Reintegration interventions for CPTSD: a systematic review.
Reintegration interventions for CPTSD: a systematic review.
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CPTSD的重新整合干预措施：系统评价。
DOI：
10.1080/20008198.2021.1934789
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发表时间：
2021
影响因子：
5
通讯作者：
Billings J
中科院分区：
文献类型：
--
作者：
Purnell LR;Graham ACJ;Bloomfield MAP;Billings J
背景：临床指南建议采用基于阶段的方法治疗复杂创伤后应激障碍（CPTSD），但目前对提供哪些干预措施以及哪些干预措施在最后的“重返社会”阶段可能有效知之甚少。目的：系统回顾有关CPTSD重返社会干预的文献，描述干预的性质和有效性。方法：我们检索了Medline、PsycINFO、Embase和ptsdbars四个电子数据库，寻找旨在促进可能患有CPTSD的参与者重新融入社会的干预措施。我们有两个目的：首先，描述干预措施；其次，描述其有效性，通过重新融入社会、创伤后应激障碍和/或自组织紊乱（DSO）的测量，或描述所经历的变化的定性数据来衡量。结果采用叙事综合的方式呈现。结果：15项研究符合我们的纳入标准。干预措施包括瑜伽、锻炼、使用服务犬、住院治疗、教育、自卫和患者研究参与。通过关键的评估工具评估，总体研究质量较低。在包括一个对照组在内的六项研究中，两项研究报告了干预组和对照组在重新融入社会的测量方面有统计学意义的改善，四项研究报告了PTSD症状测量方面有统计学意义的差异，但没有一项研究报告干预组和对照组在DSO方面有任何显著差异。在所有8个定量研究中，有3个报告了干预组干预前后在重返社会测量方面的统计学显著差异，5个报告了PTSD症状测量方面的统计学显著改善，3个报告了DSO测量方面的统计学显著差异。从八项报告定性数据的研究中，我们将主题综合为八类，其中促进与他人的联系是最常见的益处。结论：概述的干预措施可能有助于重新融入社会，然而，这一领域的研究仍处于起步阶段，缺乏高质量的研究。需要进一步的研究来确定重返社会干预是否能加强对CPTSD的治疗。专家建议采取分阶段治疗慢性创伤后应激障碍的方法；然而，第三阶段“重返社会”干预措施的研究很少。本综述显示，这些干预措施可能会减少CPTSD症状并增强整合，但目前研究证据不足。
Background: Clinical guidelines recommend a phase-based approach to treatment for complex post-traumatic stress disorder (CPTSD), yet little is known about what interventions are being offered and which may be effective in the final ‘reintegration’ phase. Objective: To systematically review literature on reintegration interventions for CPTSD, describing the nature and effectiveness of interventions. Method: We searched four electronic databases (Medline, PsycINFO, Embase, and PTSDpubs) for interventions aiming to facilitate reintegration for participants with probable CPTSD. We had two aims: firstly, to describe the interventions and secondly, to describe their effectiveness as measured through measures of reintegration, PTSD and/or disturbances in self-organization (DSO), or qualitative data describing changes experienced. Results are presented using narrative synthesis. Results: Fifteen studies met our inclusion criteria. Interventions included yoga, exercise, use of service dogs, residential treatment, education, self-defence and patient research involvement. Overall study quality was low, as assessed by critical appraisal tools. Of the six studies including a control group, two reported a statistically significant improvement in the measure of reintegration between the intervention and control group, four studies reported a statistically significant difference in the measure of PTSD symptoms, but none reported any significant differences between intervention and control groups in DSO. Of all eight quantitative studies, three reported a statistically significant difference in the reintegration measure pre- to post-intervention for the intervention group, five a statistically significant improvement in the measure of PTSD symptoms, and three a significant difference in the DSO measure. From eight studies reporting qualitative date we synthesized themes into eight categories, within which facilitation of connection with others was the most commonly reported benefit. Conclusions: The interventions outlined may facilitate reintegration, however, research in this area is still in its infancy and quality research is lacking. Further research is needed to establish whether reintegration interventions enhance treatment for CPTSD. A phased-based approach to treating CPTSD has been recommended by experts; however Phase 3 ‘Reintegration’ interventions have been subject to little research. This review showed such interventions may reduce CPTSD symptoms and enhance integration, but research evidence is currently weak.
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临床有效性研究，以准备以创伤为基础的循证心理治疗的治疗，在退伍军人事务专业后，创伤后应激障碍诊所。
影响因子：
2.3
作者：
Dedert EA;LoSavio ST;Wells SY;Steel AL;Reinhardt K;Deming CA;Ruffin RA;Berlin KL;Kimbrel NA;Wilson SM;Boeding SE;Clancy CP
通讯作者：
Clancy CP
影响因子：
2.6
作者：
Jindani, Farah A.;Khalsa, G. F. S.
通讯作者：
Khalsa, G. F. S.
影响因子：
3.8
作者：
Briere, J;Runtz, M
通讯作者：
Runtz, M
影响因子：
2.3
作者：
Ellison, Marsha Langer;Reilly, Erin D.;Drebing, Charles E.
通讯作者：
Drebing, Charles E.
DOI：
10.1023/b:joba.0000007455.08539.94
发表时间：
2004-03-01
影响因子：
1.6
作者：
Gratz, KL;Roemer, L
通讯作者：
Roemer, L