在新冠疫情期间对创伤后应激障碍进行延长暴露疗法：治疗考量
Conducting Prolonged Exposure for PTSD During the COVID-19 Pandemic: Considerations for Treatment.
作者信息
Fina Brooke A, Wright Edward C, Rauch Sheila A M, Norman Sonya B, Acierno Ron, Cuccurullo Lisa-Ann J, Dondanville Katherine A, Moring John C, Brown Lily A, Foa Edna B
机构信息
University of Texas Health Science Center at San Antonio.
Home Base: A Red Sox Foundation and Massachusetts General Hospital Program, Massachusetts General Hospital, and Harvard Medical School.
出版信息
Cogn Behav Pract. 2021 Nov;28(4):532-542. doi: 10.1016/j.cbpra.2020.09.003. Epub 2020 Oct 17.
The unprecedented effects and duration of the COVID-19 crisis are likely to elevate the population's level of anxiety due to psychological stress, economic hardship, and social isolation. This effect may be especially potent for individuals with preexisting mental health conditions, such as posttraumatic stress disorder (PTSD). Prolonged Exposure (PE) therapy is a highly effective treatment for PTSD across trauma-exposed populations, and has been implemented effectively via telehealth. Nevertheless, PE implementation via telehealth may require specific adaptations during the COVID-19 crisis due to public health mandates calling for sheltering in place and physical distancing. This paper discusses strategies for implementing PE for PTSD during the COVID-19 pandemic, which may also be applied to other situations in which physical distancing must be considered.
新冠疫情危机前所未有的影响和持续时间，可能会因心理压力、经济困难和社会隔离而提高民众的焦虑水平。这种影响对于患有创伤后应激障碍（PTSD）等既有心理健康问题的个体可能尤为显著。延长暴露疗法（PE）是一种针对遭受创伤人群治疗PTSD的高效疗法，并且已通过远程医疗有效地实施。然而，在新冠疫情危机期间，由于公共卫生要求民众居家隔离和保持社交距离，通过远程医疗实施延长暴露疗法可能需要进行特定调整。本文讨论了在新冠大流行期间实施创伤后应激障碍延长暴露疗法的策略，这些策略也可应用于其他必须考虑保持社交距离的情况。
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