Cognitive behavioral social rhythm group therapy versus present centered group therapy for veterans with posttraumatic stress disorder and major depressive disorder: A randomized controlled pilot trial
Cognitive behavioral social rhythm group therapy versus present centered group therapy for veterans with posttraumatic stress disorder and major depressive disorder: A randomized controlled pilot trial
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DOI：
10.1016/j.jad.2020.09.009
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发表时间：
2020-12-01
影响因子：
6.6
通讯作者：
Shea, M. Tracie
中科院分区：
文献类型：
--
作者：
Haynesa, Patricia L.;Burger, Sarah B.;Shea, M. Tracie
工作背景：认知行为社会节律团体疗法（CBSRT）是一种时间生物学告知的团体疗法，旨在稳定患有与战斗相关的PTSD和重度抑郁症（MDD）共病的退伍军人的社会节律。这个随机对照试验是第一次检查组CBSRT的可行性和preliminary疗效相比，目前集中治疗组（PCT），一个很好的特点积极关注，psychotherapycondition.Methods：共43名男性退伍军人与战斗相关的创伤后应激障碍，抑郁症，睡眠或日常生活中的中断被随机分配到CBSRT或PCT。每周以小组形式提供治疗，持续12周。在治疗后、治疗后3个月和6个月进行了随访可行性和金标准创伤后应激障碍、抑郁症和主观/客观睡眠评估。结果：可行性结果表明，分配到CBSRT的退伍军人的出勤率高于分配到PCT的退伍军人。CBSRT和PCT均与PTSD和MDD症状、睡眠效率和觉醒次数的改善相关;两组治疗在这些指标上没有差异。退伍军人在CBSRT组有一个更大的减少比退伍军人在PCT group.Limitations：初步结果必须合格的小样本size.Conclusions：组CBSRT可能是更可行的退伍军人比PCT。CBSRT和PCT均与精神症状的改善相关，不同条件之间差异不大。CBSRT是一种很有前途的新的团体治疗，可能有助于解决战斗退伍军人PTSD治疗损耗率高的问题。
Background: Cognitive Behavioral Social Rhythm Group Therapy (CBSRT) is a chronobiologically-informed group therapy designed to stabilize social rhythms in veterans with comorbid combat-related PTSD and major depressive disorder (MDD). This randomized controlled pilot trial is the first to examine feasibility and pre-liminary efficacy of group CBSRT as compared to group Present Centered Therapy (PCT), a well-characterized active attention, psychotherapy condition.Methods: A total of 43 male veterans with combat-related PTSD, MDD, and disruptions in sleep or daily routine were randomly assigned to CBSRT or PCT. Therapy was provided weekly in a group modality for 12 weeks. Follow-up feasibility and gold-standard PTSD, MDD, and subjective/objective sleep assessments were conducted at post-treatment, 3 months, and 6 months post-treatment.Results: Feasibility results demonstrated that veterans assigned to CBSRT had higher rates of attendance than veterans assigned to PCT. Both CBSRT and PCT were associated with improvements in PTSD and MDD symptoms, sleep efficiency, and number of awakenings; there were no differences between group therapies on these indices. Veterans in the CBSRT group had a greater reduction in the number of nightmares than veterans in the PCT group.Limitations: Preliminary results must be qualified by the small sample size.Conclusions: Group CBSRT may be more feasible for veterans than PCT. Both CBSRT and PCT were associated with improvements in psychiatric symptoms with few differences between conditions. CBSRT is a promising new group therapy that may help address the high-rate of PTSD therapy attrition in combat veterans.