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A Therapist-Assisted Internet-Based CBT Intervention for Posttraumatic Stress Disorder: Preliminary Results

机译：治疗师协助的基于互联网的CBT治疗创伤后应激障碍：初步结果

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摘要

Posttraumatic stress disorder (PTSD) is a debilitating mental health condition frequently associated with psychiatric comorbidity and diminished quality of life, and it typically follows a chronic, often lifelong, course. Previous research has shown that trauma-related psychopathology (but not necessarily clinical PTSD) can be effectively treated via the Internet. This study is the first of its kind to report on the online treatment of patients with a Diagnostic and Statistical Manual of Mental Disorders (fourth edition) clinical diagnosis of PTSD with therapist support by e-mail only. Preliminary findings are presented of an open trial involving a 10-week Internet-based therapist-assisted cognitive behavioural treatment for PTSD (PTSD Online). Pre and posttreatment measures of PTSD and related symptomatology were compared for 16 participants with a variety of trauma experiences. Participants showed clinically significant reductions in PTSD severity and symptomatology, moderate tolerance of the program content, and high therapeutic alliance ratings. No significant change was found on measures of more general psychological symptoms. The results suggest that PTSD Online appears to be an effective and accessible clinical treatment for people with a confirmed PTSD diagnosis.
机译：创伤后应激障碍（PTSD）是一种令人衰弱的心理健康状况，通常与精神病合并症和生活质量下降相关，并且通常遵循慢性且通常终身的病程。先前的研究表明，可以通过互联网有效地治疗与创伤有关的精神病理学（但不一定是临床创伤后应激障碍）。这项研究是首次通过治疗师的支持，通过心理医生诊断和统计手册（第四版）对PTSD的临床诊断进行在线治疗的报告，仅通过电子邮件即可获得治疗师的支持。一项公开试验的初步结果被提出，该试验涉及为期10周的基于互联网的治疗师辅助的PTSD认知行为治疗（PTSD在线）。比较了16名具有各种创伤经历的参与者的PTSD的治疗前后情况以及相关症状。参与者表现出PTSD严重程度和症状的临床显着降低，程序内容的中等耐受性以及较高的治疗联盟评级。在更一般的心理症状的测量上未发现明显变化。结果表明，对于确诊为PTSD的患者，在线PTSD似乎是一种有效且可访问的临床治疗方法。

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  • 来源
    《Cognitive Behaviour Therapy》 |2009年第2期|121-131|共11页
  • 作者

    Britt Klein; Joanna Mitchell; Kathryn Gilson; Kerrie Shandley; David Austin; Litza Kiropoulos; Jo Abbott; Gwenda Cannard;

  • 作者单位

    National eTherapy Centre, Faculty of Life and Social Sciences, Swinburne University, Victoria, Australia;

    Faculty of Medicine, Nursing and Health Sciences, Monash University, Victoria, Australia;

    Faculty of Medicine, Nursing and Health Sciences, Monash University, Victoria, Australia;

    National eTherapy Centre, Faculty of Life and Social Sciences, Swinburne University, Victoria, Australia;

    National eTherapy Centre, Faculty of Life and Social Sciences, Swinburne University, Victoria, Australia;

    Faculty of Medicine, Nursing and Health Sciences, Monash University, Victoria, Australia;

    National eTherapy Centre, Faculty of Life and Social Sciences, Swinburne University, Victoria, Australia;

    Reconnexion Inc, Victoria, Australia;

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  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类
  • 关键词

    PTSD; Internet-based treatment; cognitive behavioural therapy; therapeutic alliance;

    机译：创伤后应激障碍基于互联网的待遇;认知行为疗法;治疗联盟;

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