治疗创伤后应激障碍：循证心理治疗干预综述
Treating PTSD: A Review of Evidence-Based Psychotherapy Interventions.
作者信息
Watkins Laura E, Sprang Kelsey R, Rothbaum Barbara O
机构信息
Department of Psychiatry and Behavioral Sciences, Emory University School of Medicine, Atlanta, GA, United States.
出版信息
Front Behav Neurosci. 2018 Nov 2;12:258. doi: 10.3389/fnbeh.2018.00258. eCollection 2018.
Abstract
Posttraumatic stress disorder (PTSD) is a chronic, often debilitating mental health disorder that may develop after a traumatic life event. Fortunately, effective psychological treatments for PTSD exist. In 2017, the Veterans Health Administration and Department of Defense (VA/DoD) and the American Psychological Association (APA) each published treatment guidelines for PTSD, which are a set of recommendations for providers who treat individuals with PTSD. The purpose of the current review article is to briefly review the methodology used in each set of 2017 guidelines and then discuss the psychological treatments of PTSD for adults that were strongly recommended by both sets of guidelines. Both guidelines strongly recommended use of Prolonged Exposure (PE), Cognitive Processing Therapy (CPT) and trauma-focused Cognitive Behavioral Therapy (CBT). Each of these treatments has a large evidence base and is trauma-focused, which means they directly address memories of the traumatic event or thoughts and feelings related to the traumatic event. Finally, we will discuss implications and future directions.
摘要
创伤后应激障碍（PTSD）是一种慢性的、常常使人衰弱的心理健康障碍，可能在经历创伤性生活事件后出现。幸运的是，存在针对PTSD的有效心理治疗方法。2017年，退伍军人健康管理局和国防部（VA/DoD）以及美国心理协会（APA）各自发布了PTSD治疗指南，这些指南是针对治疗PTSD患者的提供者的一系列建议。当前这篇综述文章的目的是简要回顾2017年每套指南中使用的方法，然后讨论两套指南都强烈推荐的针对成年人的PTSD心理治疗方法。两套指南都强烈推荐使用延长暴露疗法（PE）、认知加工疗法（CPT）和创伤聚焦认知行为疗法（CBT）。这些治疗方法中的每一种都有大量的证据支持，并且都以创伤为重点，这意味着它们直接针对创伤事件的记忆或与创伤事件相关的想法和感受。最后，我们将讨论其影响和未来方向。
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