A randomized trial of telepsychiatry for post-traumatic stress disorder
A randomized trial of telepsychiatry for post-traumatic stress disorder
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DOI：
10.1258/135763307780677604
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发表时间：
2007-01-01
影响因子：
4.7
通讯作者：
Knapp, Rebecca G.
中科院分区：
文献类型：
--
作者：
Frueh, B. Christopher;Monnier, Jeannine;Knapp, Rebecca G.
我们比较了心灵感应疗法和使用认知行为疗法的战斗相关创伤后应激障碍(PTSD)的同室治疗的疗效，每周14次，每次90分钟。在97名参与研究的患者中，38人是随机的(17人进入心灵感应，21人进入同一房间)，大约25人(数量因仪器不同)至少有一次基线后评估。检查了临床和过程结果的衡量标准。在三个月的随访中，两组的临床结果没有发现差异。两组对治疗评级的满意度相似，退伍军人对两种方式的满意度都很高。两组的出勤率和辍学率相似。同一房间的那组人报告说，在治疗后与他们的治疗师交谈时更舒服，治疗依从性更好。这一结果为在创伤后应激障碍的治疗中使用心灵感应来改善护理的可获得性提供了初步支持。
We compared the efficacy of telepsychiatry and same-room treatment of combat-related post-traumatic stress disorder (PTSD) using cognitive behavioural therapy in 14 weekly, 90-min treatment sessions. Of 97 patients referred for study participation, 38 were randomized (17 into telepsychiatry, 21 into same-room), and approximately 25 (the number differed by instrument) had at least one post-baseline assessment. Measures of clinical and process outcomes were examined. No group differences were found on clinical outcomes at three-month follow-up. Satisfaction with treatment ratings was similar in both groups, with 'strong satisfaction' indicated by veterans in both modalities. Attendance and drop-out were similar in the two groups. The same-room group reported more comfort in talking with their therapist at post-treatment and had better treatment adherence. The results provide preliminary support for the use of telepsychiatry in the treatment of PTSD to improve access to care.