
J Anxiety Disord. 2017 Apr;47:91-98. doi: 10.1016/j.janxdis.2017.01.002. Epub 2017 Jan 8.
Few studies have examined symptom change among dropouts from posttraumatic stress disorder (PTSD) treatment. However, dropout is widely considered a negative event needing to be addressed. The present study investigated PTSD and depression symptom change in patients with PTSD who discontinued psychotherapy. Female civilians (n=321) diagnosed with PTSD participated in two randomized clinical trials examining PTSD treatment outcomes. Of those, 53 were identified as dropouts and included in this study. Symptom change was assessed by clinically significant change (CSC) criteria and symptom end-state criteria. Results demonstrated that considerable proportions of participants (35.85-55.56%) displayed significant improvement and/or met good end-state criteria for PTSD and depression. Results also revealed that participants who displayed symptom improvement were younger, attended more treatment sessions, were married or partnered, and had higher annual household income. Although preliminary, these findings contradict belief that treatment dropouts do not display symptom improvement.
很少有研究调查创伤后应激障碍（PTSD）治疗中断者的症状变化。然而，辍学被广泛认为是需要解决的负面事件。本研究调查了停止心理治疗的 PTSD 患者的 PTSD 和抑郁症状变化。患有 PTSD 的女性平民（n=321）参加了两项随机临床试验，以检查 PTSD 治疗结果。其中，有 53 人被确定为辍学，并包括在本研究中。症状变化通过临床显著变化（CSC）标准和症状终末状态标准进行评估。结果表明，相当比例的参与者（35.85-55.56%）在 PTSD 和抑郁方面表现出显著改善和/或符合良好的终末状态标准。结果还表明，表现出症状改善的参与者更年轻，参加了更多的治疗课程，已婚或有伴侣，并且年收入更高。尽管初步研究，但这些发现与认为治疗辍学者不会显示症状改善的观点相矛盾。
