...
  • 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>Journal of consulting and clinical psychology >A Randomized Clinical Trial of Group Cognitive Processing Therapy Compared With Group Present-Centered Therapy for PTSD Among Active Duty Military Personnel
【24h】

A Randomized Clinical Trial of Group Cognitive Processing Therapy Compared With Group Present-Centered Therapy for PTSD Among Active Duty Military Personnel

机译：现役军人PTSD小组认知加工治疗与以小组当前为中心治疗的随机临床试验

获取原文
获取原文并翻译 | 示例
           
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

Objective: To determine whether group therapy improves symptoms of posttraumatic stress disorder (PTSD), this randomized clinical trial compared efficacy of group cognitive processing therapy (cognitive only version; CPT-C) with group present-centered therapy (PCT) for active duty military personnel. Method: Patients attended 90-min groups twice weekly for 6 weeks at Fort Hood, Texas. Independent assessments were administered at baseline, weekly before sessions, and 2 weeks, 6 months, and 12 months posttreatment. A total of 108 service members (100 men, 8 women) were randomized. Inclusion criteria included PTSD following military deployment and medication stability. Exclusion criteria included suicidal/homicidal intent or other severe mental disorders requiring immediate treatment. Follow-up assessments were administered regardless of treatment completion. Primary outcome measures were the PTSD Checklist (Stressor Specific Version; PCL-S) and Beck Depression Inventory-II. The Posttraumatic Stress Symptom Interview (PSS-1) was a secondary measure. Results: Both treatments resulted in large reductions in PTSD severity, but improvement was greater in CPT-C. CPT-C also reduced depression, with gains remaining during follow-up. In PCT, depression only improved between baseline and before Session 1. There were few adverse events associated with either treatment. Conclusions: Both CPT-C and PCT were tolerated well and reduced PTSD symptoms in group format, but only CPT-C improved depression. This study has public policy implications because of the number of active military needing PTSD treatment, and demonstrates that group format of treatment of PTSD results in significant improvement and is well tolerated. Group therapy may an important format in settings in which therapists are limited.
机译：目的：为了确定集体疗法是否可以改善创伤后应激障碍（PTSD）的症状，该随机临床试验将集体认知加工疗法（仅认知版本; CPT-C）与以现役为中心的现役军人疗法（PCT）进行了比较人员。方法：患者在德克萨斯州胡德堡每周两次参加90分钟的小组，共6周。在基线，治疗前每周以及治疗后2周，6个月和12个月进行独立评估。共有108名服务人员（100名男性，8名女性）被随机分配。纳入标准包括军事部署和药物稳定性后的PTSD。排除标准包括自杀/杀人意图或其他需要立即治疗的严重精神障碍。不论治疗完成如何，均进行随访评估。主要结局指标为PTSD检查表（按压力计版本; PCL-S）和贝克抑郁量表II。创伤后压力症状访谈（PSS-1）是次要措施。结果：两种治疗均导致PTSD严重程度大大降低，但CPT-C的改善更大。 CPT-C还减少了抑郁症，并在随访期间保持了获益。在PCT中，抑郁症仅在基线和第1阶段之前有所改善。与这两种疗法相关的不良事件均很少。结论：CPT-C和PCT均具有良好的耐受性，并以小组形式减轻了PTSD症状，但只有CPT-C可以改善抑郁症。由于需要PTSD治疗的现役军人数量众多，因此该研究具有公共政策意义，并且证明了PTSD治疗的团体形式可带来显着改善，并且耐受性良好。在治疗师有限的情况下，团体治疗可能是重要的形式。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号