Sherman J J
University of Washington, College of Medicine, Department of Psychiatry and Behavioral Science, Seattle 98195-6560, USA.
J Trauma Stress. 1998 Jul;11(3):413-35. doi: 10.1023/A:1024444410595.
This meta-analysis synthesized the results from controlled, clinical trials of psychotherapeutic treatments for posttraumatic stress disorder (PTSD). Psychotherapeutic modalities included behavioral, cognitive, and psychodynamic treatments, in group and individual settings. Participants in the studies included combat veterans from the Vietnam and Lebanon Wars, crime-related victims, and severe bereavement sufferers. The impact of psychotherapy on PTSD and psychiatric symptomatology was significant, d = .52, r = .25, when measured immediately after treatments were administered. Similarly, there was no decay in the effect of treatment at follow-up, d = .64, r = .31. Moreover, for target symptomes of PTSD and general psychological symptomes (intrusion, avoidance, hyperarousal, anxiety, and depression), effect sizes were significant, ranging from r's of .2-.49. Results suggest substantial promise for improving psychological health and decreasing related symptoms for those suffering from PTSD.
这项荟萃分析综合了创伤后应激障碍（PTSD）心理治疗的对照临床试验结果。心理治疗方式包括行为、认知和心理动力治疗，有团体和个体治疗形式。研究参与者包括越南战争和黎巴嫩战争的退伍军人、与犯罪相关的受害者以及严重丧亲者。在治疗实施后立即测量时，心理治疗对PTSD和精神症状学的影响显著，d = 0.52，r = 0.25。同样，随访时治疗效果没有衰减，d = 0.64，r = 0.31。此外，对于PTSD的目标症状和一般心理症状（侵入、回避、过度警觉、焦虑和抑郁），效应量显著，r值范围为0.2 - 0.49。结果表明，对于改善PTSD患者的心理健康和减轻相关症状有很大希望。
