A comparison of exposure therapy, stress inoculation training, and their combination for reducing posttraumatic stress disorder in female assault victims.
A comparison of exposure therapy, stress inoculation training, and their combination for reducing posttraumatic stress disorder in female assault victims.
复制标题
DOI：
10.1037//0022-006x.67.2.194
复制
发表时间：
2009-04
影响因子：
5.9
通讯作者：
E. Foa;C. Dancu;E. Hembree;L. Jaycox;E. Meadows;Gordon P. Street
中科院分区：
文献类型：
--
作者：
E. Foa;C. Dancu;E. Hembree;L. Jaycox;E. Meadows;Gordon P. Street
96名患有慢性创伤后应激障碍（PTSD）的女性袭击受害者被随机分配到4种治疗条件：长期暴露（PE），压力接种训练（SIT），联合治疗（PE-SIT）或等待列表控制（WL）。治疗包括9次每周两次的单独治疗。在治疗前、治疗后以及3个月、6个月和12个月随访时进行独立评价。与WL相比，所有3种积极治疗均降低了PTSD和抑郁的严重程度，但彼此之间没有显著差异，并且这些增益在整个随访期间保持不变。然而，在意向治疗样本中，PE在治疗后焦虑和随访时的整体社会适应方面上级SIT和PE-SIT，并且对PTSD严重程度、抑郁和焦虑的影响更大。SIT和PE-SIT在任何结局指标上均无显著差异。
Ninety-six female assault victims with chronic posttraumatic stress disorder (PTSD) were randomly assigned to 4 treatment conditions: prolonged exposure (PE), stress inoculation training (SIT), combined treatment (PE-SIT), or wait-list control (WL). Treatment consisted of 9 twice-weekly, individual sessions. Independent evaluations were conducted at pretreatment; posttreatment; and 3-, 6-, and 12-month follow-ups. All 3 active treatments reduced severity of PTSD and depression compared with WL but did not differ significantly from each other, and these gains were maintained throughout the follow-up period. However, in the intent-to-treat sample, PE was superior to SIT and PE-SIT on posttreatment anxiety and global social adjustment at follow-up and had larger effect sizes on PTSD severity, depression, and anxiety. SIT and PE-SIT did not differ significantly from each other on any outcome measure.