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Phase-based treatment versus immediate trauma-focused treatment in patients with childhood trauma-related posttraumatic stress disorder: study protocol for a randomized controlled trial

机译:儿童期创伤相关的创伤后应激障碍患者的基于阶段的治疗与针对创伤的立即治疗:一项随机对照试验的研究方案

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摘要

BackgroundThe treatment of posttraumatic stress disorder (PTSD) related to a history of sexual and/or physical abuse in childhood is the subject of international debate, with some favouring a phase-based approach as their preferred treatment, while others argue for immediate trauma-focused treatment. A history of (chronic) traumatisation during childhood has been linked to the development of distinct symptoms that are often labelled as symptoms of complex PTSD. Many therapists associate the presence of symptoms of complex PTSD with a less favourable treatment prognosis. The purpose of this study is to determine whether a phase-based approach is more effective than stand-alone trauma-focused therapy in individuals with PTSD and possible symptoms of complex PTSD resulting from a history of repeated sexual and/or physical abuse in childhood. An additional aim is to investigate moderators, predictors of treatment (non) response and drop-out.
机译:背景与儿童期性虐待和/或身体虐待史相关的创伤后应激障碍(PTSD)的治疗是国际辩论的主题,一些人主张以阶段为基础的治疗方法作为他们的首选治疗方法,而另一些人则主张以创伤为重点治疗。童年时期(慢性)创伤的历史与独特症状的发展有关,这些症状通常被标记为复杂PTSD的症状。许多治疗师将复杂PTSD症状的存在与不良的治疗预后联系起来。这项研究的目的是确定在儿童期反复性和/或身体虐待的历史导致的PTSD以及复杂的PTSD可能出现的症状的患者中,基于阶段的方法是否比单独针对创伤的治疗更有效。另一个目的是调查主持人,治疗(非)反应和辍学的预测因素。

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