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一种基于理性情绪行为疗法(REBT)的团体治疗对9·11事件后患有创伤后应激障碍(PTSD)的退伍军人的有效性。

Effectiveness of a Rational Emotive Behavior Therapy (REBT)-Informed Group for Post-9/11 Veterans with Posttraumatic Stress Disorder (PTSD).

作者信息

Grove Allen B, Kurtz Erin D, Wallace Rachel E, Sheerin Christina M, Scott Sarah M

机构信息

Department of Mental Health, Central Virginia VA Health Care System, Richmond, Virginia, USA.

Primary Care Service Line, VA St. Louis Health Care System, St. Louis, Missouri, USA.

出版信息

Mil Psychol. 2021;33(4):217-227. doi: 10.1080/08995605.2021.1897496. Epub 2021 Apr 8.

Abstract

Various treatments aimed for posttraumatic stress disorder (PTSD) have been developed for veterans, but many are not formatted for use in groups, do not address common psychiatric comorbidities, and include inherent barriers (e.g., substantial time commitment). This program evaluation study aimed to examine the effectiveness of a five-session treatment, a Rational Emotive Behavior Therapy (REBT)-Informed Group focused on changing irrational beliefs to address comorbid depression and anxiety (as well as anger and guilt) among post-9/11 veterans with PTSD. Participants ( = 47) completing the REBT-Informed Group demonstrated significant reductions at posttreatment in depression and PTSD symptoms. Compared to veterans in a ten-session treatment-as-usual group ( = 47), there was no significant difference in PTSD symptom improvement despite the reduction in number of sessions. The study demonstrates that a five-week group treatment for PTSD comorbid with depression or anxiety in post-9/11 veterans - a therapy that may be uniquely suited to a military or veteran population, but potentially generalizable to civilians as well - can lead to significant reductions in depression and PTSD symptoms. Future directions include development of a manual for dissemination and replication of findings of the REBT-Informed Group to other military or Veterans Affairs medical centers.

摘要

针对退伍军人创伤后应激障碍(PTSD)已开发出多种治疗方法,但许多方法并非为团体治疗设计,未涉及常见的精神共病,且存在内在障碍(如需要大量时间投入)。本项目评估研究旨在检验一种五节次治疗方案的有效性,该方案是一个基于理性情绪行为疗法(REBT)的团体治疗,专注于改变非理性信念,以解决9·11事件后患有PTSD的退伍军人的共病抑郁和焦虑(以及愤怒和内疚)问题。完成基于REBT团体治疗的参与者(n = 47)在治疗后抑郁和PTSD症状显著减轻。与接受十节次常规治疗组的退伍军人(n = 47)相比,尽管节次减少,但PTSD症状改善情况并无显著差异。该研究表明,针对9·11事件后患有PTSD且合并抑郁或焦虑的退伍军人进行为期五周的团体治疗——这种疗法可能特别适用于军人或退伍军人群体,但也可能适用于普通民众——可显著减轻抑郁和PTSD症状。未来的方向包括编写一本手册,以便将基于REBT团体治疗的研究结果传播和复制到其他军事或退伍军人事务医疗中心。

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