Factors associated with outcome of cognitive-behavioural treatment of chronic post-traumatic stress disorder
Factors associated with outcome of cognitive-behavioural treatment of chronic post-traumatic stress disorder
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DOI：
10.1016/s0005-7967(99)00030-3
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发表时间：
2000-02-01
影响因子：
4.1
通讯作者：
Faragher, B
中科院分区：
文献类型：
--
作者：
Tarrier, N;Sommerfield, C;Faragher, B
本研究探讨了与PTSD治疗结果相关的因素。一项认知治疗与想象暴露慢性创伤后应激障碍的试验表明，尽管治疗后和6个月随访时获得了临床改善，但一种治疗方式并不明显优于另一种上级。患者的特点，创伤和治疗，以及治疗前的临床措施进行了调查，作为PTSD结果的预测因素。11个变量与治疗前至治疗后CAPS严重程度评分的变化显著相关。其中，三个（治疗持续时间，性别和自杀风险）被选入逐步多元回归方程，解释36.5%的结果。同样，9个变量与治疗前至随访的变化显著相关，其中3个变量（错过治疗次数、居住状态和共病GAD）被选入方程，并解释了36.9%的结局。最好的预测结果是不一致的出席治疗。(C)2000爱思唯尔科技有限公司版权所有。
This study examined factors that were associated with outcome in the treatment of PTSD. A trial of cognitive therapy compared to imaginal exposure of chronic PTSD showed that although clinical improvements were obtained after treatment and at 6 month follow-up one type of treatment was not significantly superior to the other. Characteristics of the patient, the trauma and treatment and of pretreatment clinical measures were investigated as predictors of PTSD outcome. Eleven variables were significantly associated with the pre- to post-treatment change in CAPS severity scores. Of these, three (duration of therapy, gender and suicide risk) were selected into a step-wise multiple regression equation to explain 36.5% of the outcome. Similarly, nine variables were significant associated with the pretreatment to follow-up change with three variables (number of missed therapy sessions, residential status and co-morbid GAD) being selected into the equation and explaining 36.9% of the outcome. The best predictor of outcome was inconsistent attendance at therapy. (C) 2000 Elsevier Science Ltd. All rights reserved.