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《网络延长暴露对创伤后应激障碍的军人和退伍军人的影响》:更正。

"The effects of web-prolonged exposure among military personnel and veterans with posttraumatic stress disorder": Correction.

机构信息

Dissemination and Training Division.

Department of Psychiatry.

出版信息

Psychol Trauma. 2022 Jul;14(5):804. doi: 10.1037/tra0001251. Epub 2022 Mar 24.

Abstract

UNLABELLED

Reports an error in "The effects of web-prolonged exposure among military personnel and veterans with posttraumatic stress disorder" by Carmen P. McLean, Edna B. Foa, Katherine A. Dondanville, Christopher K. Haddock, Madeleine L. Miller, Sheila A. M. Rauch, Jeffery S. Yarvis, Edward C. Wright, Brittany N. Hall-Clark, Brooke A. Fina, Brett T. Litz, Jim Mintz, Stacey Young-McCaughan and Alan L. Peterson (, 2021[Sep], Vol 13[6], 621-631). In the original article, "for the STRONG STAR Consortium" was missing from the end of the author line. In addition, the numbering and text of the affiliations for Edward C. Wright, Brittany N. Hall-Clark, Brooke A. Fina, Brett T. Litz, Jim Mintz, Stacey Young-McCaughan, and Alan L. Peterson were incorrect because of duplicated affiliation details and associated typographical errors. Finally, in the References, "for the STRONG STAR Consortium" and "on behalf of the STRONG STAR Consortium" were missing from the ends of the author lists for Foa et al. (2018) and Resick et al. (2015), respectively. The online version of this article has been corrected. (The following abstract of the original article appeared in record 2020-86687-001).

OBJECTIVE

Web-based treatments address many of the logistical and stigma-related barriers to in-person behavioral health care. Prior studies of web-based treatments for posttraumatic stress disorder (PTSD) did not employ gold-standard treatments and have not compared to in-person therapy.

METHOD

We compared a web version of Prolonged Exposure Therapy, "Web-PE," to in-person Present-Centered Therapy (PCT) in a randomized controlled trial (RCT) with 40 military personnel with PTSD seeking treatment at Fort Hood, Texas. Due to recruitment challenges, we terminated the RCT and subsequently examined the effects of Web-PE in an uncontrolled open trial with 34 service members and veterans recruited nationwide. Both studies assessed PTSD, depressive symptoms, and health functioning at baseline and 1 and 3 months posttreatment; the RCT also included a 6-month assessment.

RESULTS

Results of the RCT showed no differential impact for Web-PE and PCT, although more PCT participants achieved clinically significant change at one of the follow-up assessments. Both treatment conditions significantly reduced self-reported and blind independent interviewer-assessed symptoms of PTSD. Results of the open trial showed that Web-PE was associated with significant reductions in self-reported PTSD symptoms, with a much larger effect size than in the RCT.

CONCLUSIONS

Web-PE significantly reduced PTSD symptoms in both studies, although the reductions in PTSD symptoms were greater among open trial participants, who were specifically seeking a web-based treatment. Future research should evaluate Web-PE relative to another web-based treatment. (PsycInfo Database Record (c) 2022 APA, all rights reserved).

摘要

未标注

报告了 Carmen P. McLean、Edna B. Foa、Katherine A. Dondanville、Christopher K. Haddock、Madeleine L. Miller、Sheila A. M. Rauch、Jeffery S. Yarvis、Edward C. Wright、Brittany N. Hall-Clark、Brooke A. Fina、Brett T. Litz、Jim Mintz、Stacey Young-McCaughan 和 Alan L. Peterson 发表的“Web 延长暴露对创伤后应激障碍的军事人员和退伍军人的影响”(,2021[9 月],第 13[6]卷,621-631)中的错误。在原文中,作者行末尾缺少“代表 STRONG STAR 联盟”。此外,由于重复的隶属关系细节和相关的打字错误,Edward C. Wright、Brittany N. Hall-Clark、Brooke A. Fina、Brett T. Litz、Jim Mintz、Stacey Young-McCaughan 和 Alan L. Peterson 的隶属关系编号和文本均不正确。最后,在参考文献中,Foa 等人(2018 年)和 Resick 等人(2015 年)的作者名单末尾缺少“代表 STRONG STAR 联盟”和“代表 STRONG STAR 联盟”。本文的在线版本已更正。(原始文章的摘要如下)。

目的

基于网络的治疗方法解决了许多与个人行为健康护理相关的后勤和耻辱相关的障碍。先前关于创伤后应激障碍(PTSD)的基于网络的治疗的研究没有采用黄金标准的治疗方法,也没有与面对面治疗进行比较。

方法

我们在德克萨斯州胡德堡的一项随机对照试验(RCT)中比较了延长暴露疗法的网络版本“Web-PE”与面对面的以当下为中心的疗法(PCT),共有 40 名寻求 PTSD 治疗的军人参加。由于招募挑战,我们终止了 RCT,并随后在全国范围内招募的 34 名服务成员和退伍军人的无对照开放试验中检查了 Web-PE 的效果。两项研究均在基线和治疗后 1 个月和 3 个月评估 PTSD、抑郁症状和健康功能;RCT 还包括 6 个月的评估。

结果

RCT 的结果表明,Web-PE 和 PCT 没有差异,但在随访评估之一中,更多的 PCT 参与者达到了临床显著变化。两种治疗条件均显著降低了自我报告和盲法独立评估者评估的 PTSD 症状。开放试验的结果表明,Web-PE 与自我报告的 PTSD 症状显著降低相关,其效应量明显大于 RCT。

结论

Web-PE 在两项研究中均显著降低了 PTSD 症状,尽管开放试验参与者的 PTSD 症状减轻幅度更大,他们专门寻求基于网络的治疗。未来的研究应该评估 Web-PE 相对于另一种基于网络的治疗。(PsycInfo 数据库记录(c)2022 APA,保留所有权利)。

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