Massed Cognitive Processing Therapy in Active-Duty Military: A Case Series
Massed Cognitive Processing Therapy in Active-Duty Military: A Case Series
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DOI：
10.1016/j.cbpra.2022.04.004
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发表时间：
2023-07-16
影响因子：
2.9
通讯作者：
Wachen, Jennifer Schuster
中科院分区：
文献类型：
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作者：
Morris, Kris L.;Schwartz, Carey;Wachen, Jennifer Schuster
尽管一致的证据表明，认知加工疗法（CPT）是一种有效的治疗创伤后应激障碍（PTSD），在现役军人和退伍军人的影响一直小于平民。可能需要修改标准交付，以增加治疗参与和完成，这可能会改善该人群的结局。以大规模的形式提供CPT可以减少护理障碍，并能够更快地减轻症状，但临床医生和患者可能会担心这种干预措施的耐受性和实用性。该病例系列描述了一个CPT疗程，在4名现役军人中以混合组和个体形式在5天内进行，作为一项更大的随机临床试验的一部分。虽然患者之间的症状变化模式不同，但在5天治疗期间，大多数患者的PTSD和抑郁症状在临床上显着减少。患者报告称，起搏是可耐受的，混合组和个体形式是有益的。虽然需要进一步的研究来了解大规模CPT的长期结果，但这种治疗形式对未来PTSD的治疗具有重要意义。
Despite consistent evidence that Cognitive Processing Therapy (CPT) is an efficacious treatment for posttraumatic stress disorder (PTSD), the effects among active-duty service members and veterans have been smaller than for civilians. Modifications to standard delivery may be needed to increase treatment engagement and completion, which could improve outcomes in this population. Delivering CPT in a massed format may reduce barriers to care and enable more rapid symptom reduction, yet clinicians and patients may have concerns about the tolerability and practicality of such interventions. This case series describes a course of CPT delivered in 5 days in a mixed group and individual format among 4 active-duty military service members as part of a larger randomized clinical trial. Although the pattern of symptom change differed between patients, most demonstrated clinically significant reductions in PTSD and depression symptoms during the 5day treatment. Patients reported that the pace was tolerable and that the mixed group and individual format was beneficial. Although further research is needed to understand the longer-term outcomes of massed CPT, this therapy format has important implications for the future delivery of treatments for PTSD.