National Center for PTSD at VA Boston Healthcare System and Boston University Chobanian and Avedisian School of Medicine.
National Center for PTSD at VA Boston Healthcare System and Boston University Chobanian and Avedisian School of Medicine.
Behav Ther. 2024 Nov;55(6):1222-1232. doi: 10.1016/j.beth.2024.02.004. Epub 2024 Feb 29.
Although there are effective psychotherapies available for posttraumatic stress disorder (PTSD), brief treatments for PTSD are needed to expand the reach of treatment. Written exposure therapy (WET) is a brief treatment that has the potential to fill an important need in PTSD treatment and has a rapidly expanding evidence base to support its use. In this paper we provide information on how WET was developed, and we present proposed underlying mechanisms of the treatment and evidence supporting the underlying mechanism. The current evidence supporting WET for the treatment of PTSD is reviewed. The evidence indicates that WET is an efficacious and effective treatment approach for PTSD and is noninferior to more time-intensive evidence-based treatments for PTSD. The paper concludes with suggestions for expanding the evidence base of WET that is necessary for it to be considered a first-line treatment approach across clinical practice guidelines.
虽然有有效的心理疗法可用于治疗创伤后应激障碍（PTSD），但仍需要针对 PTSD 的简短治疗来扩大治疗范围。书面暴露疗法（WET）是一种简短的治疗方法，有可能满足 PTSD 治疗的重要需求，并具有迅速扩大的证据基础来支持其使用。在本文中，我们提供了有关 WET 如何开发的信息，并提出了治疗的潜在机制和支持潜在机制的证据。本文回顾了目前支持 WET 治疗 PTSD 的证据。这些证据表明，WET 是一种治疗 PTSD 的有效且有效的方法，并且与 PTSD 的更费时的循证治疗方法无差异。本文最后提出了扩大 WET 证据基础的建议，这对于将其视为临床实践指南中一线治疗方法是必要的。
