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创伤后应激障碍强化门诊治疗:一项结合延长暴露疗法、眼动脱敏再处理、体育活动和心理教育的初步可行性研究。

Intensive outpatient treatment for PTSD: a pilot feasibility study combining prolonged exposure therapy, EMDR, physical activity, and psychoeducation.

机构信息

Regional Unit for Treatment of Severe Posttraumatic Stress Disorder, Nidaros DPS, St. Olavs Hospital, Trondheim, Norway.

Department of Psychology, Norwegian University of Science and Technology, Trondheim, Norway.

出版信息

Eur J Psychotraumatol. 2021 May 14;12(1):1917878. doi: 10.1080/20008198.2021.1917878.

DOI:10.1080/20008198.2021.1917878
PMID:34025928
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8128113/
Abstract

: Intensive treatment could be effective for patients with post-traumatic stress disorder (PTSD). : The aim of the study was to test the feasibility of an 8-day (2-week) intensive outpatient treatment for PTSD. : Treatment each day consisted of individual Prolonged Exposure (PE), Eye Movement Desensitization and Reprocessing (EMDR), and psychoeducation and physical activity in groups. Patients met different therapists from session to session. : Six patients started and completed treatment. Levels of attendance of sessions was high. Patients reported that they were satisfied with the treatment, describing it as emotionally taxing, but meaningful. Therapists also described several positive aspects of the treatment format. There were large reductions in PTSD symptoms. : Given these promising, but preliminary findings on the programme's feasibility, future research should investigate this treatment format using larger samples and controlled designs.

摘要

强化治疗可能对创伤后应激障碍(PTSD)患者有效。本研究旨在检验为期 8 天(2 周)的 PTSD 强化门诊治疗的可行性。每天的治疗包括个体延长暴露(PE)、眼动脱敏与再处理(EMDR)、团体心理教育和体育活动。患者每次治疗会遇到不同的治疗师。6 名患者开始并完成了治疗。治疗的出勤率很高。患者报告说他们对治疗很满意,称其情感上有压力,但很有意义。治疗师也描述了治疗模式的几个积极方面。创伤后应激障碍症状有了很大的减轻。鉴于该方案在可行性方面的这些有希望但初步的发现,未来的研究应该使用更大的样本和对照设计来调查这种治疗模式。

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本文引用的文献

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A Systematic Review of Intensive Empirically Supported Treatments for Posttraumatic Stress Disorder.创伤后应激障碍强化实证治疗的系统评价。
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The effects of once- versus twice-weekly sessions on psychotherapy outcomes in depressed patients.每周一次与每周两次治疗方案对抑郁患者心理治疗效果的影响。
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Effectiveness of an intensive treatment programme combining prolonged exposure and eye movement desensitization and reprocessing for severe post-traumatic stress disorder.一种结合延长暴露疗法与眼动脱敏再处理疗法的强化治疗方案对重度创伤后应激障碍的疗效
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Presence of the dissociative subtype of PTSD does not moderate the outcome of intensive trauma-focused treatment for PTSD.创伤后应激障碍(PTSD)解离亚型的存在并不会影响针对PTSD的强化创伤聚焦治疗的效果。
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The impact of childhood sexual abuse on the outcome of intensive trauma-focused treatment for PTSD.童年期性虐待对创伤后应激障碍(PTSD)强化创伤聚焦治疗结局的影响。
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Effect of Prolonged Exposure Therapy Delivered Over 2 Weeks vs 8 Weeks vs Present-Centered Therapy on PTSD Symptom Severity in Military Personnel: A Randomized Clinical Trial.为期2周、8周的延长暴露疗法与以当下为中心疗法对军事人员创伤后应激障碍症状严重程度的影响:一项随机临床试验
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