Multicomponent behavioral treatment for chronic combat-related posttraumatic stress disorder: a randomized controlled trial.
Multicomponent behavioral treatment for chronic combat-related posttraumatic stress disorder: a randomized controlled trial.
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DOI：
10.1016/j.janxdis.2010.09.006
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发表时间：
2011-03
影响因子：
10.3
通讯作者：
Mentrikoski, Janelle M.
中科院分区：
文献类型：
--
作者：
Beidel, Deborah C.;Frueh, B. Christopher;Uhde, Thomas W.;Wong, Nina;Mentrikoski, Janelle M.
这项研究考察了一种名为创伤管理疗法的多成分认知行为疗法的疗效，该疗法结合了暴露疗法和社会情绪康复，仅在一组患有慢性创伤后应激障碍(PTSD)的男性退伍军人中使用暴露疗法。35名患有创伤后应激障碍的男性越战老兵被随机分配到接受创伤管理疗法(TMT)或仅接受暴露疗法(EXP)。参与者在治疗前、治疗中和治疗后进行评估。主要临床结果是创伤后应激障碍症状的减少和社会情绪功能的改善。结果表明，两种情况下的退伍军人在治疗前和治疗后的创伤后应激障碍症状都有统计学意义和临床意义的减少，尽管符合先验假设，但在创伤后应激障碍变量上没有组间差异。然而，与EXP组相比，TMT组的参与者表现出更高的社交活动频率和更多的社交活动时间。这些变化发生在治疗中期(暴露治疗完成后)到治疗后(社会情绪康复部分完成后)；支持了TMT本身将导致社会功能改善的假设。尽管TMT组的躯体愤怒次数也显著减少，但这种变化发生在引入TMT的社会情绪部分之前。这项研究证明了暴露疗法对患有严重和慢性创伤后应激障碍的退伍军人的核心症状的治疗效果。此外，多组分的CBT显示出改善社会功能的希望，而不仅仅是暴露疗法所提供的功能，特别是通过增加患有严重和慢性创伤后应激障碍的退伍军人队列中的社会参与/人际功能。
This study examined the efficacy of a multicomponent cognitive-behavioral therapy, Trauma Management Therapy, which combines exposure therapy and social emotional rehabilitation, to exposure therapy only in a group of male combat veterans with chronic posttraumatic stress disorder (PTSD). Thirty-five male Vietnam veterans with PTSD were randomly assigned to receive either Trauma Management Therapy (TMT) or Exposure Therapy Only (EXP). Participants were assessed at pre-treatment, mid-treatment, and post-treatment. Primary clinical outcomes were reduction of PTSD symptoms and improved social emotional functioning. Results indicated that veterans in both conditions showed statistically significant and clinically meaningful reductions in PTSD symptoms from pre- to post-treatment, though consistent with a priori hypotheses there were no group differences on PTSD variables. However, compared to the EXP group, participants in the TMT group showed increased frequency in social activities and greater time spent in social activities. These changes occurred from mid-treatment (after completion of exposure therapy) to post-treatment (after completion of the social emotional rehabilitation component); supporting the hypothesis that TMT alone would result in improved social functioning. Although the TMT group also had a significant decrease in episodes of physical rage, that change occurred prior to introduction of the social emotional component of TMT. This study demonstrates efficacy of exposure therapy for treating the core symptoms of PTSD among combat veterans with a severe and chronic form of this disorder. Moreover, multi-component CBT shows promise for improving social functioning beyond that provided by exposure therapy alone, particularly by increasing social engagement/interpersonal functioning in a cohort of veterans with severe and chronic PTSD.
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影响因子：
5.9
作者：
FOA, EB;ROTHBAUM, BO;MURDOCK, TB
通讯作者：
MURDOCK, TB
影响因子：
10.3
作者：
Frueh BC;Grubaugh AL;Cusack KJ;Kimble MO;Elhai JD;Knapp RG
通讯作者：
Knapp RG
影响因子：
4.1
作者：
Frueh, BC;Turner, SM;Jones, WJ
通讯作者：
Jones, WJ
影响因子：
2.5
作者：
Cook, JM;Schnurr, PP;Foa, EB
通讯作者：
Foa, EB
影响因子：
3.3
作者：
Cahill, Shawn P.;Foa, Edna B.;Nacash, Nitsa
通讯作者：
Nacash, Nitsa