Effective psychotherapies for posttraumatic stress disorder: a review and critique.

Effective psychotherapies for posttraumatic stress disorder: a review and critique.
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DOI:
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发表时间:
2009
期刊:
影响因子:
3.3
通讯作者:
M. Cloitre
M. Cloitre
中科院分区:
医学3区
文献类型:
--
作者:
M. Cloitre

文献摘要

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本报告回顾和批评的心理治疗文献治疗创伤后应激障碍(PTSD)和系统地介绍了样本量,完成率和效果大小的数据。在使用认知行为疗法和眼动脱敏和再加工来解决PTSD方面已经取得了实质性进展。PTSD治疗的创新被确定。在治疗患有复杂和慢性形式的PTSD的人群方面需要取得进一步的进展,例如在儿童虐待人群,难民人群和那些经历慢性精神疾病的人群中发现的PTSD。注意到需要解决创伤的共病情感、社会和身体健康后果,在以社区为基础的环境中实施治疗,并将更大的护理系统纳入研究设计。
This report reviews and critiques the psychotherapy literature for the treatment of posttraumatic stress disorder (PTSD) and systematically presents data on sample size, rates of completion and effect sizes. Substantial progress has been made in the use of cognitive behavioral therapies and eye movement desensitization and reprocessing for the resolution of PTSD. Innovations in PTSD treatments are identified. Further advances are needed in the treatment of populations with complex and chronic forms of PTSD such as those found in childhood abuse populations, refugee populations, and those experiencing chronic mental illness. The need to address comorbid emotional, social, and physical health consequences of trauma, to implement treatments in community-based settings, and to incorporate larger systems of care into study designs is noted.