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首页> 外文期刊>The Journal of Nervous and Mental Disease >An internet-based, therapist-assisted therapy for german elderly survivors of the world war II with posttraumatic stress symptoms
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An internet-based, therapist-assisted therapy for german elderly survivors of the world war II with posttraumatic stress symptoms

机译：基于互联网的治疗师辅助疗法，用于二战后患有创伤后应激障碍症状的德国老年幸存者

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摘要

Trauma-focused cognitive behavioral treatments are known to be effective for posttraumatic stress disorder (PTSD) in adults. However, evidence for effective treatments for older persons with PTSD, particularly elderly war trauma survivors, is scarce. In an open trial, 30 survivors of World War II aged 65 to 85 years (mean, 71.73 years; SD, 4.8; n = 17 women) with PTSD symptoms were treated with a Web-based, therapist-assisted cognitive-behavioralarrative therapy for 6 weeks. Intent-to-treat analyses revealed a significant decrease in PTSD severity scores (Cohen's d = 0.43) and significant improvements on secondary clinical outcomes of quality of life, self-efficacy, and posttraumatic growth from pretreatment to posttreatment. All improvements were maintained at a 3-month follow-up. The attrition rate was low (13.3%), with participants who completed the trial reporting high working alliance and treatment satisfaction. Results of this study suggest that integrative testimonial therapy is a well accepted and potentially effective treatment for older war trauma survivors experiencing PTSD symptoms.
机译：已知以创伤为重点的认知行为疗法对成年人的创伤后应激障碍（PTSD）有效。但是，缺乏有效的治疗创伤后应激障碍的老年人，特别是老年战争创伤幸存者的证据。在一项公开试验中，使用基于网络的治疗师协助的认知行为/叙事治疗了30名年龄在65至85岁（平均71.73岁; SD，4.8; n = 17名女性）的二战幸存者。治疗6周。意向性治疗分析显示，PTSD严重性评分显着降低（Cohen d = 0.43），从治疗前到治疗后生活质量，自我效能以及创伤后生长的二级临床结局均显着改善。所有改善均维持3个月。损耗率低（13.3％），完成试验的参与者报告了较高的工作联盟和治疗满意度。这项研究的结果表明，对于出现PTSD症状的较年长的战争创伤幸存者，综合性证明疗法是一种公认​​的且可能有效的治疗方法。

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