Feasibility of brief intensive exposure therapy for PTSD patients with childhood sexual abuse: a brief clinical report.
Feasibility of brief intensive exposure therapy for PTSD patients with childhood sexual abuse: a brief clinical report.
复制标题
DOI：
10.3402/ejpt.v1i0.5626
复制
发表时间：
2010
影响因子：
5
通讯作者：
van Minnen A
中科院分区：
文献类型：
--
作者：
Hendriks L;de Kleine R;van Rees M;Bult C;van Minnen A
尽管强有力的经验支持的有效性，基于创伤后应激障碍（PTSD）的治疗，治疗的改善是需要考虑到相对较高的辍学率和治疗高并发症和治疗干扰的压力源的患者的挑战。本文的目的是介绍一个密集的暴露治疗计划，说明了创伤后应激障碍患者，谁遭受了多重（性）创伤的儿童，有高水平的comorbidity和心理社会压力，并未能改善在“定期”创伤为重点的治疗方案的四个案例描述。该计划包括心理教育，延长想象暴露，暴露在体内，暴露与叙事重建相结合的绘画，并写作业有关中央创伤相关的认知。治疗包括由四名治疗师组成的团队提供的5个工作日的单独疗程（总共30小时的治疗）。所有患者的创伤后应激障碍症状均显著降低，且效应量较大（Cohen's d resp. 1.5[术前-术后]、2.4 [FU前1个月]和2.3 [FU前3个月]）。此外，没有患者出现症状恶化或脱落。对这四个试点病例的评估表明，即使是对具有高共病率的多重创伤性PTSD患者，也有可能加强暴露治疗。我们的结论是，这个新的，密集的暴露计划的PTSD患者与儿童性虐待的第一个结果是有希望的。
Despite the strong empirical support for the effectiveness of exposure-based treatments in ameliorating post-traumatic stress disorder (PTSD), improvement of treatment is wanted given relatively high dropout rates and challenges of treating patients with high comorbidity and treatment-interfering stressors. The purpose of the current paper is to introduce an intensive exposure treatment program, illustrated by four case descriptions of PTSD patients, who suffered multiple (sexual) traumas in childhood, had high levels of comorbidity and psychosocial stressors, and failed to improve during “regular” trauma-focused treatment programs. The program consisted of psychoeducation, prolonged imaginal exposure, exposure in vivo, exposure by drawings combined with narrative reconstructing, and writing assignments about central trauma-related cognitions. The treatment included 5 working days with individual sessions (in total 30 h of treatment) provided by a team of four therapists. The PTSD symptoms of all patients decreased substantially and the effect sizes were large (Cohen's d resp. 1.5 [pre–post], 2.4 [pre-FU1 month], and 2.3 [pre-FU3 months]). Also, none of the patients showed symptom worsening or dropped out. The evaluation of these four pilot cases suggests that it is possible to intensify exposure treatment, even for multiple traumatized PTSD patients with high comorbidity. We concluded that the first results of this new, intensive exposure program for PTSD patients with childhood sexual abuse are promising.
登录
查看更多内容
影响因子：
5.9
作者：
FOA, EB;ROTHBAUM, BO;MURDOCK, TB
通讯作者：
MURDOCK, TB
影响因子：
5.3
作者：
Sheehan, DV;Lecrubier, Y;Dunbar, GC
通讯作者：
Dunbar, GC
影响因子：
4.1
作者：
van Minnen, A;Arntz, A;Keijsers, GPJ
通讯作者：
Keijsers, GPJ
影响因子：
4.1
作者：
Effting, Marieke;Kindt, Merel
通讯作者：
Kindt, Merel
影响因子：
4.1
作者：
Tarrier, N;Sommerfield, C;Faragher, B
通讯作者：
Faragher, B