Park Ju-Eun, Choi Kyeong-Sook, Han Yu-Ri, Kim Jeong-Eun, Song Jay, Yu Je-Chun, Yun Ji-Ae
Department of Neuropsychiatry, Daejeon Eulji Medical Center, Daejeon, Republic of Korea.
Department of Neuropsychiatry, Eulji University School of Medicine, Daejeon, Republic of Korea.
Psychiatry Investig. 2021 Aug;18(8):728-735. doi: 10.30773/pi.2021.0115. Epub 2021 Aug 2.
Written exposure therapy (WET) is exposure therapy for post-traumatic stress disorder (PTSD). Compared to evidencebased treatments for PTSD, WET requires only five sessions, has a shorter session time, and no between-session assignments. The current study examined the efficacy of WET among Korean patients with PTSD due to various traumatic events on PTSD symptoms, depressive symptoms, and global functioning levels.
The study recruited 41 patients with a current primary diagnosis of PTSD in psychiatric outpatient clinics. Assessments were conducted at baseline, and at 6, 12, and 24 weeks following the first treatment session.
In total, 25 patients started WET. Findings showed a significant reduction in the rate of PTSD diagnosis and symptom severity scores. Fourteen of 23 (60.9%) patients at 6 weeks, 15 of 22 (68.2%) patients at 12 weeks, and 14 of 18 (77.8%) patients at 24 weeks no longer met the diagnosis of PTSD. Depressive symptoms and global function scores also improved after WET. The dropout rate was 8% (n=2).
This study suggests the feasibility of implementing WET among various types of patients with PTSD in Korea and other Asian countries.
书面暴露疗法（WET）是一种针对创伤后应激障碍（PTSD）的暴露疗法。与基于证据的PTSD治疗方法相比，WET仅需五个疗程，每个疗程时间更短，且无需在疗程之间布置任务。本研究考察了WET对韩国因各种创伤事件而患有PTSD的患者在PTSD症状、抑郁症状及整体功能水平方面的疗效。
该研究在精神科门诊招募了41名目前初步诊断为PTSD的患者。在基线时以及首次治疗疗程后的第6、12和24周进行评估。
共有25名患者开始接受WET治疗。结果显示，PTSD诊断率和症状严重程度评分显著降低。在第6周时，23名患者中有14名（60.9%）、第12周时22名患者中有15名（68.2%）、第24周时18名患者中有14名（77.8%）不再符合PTSD的诊断标准。WET治疗后，抑郁症状和整体功能评分也有所改善。脱落率为8%（n = 2）。
本研究表明，在韩国和其他亚洲国家，对各类PTSD患者实施WET是可行的。
