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在阿塞拜疆实施针对创伤后应激障碍的循证心理治疗

Implementation of evidence-based psychotherapies for posttraumatic stress disorder in Azerbaijan.

作者信息

Ismayilova Jamila, Sloan Denise M, Marx Brian P, Chard Kathleen M, Ismayilov Fuad, Muradova Gunel, Sultanova Aygun, Mammadli Nigar, Guliyeva Gulsabah, Ruzek Josef I

机构信息

National Mental Health Center of the Ministry of Health, Baku, Azerbaijan.

National Center for PTSD, VA Boston Healthcare System, Boston, MA, USA.

出版信息

Eur J Psychotraumatol. 2025 Dec;16(1):2484063. doi: 10.1080/20008066.2025.2484063. Epub 2025 Apr 24.

DOI:10.1080/20008066.2025.2484063
PMID:40270108
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12024502/
Abstract

Following the second Karabakh War, mental health services in Azerbaijan encountered significant challenges due to an increased number of traumatised individuals. To address the needs of people with post-traumatic stress disorder (PTSD), two evidence-based treatments, Cognitive Processing Therapy (CPT) and Written Exposure Therapy (WET), have been selected for future implementation in the country. This study aims to present preliminary findings on the training and implementation of CPT and WET. Forty-two clinicians participated in the training programme, with 24 enrolled in CPT training and 18 in WET training. The programme included a self-administered online course, workshops, and consultations. Following each phase of training, clinicians completed the Perceived Characteristics of Intervention Scale (PICS) to assess the effectiveness and legitimacy of trauma-focused therapies.: Our results indicated a positive trend in perception from one assessment to another ((2, 82) = 20.2,  < .001,  = .330), along with a decrease in perceived risk associated with treatment ((2, 82) = 5.3,  < .007,  = .114). Additionally, the study found that belonging to either the CPT or WET training group did not significantly influence positive perception. These findings confirm the feasibility of utilising CPT and WET by clinicians providing services for PTSD patients in Azerbaijan.

摘要

在第二次纳戈尔诺-卡拉巴赫战争之后,由于受创伤的人数增加,阿塞拜疆的心理健康服务面临重大挑战。为满足创伤后应激障碍(PTSD)患者的需求,已选择两种循证疗法,即认知加工疗法(CPT)和书面暴露疗法(WET),以供该国未来实施。本研究旨在介绍CPT和WET培训与实施的初步结果。42名临床医生参加了培训项目,其中24人参加CPT培训,18人参加WET培训。该项目包括一个自我管理的在线课程、研讨会和咨询。在每个培训阶段之后,临床医生完成了干预感知特征量表(PICS),以评估以创伤为重点的疗法的有效性和合理性。我们的结果表明,从一次评估到另一次评估,感知呈积极趋势((2, 82)= 20.2,< .001,= .330),同时与治疗相关的感知风险降低((2, 82)= 5.3,< .007,= .114)。此外,研究发现,属于CPT或WET培训组对积极感知没有显著影响。这些发现证实了阿塞拜疆为PTSD患者提供服务的临床医生使用CPT和WET的可行性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8c16/12024502/fe76ffe78e61/ZEPT_A_2484063_F0001_OC.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8c16/12024502/fe76ffe78e61/ZEPT_A_2484063_F0001_OC.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8c16/12024502/fe76ffe78e61/ZEPT_A_2484063_F0001_OC.jpg

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本文引用的文献

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