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“对我有效吗?”开发便于患者理解的创伤后应激障碍治疗效果图形显示。

"Will it work for me?" Developing patient-friendly graphical displays of posttraumatic stress disorder treatment effectiveness.

机构信息

National Center for PTSD-Executive Division, White River Junction, Vermont, USA.

Department of Psychiatry, Geisel School of Medicine at Dartmouth, Hanover, New Hampshire, USA.

出版信息

J Trauma Stress. 2022 Jun;35(3):999-1010. doi: 10.1002/jts.22808. Epub 2022 Mar 8.

Abstract

The goal of this study was to create simple visual displays to help patients understand the benefits of evidence-based treatment for posttraumatic stress disorder (PTSD). We reviewed randomized trials of the most effective individual, trauma-focused psychotherapies and first-line antidepressants for adults with PTSD. The analytic sample included 65 treatment arms from 41 trials. We used binomial logistic regression to estimate the proportion of participants who lost their PTSD diagnosis at posttreatment and created a sample icon array to display these estimates. We provide a range of estimates (0-100) based on varying the percentage of the sample with a military affiliation. The percentage of participants who no longer met the diagnostic criteria for PTSD among civilian populations was 64.3% for trauma-focused treatment, 56.9% for SSRI/SNRI, and 16.7% for waitlist/minimal attention. For military populations, the proportions of participants who no longer met the diagnostic criteria were 44.2%, 36.7%, and 8.1%, respectively. We present icon arrays for 0%, 7%, 50%, and 100% military affiliation displaying 100 icons, a portion of which were shaded to indicate the number of participants that no longer met the PTSD criteria following treatment. After evidence-based treatment, between one third and two thirds of participants no longer met the PTSD criteria. Providers can use the icon array developed in this study with patients to facilitate communication regarding PTSD treatment effectiveness.

摘要

本研究的目的是创建简单的可视化显示,以帮助患者了解创伤后应激障碍(PTSD)的循证治疗的益处。我们回顾了针对 PTSD 成人最有效的个体、创伤聚焦心理疗法和一线抗抑郁药的随机试验。分析样本包括 41 项试验中的 65 个治疗组。我们使用二项逻辑回归估计治疗后 PTSD 诊断丧失的参与者比例,并创建样本图标数组来显示这些估计值。我们根据具有军事背景的样本百分比提供了一系列估计值(0-100)。在针对平民人群的创伤聚焦治疗中,64.3%的参与者不再符合 PTSD 的诊断标准,56.9%的参与者符合 SSRI/SNRI,16.7%的参与者符合候补名单/最低关注。对于军事人群,不再符合诊断标准的参与者比例分别为 44.2%、36.7%和 8.1%。我们展示了 0%、7%、50%和 100%军事参与的图标数组,显示了 100 个图标,其中一部分被阴影表示治疗后不再符合 PTSD 标准的参与者人数。在循证治疗后,三分之一到三分之二的参与者不再符合 PTSD 标准。提供者可以使用本研究中开发的图标数组与患者进行沟通,以促进 PTSD 治疗效果的沟通。

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