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首页> 外文期刊>International Journal of Psychiatry in Medicine >An update on the efficacy of cognitive-behavioral therapy, cognitive therapy, and exposure therapy for posttraumatic stress disorder
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An update on the efficacy of cognitive-behavioral therapy, cognitive therapy, and exposure therapy for posttraumatic stress disorder

机译：创伤后应激障碍认知行为疗法，认知疗法和暴露疗法的疗效更新

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Objective: Even though cognitive-behavioral therapy (CBT) is the current treatment of choice for posttraumatic stress disorder (PTSD), it is still unclear which components of its protocol are more important for clinical improvement. This study aims to replicate a previous review, updating findings on the efficacy of CBT, cognitive therapy (CT), and exposure therapy (ET) for PTSD when compared with other well-established treatments or conditions without active treatment. Method: The search was performed in the databases Cochrane, Embase, and Medline. Studies were required to be randomized controlled trials published between 2006 and 2012 comparing CBT, CT, or ET with (1) each other, (2) other active treatments (e.g., EMDR, counseling, supportive therapy), or (3) assessment-only conditions. The main outcome measures were diagnostic and symptomatic remission. Results: The final sample contained 29 articles. CBT, CT, and ET were shown to be efficacious treatments individually when compared to assessment-only conditions, with no difference found between treatments. Comparison with other active treatments favored ET. Both included studies comparing CBT and EMDR favored the latter. Conclusions: CBT and its components still appear to be equally efficacious in improving PTSD symptoms and diagnosis. Even so, a current tendency of researchers to focus on ET exists. EMDR shows interesting results compared to CBT. Further research should clarify the lasting effects, efficiency, and other comparative benefits of each protocol.
机译：目的：尽管认知行为疗法（CBT）是创伤后应激障碍（PTSD）的当前治疗选择，但尚不清楚其方案的哪些组成部分对临床改善更为重要。这项研究旨在复制以前的评论，与其他已确立的治疗方法或未经积极治疗的疾病相比，更新有关PTSD的CBT，认知疗法（CT）和暴露疗法（ET）疗效的发现。方法：在数据库Cochrane，Embase和Medline中进行搜索。研究必须在2006年至2012年之间进行随机对照试验，以比较CBT，CT或ET与（1）彼此，（2）其他积极治疗（例如EMDR，咨询，支持疗法）或（3）评估之间的比较-只有条件。主要结局指标为诊断和症状缓解。结果：最终样品包含29篇文章。与仅评估条件相比，CBT，CT和ET分别显示为有效治疗，治疗之间无差异。与其他积极治疗的比较支持ET。两者都包括比较CBT和EMDR的研究。结论：CBT及其成分在改善PTSD症状和诊断方面似乎同样有效。即使这样，目前研究人员仍将注意力集中在ET上。与CBT相比，EMDR显示出有趣的结果。进一步的研究应阐明每种协议的持久效果，效率和其他比较优势。

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