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Effectiveness of Group-Delivered Cognitive Therapy and Treatment Length in Women Veterans with PTSD

机译：PTSD女性退伍军人团体提供的认知疗法和治疗时间的有效性

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The effectiveness and length of group-delivered cognitive treatment for Posttraumatic Stress Disorder (PTSD) was examined in a sample of women veterans. The sample included 271 primarily non-Hispanic white (61%) and Hispanic (25%) women veterans treated in 8-, 10-, or 12-group length sessions with manualized cognitive therapy for PTSD. Outcome was measured with the PTSD Symptom Checklist (PCL) in an intention-to-treat analysis (N = 271), in completer subjects (n = 172), and with group as the unit of analysis (n = 47 groups). Significant decreases in PTSD were found in the full sample (effect size [ES] range = 0.27 to 0.38), completers (ES range = 0.37 to 0.54), and group as the unit of analysis (ES range = 0.71 to 0.92), suggesting effectiveness of cognitive group treatment for PTSD. PCL scores significantly improved in the 8, 10, and 12 group lengths, with no differences between each. Clinical improvement showed a third decreasing 10 or more PCL points and 22% no longer meeting PTSD diagnostic criteria, with the best results in the 10-session group. The results suggest group-delivered cognitive therapy is an effective, efficient, time-limited treatment for PTSD.
机译：在一组女性退伍军人样本中检查了小组提供的创伤后应激障碍（PTSD）认知治疗的有效性和时长。该样本包括271名主要以非西班牙裔白人（61％）和西班牙裔（25％）的女性退伍军人接受8、10、12组治疗，并采用了针对PTSD的手动认知疗法。结果以PTSD症状检查表（PCL）在意向治疗分析中（N = 271），完成受试者（n = 172）和组作为分析单位（n = 47组）进行测量。在整个样本（效应量[ES]范围= 0.27至0.38），完成剂（ES范围= 0.37至0.54）和分组为分析单位（ES范围= 0.71至0.92）中发现PTSD显着降低。认知小组治疗创伤后应激障碍的有效性。在8组，10组和12组中，PCL评分显着提高，各组之间无差异。临床改善表明，有三分之一的人降低了10个或更多PCL点，而22％的人不再符合PTSD诊断标准，在10个疗程组中效果最佳。结果表明，团体提供的认知疗法是针对PTSD的有效，高效，有时间限制的疗法。

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