Cognitive processing therapy for veterans with military-related posttraumatic stress disorder
Cognitive processing therapy for veterans with military-related posttraumatic stress disorder
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DOI：
10.1037/0022-006x.74.5.898
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发表时间：
2006-10-01
影响因子：
5.9
通讯作者：
Stevens, Susan P.
中科院分区：
文献类型：
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作者：
Monson, Candice M.;Schnurr, Paula P.;Stevens, Susan P.
60名患有慢性军事相关创伤后应激障碍（PTSD）的退伍军人（男54名，女6名）参加了认知加工治疗（CPT）的候补对照试验。总体辍学率为16.6%（20%来自CPT， 13%来自等候名单）。意向治疗样本的随机回归分析显示，与等候名单组相比，CPT组在创伤后应激障碍和共病症状方面有显著改善。接受CPT的意向治疗样本中有40%不符合PTSD诊断标准，50%在治疗后评估中PTSD症状有可靠的改变。创伤后应激障碍残疾状态与结果之间没有关系。这项试验为患有慢性创伤后应激障碍的退伍军人提供了一些最令人鼓舞的创伤后应激障碍治疗结果，并支持在这一人群中增加使用认知行为治疗。
Sixty veterans (54 men, 6 women) with chronic military-related posttraumatic stress disorder (PTSD) participated in a wait-list controlled trial of cognitive processing therapy (CPT). The overall dropout rate was 16.6% (20% from CPT, 13% from waiting list). Random regression analyses of the intention-to-treat sample revealed significant improvements in PTSD and comorbid symptoms in the CPT condition compared with the wait-list condition. Forty percent of the intention-to-treat sample receiving CPT did not meet criteria for a PTSD diagnosis, and 50% had a reliable change in their PTSD symptoms at posttreatment assessment. There was no relationship between PTSD disability status and outcomes. This trial provides some of the most encouraging results of PTSD treatment for veterans with chronic PTSD and supports increased use of cognitive-behavioral treatments in this population.