Department of Psychiatry, Hanyang University Medical Center, Seoul, Korea.
Department of Psychiatry, Medical College, Hanyang University, Seoul, Korea.
Yonsei Med J. 2024 Oct;65(10):588-595. doi: 10.3349/ymj.2023.0520.
Early intervention after trauma is needed for reduction in clinical distress and prevention of chronic posttraumatic stress disorder (PTSD). This study describes findings from an open pilot trial of a brief stabilization psychotherapy based on imagery techniques for adults with acute PTSD (i.e., within 3 months of onset).
Four sessions of 60-minute individual psychotherapy were conducted on 18 participants with PTSD within 3 months after accidents, 15 of whom completed the treatment. The clinician-administered PTSD scale for Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5), the Hamilton Depression and Anxiety Rating Scales, and self-questionnaires were administered at pre-treatment, post-treatment, and 6-month follow-up.
Eight (53.3%) of the 15 patients at post-treatment and 8 of the 9 patients at 6-month follow-up did not meet the DSM-5 criteria for PTSD. Reliable change of PTSD symptoms after treatment was observed in 6 of 15 (45.0%) patients at post-treatment and in 4 of 9 (45.0%) patients after 6 months. There was a significant decrease in PTSD, depression, anxiety, and impaired quality of life scores after treatment, and these gains were maintained after 6 months. No cases of exacerbated PTSD symptoms were observed among completers and non-completers.
Our findings suggest that brief stabilization sessions are safe treatment options for acute PTSD (KCT0001918).
创伤后早期干预对于减轻临床痛苦和预防慢性创伤后应激障碍（PTSD）是必要的。本研究描述了一项针对成人急性 PTSD（即在发病后 3 个月内）的基于意象技术的简短稳定化心理治疗的开放试点试验结果。
在事故发生后 3 个月内，对 18 名 PTSD 患者进行了 4 次 60 分钟的个体心理治疗，其中 15 名患者完成了治疗。采用临床医生管理的精神障碍诊断和统计手册第五版（DSM-5）创伤后应激障碍量表、汉密尔顿抑郁和焦虑量表以及自我问卷，在治疗前、治疗后和 6 个月随访时进行评估。
15 名患者中有 8 名（53.3%）在治疗后和 9 名患者中有 8 名（88.9%）在 6 个月随访时不符合 DSM-5 PTSD 标准。在治疗后，15 名患者中有 6 名（40.0%）和在 6 个月后有 4 名（44.4%）患者的 PTSD 症状有可靠变化。治疗后 PTSD、抑郁、焦虑和生活质量受损评分显著下降，这些改善在 6 个月后仍得以维持。在完成者和未完成者中均未观察到 PTSD 症状恶化的情况。
我们的发现表明，简短的稳定化治疗是急性 PTSD 的安全治疗选择（KCT0001918）。
