Psychological Interventions for Post-traumatic Stress Symptoms in Psychosis: A Systematic Review of Outcomes
Psychological Interventions for Post-traumatic Stress Symptoms in Psychosis: A Systematic Review of Outcomes
复制标题
针对精神病创伤后应激症状的心理干预：结果的系统回顾
作者：
S. Swan;N. Keen;N. Reynolds;J. Onwumere
有严重精神健康问题的人，如精神病，一贯表现出经历了高水平的过去创伤事件。他们还面临着因犯罪和袭击等受害事件而受到进一步创伤的风险。精神病本身的经历和精神病住院治疗也被认为是足够的创伤，导致创伤后应激反应（PTS）症状的发展。与一般人群相比，精神病患者的创伤后应激障碍（PTSD）发病率较高。目前的PTSD治疗指南是由证据基础提供的，主要限于没有合并精神疾病的人群。因此，系统性综述旨在介绍目前可用的文献，这些文献涉及在初步诊断为精神病性障碍的人群中使用针对PTS症状的心理治疗。该综述旨在调查这些干预措施对PTS症状的影响，以及对精神病症状，情感和功能等次要领域的影响。确定了15项研究，报告了认知行为治疗、长期暴露、眼动脱敏和再处理以及书面情感披露。该审查提供了初步的支持，安全使用创伤为重点的心理干预的人群有严重的心理健康问题。总的来说，干预措施被认为是有效的减少PTS症状。关于对其他领域的次级影响，结果好坏参半。进一步的研究，包括研究采用足够有力的方法严格的设计表明。
Individuals with severe mental health problems, such as psychosis, are consistently shown to have experienced high levels of past traumatic events. They are also at an increased risk of further traumatisation through victimization events such as crime and assault. The experience of psychosis itself and psychiatric hospitalization have also been recognized to be sufficiently traumatic to lead to the development of post-traumatic stress (PTS) symptoms. Rates of post-traumatic stress disorder (PTSD) are elevated in people with psychosis compared to the general population. The current guidance for the treatment of PTSD is informed by an evidence base predominately limited to populations without co-morbid psychiatric disorders. The systematic review therefore sought to present the current available literature on the use of psychological treatments targeting PTS symptoms in a population with a primary diagnosis of a psychotic disorder. The review aimed to investigate the effect of these interventions on PTS symptoms and also the effect on secondary domains such as psychotic symptoms, affect and functioning. Fifteen studies were identified reporting on cognitive behavior therapy, prolonged exposure, eye movement desensitisation and reprocessing and written emotional disclosure. The review provides preliminary support for the safe use of trauma-focused psychological interventions in groups of people with severe mental health problems. Overall, the interventions were found to be effective in reducing PTS symptoms. Results were mixed with regard to secondary effects on additional domains. Further research including studies employing sufficiently powered methodologically rigorous designs is indicated.
未经治疗的严重精神疾病的患病率和相关性。
影响因子：
3.4
作者：
Kessler,RC;Berglund,PA;Bruce,ML;Koch,JR;Laska,EM;Leaf,PJ;Manderscheid,RW;Rosenheck,RA;Walters,EE;Wang,PS
通讯作者：
Wang,PS
临床医生对严重精神疾病患者创伤后应激障碍（PTSD）认知行为治疗的看法。
DOI：
10.1176/ps.2006.57.7.1027
发表时间：
2006
期刊：
Psychiatric services (Washington, D.C.)
影响因子：
--
作者：
Frueh,BChristopher;Cusack,KarenJ;Grubaugh,AnoukL;Sauvageot,JulieA;Wells,Christopher
通讯作者：
Wells,Christopher