Treatment of active duty military with PTSD in primary care: A follow-up report
Treatment of active duty military with PTSD in primary care: A follow-up report
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DOI：
10.1016/j.janxdis.2015.10.003
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发表时间：
2015-12-01
影响因子：
10.3
通讯作者：
Peterson, Alan L.
中科院分区：
文献类型：
--
作者：
Cigrang, Jeffrey A.;Rauch, Sheila A. M.;Peterson, Alan L.
专业心理健康诊所提供的以创伤为中心的一线治疗并没有达到许多患有创伤后应激障碍（PTSD）的退伍军人和现役军人。初级保健是扩大获得精神卫生保健的理想环境。几个有希望的临床病例系列报告适用于初级保健的简短创伤后应激障碍治疗已显示出积极的结果，但长期有效性与军事成员是未知的。本研究的目的是确定一个简短的认知行为初级保健提供协议，专门为部署相关的PTSD在24名现役军人（15名男性，9名女性）的样本的开放试验的长期结果。PTSD症状严重程度的测量显示从基线到治疗后的统计学和临床显著性降低，并在6个月和1年随访评估时保持。抑郁症状和整体心理健康功能评分也保持了类似的下降。(C)2015爱思唯尔有限公司版权所有。
First-line trauma-focused therapies offered in specialty mental health clinics do not reach many veterans and active duty service members with posttraumatic stress disorder (PTSD). Primary care is an ideal environment to expand access to mental health care. Several promising clinical case series reports of brief PTSD therapies adapted for primary care have shown positive results, but the long-term effectiveness with military members is unknown. The purpose of this study was to determine the long-term outcome of an open trial of a brief cognitive-behavioral primary care-delivered protocol developed specifically for deployment-related PTSD in a sample of 24 active duty military (15 men, 9 women). Measures of PTSD symptom severity showed statistically and clinically significant reductions from baseline to post-treatment that were maintained at the 6-month and 1-year follow-up assessments. Similar reductions were maintained in depressive symptoms and ratings of global mental health functioning. (C) 2015 Elsevier Ltd. All rights reserved.