Delivering Intensive PTSD Treatment Virtually: The Development of a 2-Week Intensive Cognitive Processing Therapy-Based Program in Response to COVID-19.
Delivering Intensive PTSD Treatment Virtually: The Development of a 2-Week Intensive Cognitive Processing Therapy-Based Program in Response to COVID-19.
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DOI：
10.1016/j.cbpra.2020.09.002
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发表时间：
2021-11
影响因子：
2.9
通讯作者：
Van Horn R
中科院分区：
文献类型：
--
作者：
Held P;Klassen BJ;Coleman JA;Thompson K;Rydberg TS;Van Horn R
在受COVID-19传播影响的众多弱势群体中，退伍军人受到疫情的影响尤为严重。从2020年3月开始，全国范围内的就地安置命令迅速导致广泛的失业和经济动荡;多种支持系统的中断和崩溃;以及家庭压力的增加，所有这些都可能加剧潜在的创伤后应激障碍症状。虽然远程医疗已被证明是为创伤后应激障碍提供循证心理治疗的有效手段，但人们对远程医疗以密集的日常形式提供这些治疗知之甚少。越来越需要强化治疗方案，以减少治疗干扰障碍，如高辍学率。为了解决文献中的这一差距，本文详细介绍了几个设计考虑因素以及患者选择程序为2周的虚拟强化治疗计划（vITP）的退伍军人创伤后应激障碍（PTSD），包括每日个人认知加工疗法（CPT）和其他连续干预。我们还描述了两例成功完成vITP的退伍军人，包括他们的临床结果，治疗师对过程的反思，关于该计划的反馈，以及患者在远程医疗平台上遇到的挑战。通过虚拟形式提供的针对PTSD的强化循证心理治疗似乎显示出希望，但还需要更系统的研究。
Of the many vulnerable groups affected by the spread of COVID-19, veterans have been especially impacted by the pandemic. Beginning in March 2020, nationwide shelter-in-place orders rapidly led to widespread job loss and economic upheaval; disruption and breakdown of multiple support systems; and increases in family stress, all of which may exacerbate underlying PTSD symptoms. Although telehealth has proven an effective means of delivering evidence-based psychotherapies for PTSD, little is known about the delivery of these treatments in an intensive, daily format over telehealth. There is growing need for intensive treatment options to reduce treatment-interfering barriers such as high dropout rates. In order to address this gap in the literature, this paper details several design considerations as well as patient selection procedures for a 2-week virtual intensive treatment program (vITP) for veterans with posttraumatic stress disorder (PTSD), consisting of daily individual Cognitive Processing Therapy (CPT) and other adjunctive interventions. We also describe two cases of veterans who successfully completed the vITP including their clinical outcomes, therapist reflections on the process, feedback regarding the program, as well as challenges patients encountered with the telehealth platform. Intensive evidence-based psychotherapy for PTSD delivered through a virtual format seems to show promise, but more systemic research is needed.
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影响因子：
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作者：
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DOI：
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DOI：
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发表时间：
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期刊：
Focus (American Psychiatric Publishing)
影响因子：
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