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远程医疗提供的针对创伤后应激障碍退伍军人的集中创伤聚焦心理治疗的有效性。

Effectiveness of telehealth-delivered massed trauma-focused psychotherapy among veterans with posttraumatic stress disorder.

作者信息

Verdi Erin K, Gramlich Michael A, Reger Greg M, Yelland Sherry

机构信息

Veterans Affairs Puget Sound Health Care System, American Lake Division.

出版信息

Psychol Serv. 2025 May;22(2):199-205. doi: 10.1037/ser0000913. Epub 2024 Oct 10.

Abstract

Trauma-focused psychotherapies can be effectively delivered using a massed delivery format. Telehealth treatment for posttraumatic stress disorder (PTSD) using evidence-based interventions has been shown to be as effective as in-person treatment. However, the effectiveness of evidence-based treatments for PTSD over telehealth using the massed delivery format requires further examination. To examine the effectiveness of telehealth massed PTSD treatment, we report on a quality improvement study of 33 veterans (75.8% male; = 42.3, = 11.0) who participated in a virtual 4-week massed PTSD program at a Department of Veterans Affairs (VA) medical center. Twenty-seven (81.8%) veterans completed the treatment and reported large reductions in PTSD ( = 1.48) and depressive symptoms ( = 1.08) at Week 4 and at 1-month follow-up (PTSD, = 1.34; depression, = 0.70). Results suggested that evidence-based treatment for PTSD can be effectively delivered in a massed format over telehealth in a VA medical setting. (PsycInfo Database Record (c) 2025 APA, all rights reserved).

摘要

以创伤为重点的心理治疗可以采用集中授课的形式有效开展。使用循证干预措施对创伤后应激障碍(PTSD)进行远程医疗治疗已被证明与面对面治疗同样有效。然而,采用集中授课形式通过远程医疗对PTSD进行循证治疗的有效性还需要进一步研究。为了检验远程医疗集中治疗PTSD的有效性,我们报告了一项质量改进研究,该研究涉及33名退伍军人(75.8%为男性;平均年龄 = 42.3岁,标准差 = 11.0),他们在一家退伍军人事务部(VA)医疗中心参加了一个为期4周的虚拟PTSD集中治疗项目。27名(81.8%)退伍军人完成了治疗,并报告在第4周和1个月随访时,PTSD症状(平均差 = 1.48)和抑郁症状(平均差 = 1.08)大幅减轻(PTSD,平均差 = 1.34;抑郁,平均差 = 0.70)。结果表明,在VA医疗环境中,基于循证的PTSD治疗可以通过远程医疗以集中授课的形式有效开展。(PsycInfo数据库记录(c)2025美国心理学会,保留所有权利)

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