一名伊拉克女性退伍军人通过远程医疗同时治疗创伤后应激障碍和酒精使用障碍。
Concurrent treatment of PTSD and alcohol use disorder via telehealth in a female Iraq veteran.
作者信息
Jaconis Maryanne, Santa Ana Elizabeth J, Killeen Therese K, Badour Christal L, Back Sudie E
机构信息
Addiction Sciences Division, Department of Psychiatry and Behavioral Sciences, Medical University of South Carolina, Charleston, South Carolina.
Department of Psychology, University of Wyoming, Laramie, Wyoming.
出版信息
Am J Addict. 2017 Mar;26(2):112-114. doi: 10.1111/ajad.12481. Epub 2017 Jan 24.
BACKGROUND AND OBJECTIVES
A growing literature provides evidence for the use of integrated treatments (e.g., Concurrent Treatment of PTSD and Substance Use Disorders Using Prolonged Exposure; COPE); however, no known studies have applied COPE via telehealth.
METHOD
COPE was delivered via telehealth to treat one black female veteran with combat trauma and alcohol use disorder.
RESULTS
The patient demonstrated significant reductions in alcohol consumption and PTSD and depressive symptoms.
CONCLUSIONS AND SCIENTIFIC SIGNIFICANCE
Although preliminary, findings demonstrate that integrated treatment via telehealth is feasible and effective, and may be useful for female veterans reluctant to seek services at male-dominated VAMCs. (Am J Addict 2017;26:112-114).
背景与目的
越来越多的文献为综合治疗（如使用延长暴露疗法同时治疗创伤后应激障碍和物质使用障碍；COPE）的应用提供了证据；然而，尚无已知研究通过远程医疗应用COPE。
方法
通过远程医疗实施COPE，以治疗一名患有战斗创伤和酒精使用障碍的黑人女性退伍军人。
结果
患者的酒精摄入量、创伤后应激障碍及抑郁症状均显著减轻。
结论与科学意义
尽管是初步研究，但结果表明通过远程医疗进行综合治疗是可行且有效的，可能对不愿在以男性为主的退伍军人医疗中心寻求服务的女性退伍军人有用。（《美国成瘾杂志》2017年；26:112 - 114）
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