An Appraisal of the American Psychological Association's Clinical Practice Guideline for the Treatment of Posttraumatic Stress Disorder

Silver Kristin E.; Levant Ronald F.

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An Appraisal of the American Psychological Association's Clinical Practice Guideline for the Treatment of Posttraumatic Stress Disorder

机译：对美国心理协会治疗术后应激障碍治疗的临床实践指南的评估

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In 2017, the American Psychological Association published the Clinical Practice Guidelines for the Treatment of Posttraumatic Stress Disorder (PTSD) in Adults. Although the Guideline Development Panel aimed to produce guidelines based on the best available scientific evidence, concerns were raised that the guidelines would constrain the implementation of some effective psychotherapies and limit clinician autonomy, potentially leading to coverage for only manualized, time-limited, cognitive-behavioral treatments. The following article reviews the PTSD guidelines in light of the evidence-based practice in psychology policy adopted by the American Psychological Association in 2006. We highlight the strengths of the guidelines as currently written while recognizing areas in which the guidelines do not meet evidence-based practice in psychology recommendations. A clinical vignette of the treatment of a complex patient with PTSD and significant comorbidities is provided to illustrate the difficulty of clinical decision-making and how the guidelines may complicate the delivery of effective treatments. We conclude with recommendations on how to consider a broad range of research evidence, appropriately integrate clinician expertise, and better appreciate the role of patient values and preferences in PTSD treatment decision-making.

机译：2017年，美国心理协会公布了临床实践指南，用于治疗成人口腔抑郁症（PTSD）。虽然指南开发小组旨在基于最佳可用科学证据的指导方针，提出了担忧，但指南将限制执行一些有效的心理治疗和限制临床医治，可能导致仅覆盖，只能覆盖手动，有限，认知 - 行为治疗。下文条目鉴于美国心理协会在2006年通过的心理政策中采用的基于证据的实践，阐述了目前介绍了目前书面的指导方针的优势，同时承认指南不符合证据的领域心理学建议实践。提供了一种临床患者的临床小插座，具有重点和显着的合并症的复杂患者，以说明临床决策的难度以及指导原则如何使有效治疗的递送复杂化。我们与如何考虑如何考虑广泛的研究证据，适当整合临床医生专业知识，并更好地欣赏在应激障碍治疗决策中的作用和偏好的作用。

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《Psychotherapy》 |2019年第3期|共12页
作者
Silver Kristin E.; Levant Ronald F.;
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作者单位

Univ Akron Dept Psychol 290 East Buchtel Ave Akron OH 44325 USA;

Univ Akron Dept Psychol 290 East Buchtel Ave Akron OH 44325 USA;

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原文格式 PDF
正文语种 eng
中图分类精神病学;
关键词
posttraumatic stress disorder; treatment; evidence-based practice;

机译：宫外应激障碍;治疗;基于证据的实践;

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1. An Appraisal of the American Psychological Association's Clinical Practice Guideline for the Treatment of Posttraumatic Stress Disorder [J] . Silver Kristin E., Levant Ronald F. Psychotherapy . 2019,第3期

机译：对美国心理协会治疗术后应激障碍治疗的临床实践指南的评估
2. Appraisal of Clinical Practice Guideline: Patellofemoral Pain: Clinical Practice Guidelines Linked to the International Classification of Functioning, Disability and Health From the Academy of Orthopaedic Physical Therapy of the American Physical Therapy Association [J] . Eoin Doyle Journal of physiotherapy . 2020,第2期

机译：临床实践评估指南：Patellofemoral疼痛：临床实践指南与美国物理治疗协会骨科学院的运作，残疾和健康的国际分类相关联
3. Guideline Orthodoxy and Resulting Limitations of the American Psychological Association's Clinical Practice Guideline for the Treatment of PTSD in Adults INTRODUCTION [J] . Courtois Christine A., Brown Laura S. Psychotherapy . 2019,第3期

机译：指南正统和导致美国心理协会临床实践指南治疗成人治疗的临床实践指南
4. Grey correlation analysis between important psychological factors and the posttraumatic stress disorder [C] . Wang Xin, Shi Rui, Song Zhijie International Conference on Natural Computation . 2013

机译：重要心理因素与创伤后应激障碍的灰色关联分析
5. A Clinical Practice Guideline to Reduce Behavioral Outbursts in Veterans with Posttraumatic Stress Disorder [D] . Badru, Mary 2017

机译：减少创伤后应激障碍退伍军人行为爆发的临床实践指南
6. Clinical Practice Guideline for the Treatment of Intrinsic Circadian Rhythm Sleep-Wake Disorders: Advanced Sleep-Wake Phase Disorder (ASWPD) Delayed Sleep-Wake Phase Disorder (DSWPD) Non-24-Hour Sleep-Wake Rhythm Disorder (N24SWD) and Irregular Sleep-Wake Rhythm Disorder (ISWRD). An Update for 2015: An American Academy of Sleep Medicine Clinical Practice Guideline [O] . R. Robert Auger, Helen J. Burgess, Jonathan S. Emens, 2015

机译：治疗内在昼夜节律睡眠障碍的临床实践指南：先进的睡眠唤醒期疾病（ASWPD）延迟睡眠术后疾病（DSWPD）非24小时睡眠节奏障碍（N24WD）以及不规则的睡眠唤醒节奏障碍（ISWRD）。 2015年的更新：美国睡眠医学院临床实践指南
7. ACC/AHA/ASNC Guidelines for the Clinical Use of Cardiac Radionuclide Imaging—Executive Summary A Report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (ACC/AHA/ASNC Committee to Revise the 1995 Guidelines for the Clinical Use of Cardiac Radionuclide Imaging)44The ACC/AHA Task Force on Practice Guidelines makes every effort to avoid any actual or potential conflicts of interest that might arise as a result of an outside relationship or personal interest of a member of the writing panel. Specifically, all members of the writing panel are asked to provide disclosure statements of all such relationships that might be perceived as real or potential conflicts of interest. These statements are reviewed by the parent task force, reported orally to all members of the writing panel at the first meeting, and updated as changes occur.55This document was approved by the American College of Cardiology Foundation Board of Trustees in July, 2003, the American Heart Association Science Advisory and Coordinating Committee in July, 2003, and the American Society of Nuclear Cardiology Board of Directors in July, 2003.66When citing this document, the American College of Cardiology Foundation, the American Heart Association, and the American Society of Nuclear Cardiology request that the following citation format be used: Klocke FJ, Baird MG, Bateman TM, Berman DS, Carabello BA, Cerqueira MD, DeMaria AN, Kennedy JW, Lorell BH, Messer JV, O’Gara PT, Russell RO Jr, St. John Sutton MG, Udelson JE, Verani MS, Williams KA. ACC/AHA/ASNC guidelines for the clinical use of cardiac radionuclide imaging—executive summary: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (ACC/AHA/ASNC Committee to Revise the 1995 Guidelines for the Clinical Use of Radionuclide Imaging). J Am Coll Cardiol 2003;42:1318–33.77(J Am Coll Cardiol 2003;42:1318–33)88©2003 by the American College of Cardiology Foundation and the American Heart Association, Inc. [O] . Klocke Francis J, Baird Michael G, Lorell Beverly H, 2003

机译：ACC / AHA / ASNC心脏放射性核素成像临床使用指南-执行摘要美国心脏病学会/美国心脏协会实践指南工作组的报告（ACC / AHA / ASNC委员会，对1995年临床使用指南进行修订ACC / AHA实践指导小组）竭尽全力避免由于写作小组成员的外部关系或个人利益而引起的任何实际或潜在的利益冲突。具体来说，要求写作小组的所有成员提供所有可能被视为实际或潜在利益冲突的关系的披露声明。这些声明由上级工作组审查，在第一次会议上向书面小组的所有成员口头报告，并在发生变化时进行更新。55本文件于2003年7月获得美国心脏病学会基金会董事会的批准。 2003年7月，美国心脏协会科学咨询与协调委员会，2003年7月，美国核心脏病学会理事会。66引用该文件时，美国心脏病学会基金会，美国心脏协会和美国核学会心脏病学要求使用以下引用格式：Klocke FJ，Baird MG，Bateman TM，Berman DS，Carabello BA，Cerqueira MD，DeMaria AN，Kennedy JW，Lorell BH，Messer JV，O'Gara PT，Russell RO Jr，St John Sutton MG，Udelson JE，Verani MS，Williams KA。 ACC / AHA / ASNC心脏放射性核素成像临床使用指南-执行摘要：美国心脏病学会/美国心脏协会实践小组工作指南（ACC / AHA / ASNC委员会，修订1995年临床指南）的报告使用放射性核素成像）。 J Am Coll Cardiol 2003; 42：1318–33.77（J Am Coll Cardiol 2003; 42：1318–33）88©2003美国心脏病学会基金会和美国心脏协会版权所有。
8. Clinical Guidelines for Stellate Ganglion Block to Treat Anxiety Associated With Posttraumatic Stress Disorder. [R] . Mulvaney, S. W., Lynch, J. H., Kotwal, R. S. 2015

机译：星状神经节阻滞治疗创伤后应激障碍相关焦虑的临床指南。

An Appraisal of the American Psychological Association's Clinical Practice Guideline for the Treatment of Posttraumatic Stress Disorder

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