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远程集中创伤焦点治疗 PTSD 的有效性。

The effectiveness of a remote intensive trauma-focused treatment programme for PTSD.

机构信息

Altrecht Academic Anxiety Centre, Altrecht GGz, Utrecht, the Netherlands.

出版信息

Eur J Psychotraumatol. 2024;15(1):2408960. doi: 10.1080/20008066.2024.2408960. Epub 2024 Oct 24.

Abstract

Limited research has addressed the efficacy of remote intensive trauma-focused treatment programmes. This study aims to assess the effectiveness of a remote intensive treatment programme in reducing symptoms of Post-Traumatic Stress Disorder (PTSD), general psychiatric symptoms, symptoms of depression, and the interference of PTSD symptoms in daily life among individuals diagnosed with PTSD. A cohort of 26 patients diagnosed with PTSD underwent a six-day remote treatment programme, which included prolonged exposure, Eye Movement Desensitisation and Reprocessing (EMDR), physical activity, and psycho-education. PTSD symptoms, general psychiatric symptoms, symptoms of depression, and interference of PTSD symptoms in daily life were assessed at screening, pre-treatment, post-treatment, 1-week, 4-week, and at 6-month follow-up. A significant decrease in PTSD symptoms, measured by the CAPS-5 and PCL-5, was observed from screening to 4-week follow-up (respectively,  = 1.42,  = 1.15), and sustained improvements were noted at 6-month follow-up (respectively, = 1.70,  = 1.29). Additionally, a significant decrease in general psychiatric symptoms ( = 1.18), symptoms of depression ( = 0.85), and interference of PTSD symptoms in daily life ( = 0.92) was found from pre-treatment to 4-week follow-up. At 4-week follow-up, 56% of the participants no longer met the criteria for PTSD according to the CAPS-5, 73.1% showed improvement, and no patients worsened based on the Reliable Change Index. The results of this study demonstrate that a remote intensive trauma-focused treatment was effective in reducing PTSD symptoms and secondary outcomes in individuals with PTSD due to multiple traumatic experiences. To enhance the robustness of these findings, future studies should incorporate controlled designs, larger sample sizes, and extended follow-up durations.

摘要

针对远程强化创伤焦点治疗方案的疗效,相关研究较为有限。本研究旨在评估远程强化治疗方案在减少创伤后应激障碍(PTSD)症状、一般精神症状、抑郁症状以及 PTSD 症状对日常生活干扰方面的有效性,这些症状均发生于被诊断为 PTSD 的个体中。一组 26 名被诊断为 PTSD 的患者接受了为期 6 天的远程治疗方案,该方案包括延长暴露、眼动脱敏再加工(EMDR)、体育活动和心理教育。在筛查、治疗前、治疗后、1 周、4 周和 6 个月随访时,评估 PTSD 症状、一般精神症状、抑郁症状和 PTSD 症状对日常生活的干扰。从筛查到 4 周随访,CAPS-5 和 PCL-5 评估的 PTSD 症状显著下降(分别为 = 1.42, = 1.15),并且在 6 个月随访时仍保持改善(分别为 = 1.70, = 1.29)。此外,从治疗前到 4 周随访,一般精神症状( = 1.18)、抑郁症状( = 0.85)和 PTSD 症状对日常生活的干扰( = 0.92)显著下降。在 4 周随访时,根据 CAPS-5,56%的参与者不再符合 PTSD 的标准,73.1%的参与者显示出改善,并且根据可靠变化指数,没有患者恶化。本研究结果表明,远程强化创伤焦点治疗方案对多种创伤经历所致 PTSD 个体的 PTSD 症状和次要结局有效。为了增强这些发现的稳健性,未来的研究应采用对照设计、更大的样本量和更长的随访时间。

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