A Therapist-Assisted Internet-Based CBT Intervention for Posttraumatic Stress Disorder: Preliminary Results
A Therapist-Assisted Internet-Based CBT Intervention for Posttraumatic Stress Disorder: Preliminary Results
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DOI：
10.1080/16506070902803483
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发表时间：
2009-01-01
影响因子：
4.7
通讯作者：
Cannard, Gwenda
中科院分区：
文献类型：
--
作者：
Klein, Britt;Mitchell, Joanna;Cannard, Gwenda
创伤后应激障碍（PTSD）是一种使人衰弱的精神健康状况，经常与精神病合并症和生活质量下降有关，并且通常是慢性的，通常是终身的。先前的研究表明，创伤相关的精神病理学（但不一定是临床PTSD）可以通过互联网有效治疗。这项研究是第一次报告在线治疗的患者与精神疾病的诊断和统计手册（第四版）的创伤后应激障碍的临床诊断与治疗师的支持，仅通过电子邮件。初步研究结果提出了一个开放的试验，涉及10周的基于互联网的治疗师辅助认知行为治疗创伤后应激障碍（创伤后应激障碍在线）。对16名有各种创伤经历的参与者进行了治疗前后的创伤后应激障碍和相关精神病学的比较。参与者表现出临床上显著的减少创伤后应激障碍的严重程度和病理学，中度耐受的程序内容，和高治疗联盟评级。没有发现更一般的心理症状的措施显着变化。结果表明，PTSD在线似乎是所有有效的和可访问的临床治疗的人与确诊的PTSD诊断。
Posttraumatic stress disorder (PTSD) is a debilitating mental health condition frequently associated with psychiatric comorbidity and diminished quality of life, and it typically follows a chronic, often lifelong, course. Previous research has shown that trauma-related psychopathology (but not necessarily clinical PTSD) can be effectively treated via the Internet. This study is the first of its kind to report on the online treatment of patients with a Diagnostic and Statistical Manual of Mental Disorders (fourth edition) clinical diagnosis of PTSD with therapist support by e-mail only. Preliminary findings are presented of an open trial involving a 10-week Internet-based therapist-assisted cognitive behavioural treatment for PTSD (PTSD Online). Pre and posttreatment measures of PTSD and related symptomatology were compared for 16 participants with a variety of trauma experiences. Participants showed clinically significant reductions ill PTSD severity and symptomatology, moderate tolerance of the program content, and high therapeutic alliance ratings. No significant change was found on measures of more general psychological symptoms. The results suggest that PTSD Online appears to be all effective and accessible clinical treatment for people with a confirmed PTSD diagnosis..