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它足够安全吗?一项针对重度创伤后应激障碍的为期8天强化治疗的试点可行性研究。

Is it safe enough? A pilot feasibility study of an 8-day intensive treatment for severe PTSD.

作者信息

Gahnfelt Hannes, Carlsson Per F G, Blomdahl Christina

机构信息

Department of Research, Education and Innovation, Södra Älvsborg Hospital, Region Västra Götaland, Borås, Sweden.

R&D Centre Södra Älvsborg, Research, Education, Development & Innovation, Region Västra Götaland, Borås, Sweden.

出版信息

Front Psychiatry. 2023 Jul 20;14:1200411. doi: 10.3389/fpsyt.2023.1200411. eCollection 2023.

DOI:10.3389/fpsyt.2023.1200411
PMID:37547221
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10397389/
Abstract

Intensive treatments for posttraumatic stress disorder (PTSD) are gaining increased research support. Treatment models targeting Complex PTSD and previously treatment-resistant PTSD have shown a good effect. A pilot study was performed to assess the feasibility of an 8-day intensive treatment program for severe PTSD in a Swedish public healthcare setting. Eleven participants completed treatment, and overall, the reduction in PTSD symptoms was considerable. Also, loss of diagnosis at 3-month follow-up was 100%. No adverse events occurred, and no elevation of suicidal intentions was reported. Symptom exacerbation could not be observed in the data and dropout due to the intensity of the treatment format did not occur. Based on these positive results, it is recommended that further research with larger samples is conducted. If found safe and effective, the 8-day treatment program could be an important addition to psychiatric healthcare.

摘要

创伤后应激障碍(PTSD)的强化治疗正获得越来越多的研究支持。针对复杂性PTSD和先前难治性PTSD的治疗模式已显示出良好效果。开展了一项试点研究,以评估在瑞典公共医疗环境中针对重度PTSD的8天强化治疗方案的可行性。11名参与者完成了治疗,总体而言,PTSD症状的减轻相当显著。此外,3个月随访时诊断消除率为100%。未发生不良事件,也未报告自杀意图增加。数据中未观察到症状加重情况,且未因治疗形式的强度而出现退出治疗的情况。基于这些积极结果,建议开展更大样本量的进一步研究。如果该8天治疗方案被证明安全有效,它可能成为精神科医疗的一项重要补充。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5a4e/10397389/70118199d33e/fpsyt-14-1200411-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5a4e/10397389/70118199d33e/fpsyt-14-1200411-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5a4e/10397389/70118199d33e/fpsyt-14-1200411-g001.jpg

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Intensive outpatient treatment for PTSD: an open trial combining prolonged exposure therapy, EMDR, and physical activity.创伤后应激障碍的强化门诊治疗:一项结合延长暴露疗法、眼动脱敏再处理和身体活动的开放试验。
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