Do early responders and treatment non-responders offer guidance to make CPT group a more effective treatment?
Do early responders and treatment non-responders offer guidance to make CPT group a more effective treatment?
复制标题
DOI：
10.1002/jclp.23307
复制
发表时间：
2022-07
影响因子：
3
通讯作者：
Graham, David P.
中科院分区：
文献类型：
--
作者：
Williams, M. Wright;King-Casas, Brooks;Chiu, Pearl H.;Sciarrino, Nicole;Estey, Matthew;Hunt, Christopher;McCurry, Katherine;Graham, David P.
治疗退出一直是PTSD循证治疗（EBT）的问题，包括认知加工疗法（CPT）。本研究旨在评估CPT组是否有助于治疗完成者和未完成者的症状改善。61名伊拉克和阿富汗作战退伍军人自选CPT组或治疗照常（TAU）形成一个方便的样本。将治疗完成定义为参加至少9次治疗：18例完成治疗，20例脱落（DO）; 20例完成TAU，3例失访TAU。多元回归显示治疗前后有显著改善（CAPS-IV，F（5，40.1）= 2.53，p = 0.0436）。回顾DO在离开治疗前的最后一次可用PCL_M评分，6名获得了> 10分的临床显著改善; 7名获得了5-10分的临床可靠变化。这些研究结果强调，CPT组可以有效地减少治疗完成者和脱落者的创伤相关症状，并指出良好治疗结束状态的临床定义的实用性。
Treatment dropout has been problematic with evidence-based treatments (EBTs) for PTSD, including cognitive processing therapy (CPT). This study sought to evaluate whether CPT group contributed to symptom improvement among treatment completers and non-completers. Sixty-one Iraq and Afghanistan combat Veterans self-selected CPT group or treatment as usual (TAU) forming a convenience sample. Defining treatment completion as attending at least 9 sessions: 18 completed treatment, 20 dropped-out (DOs); 20 completed TAU, 3 lost to TAU follow-up. Multiple Regression revealed significant pre-post treatment improvement, (CAPS-IV, F(5,40.1) = 2.53, p = 0.0436). Reviewing DOs’ last available PCL_M scores before leaving treatment, six achieved clinically significant improvement of > 10 points; seven a clinically reliable change of 5-10 points. These findings highlight that CPT group may be effective at reducing trauma-related symptoms among treatment completers and dropouts and point to the utility of a clinical definition of good treatment end-state.
登录
查看更多内容
影响因子：
2.3
作者：
Garcia, Hector A.;Kelley, Lance P.;Lee, Shuko
通讯作者：
Lee, Shuko
影响因子：
2.7
作者：
Davis, Jeremy J.;Walter, Kristen H.;Houston, Wes S.
通讯作者：
Houston, Wes S.
影响因子：
2.3
作者：
Hundt, Natalie E.;Ecker, Anthony H.;Cully, Jeffrey A.
通讯作者：
Cully, Jeffrey A.
影响因子：
3.4
作者：
Beck, AT;Steer, RA;Ranieri, WF
通讯作者：
Ranieri, WF
影响因子：
5.9
作者：
Resick, Patricia A.;Wachen, Jennifer Schuster;Peterson, Alan L.
通讯作者：
Peterson, Alan L.