Maximizing treatment outcome in post-traumatic stress disorder by combining psychotherapy with pharmacotherapy.
Maximizing treatment outcome in post-traumatic stress disorder by combining psychotherapy with pharmacotherapy.
复制标题
DOI：
10.1007/s11920-000-0078-3
复制
发表时间：
2000-08-01
影响因子：
6.7
通讯作者：
Cloitre, M
中科院分区：
文献类型：
--
作者：
Marshall, R D;Cloitre, M
目前还没有关于药物和心理治疗相结合治疗创伤后应激障碍（PTSD）的系统数据，尽管它的广泛做法。对急性试验文献的仔细审查表明，心理社会和药物治疗各自留下了相当大比例的残留症状个体。本文讨论了一种治疗模式，包括一个阶段导向的治疗方法，开始与药物治疗，并继续与创伤为重点的心理治疗。还讨论了其他组合方法。支持大多数接受药物治疗的慢性PTSD患者需要心理社会治疗的理由。
There are no systematic data available on combining medication and psychotherapy in the treatment of individuals with post-traumatic stress disorder (PTSD), despite its widespread practice. Careful review of the acute trials literature reveals that psychosocial and pharmacologic treatments each leave a substantial proportion of individuals with residual symptoms. This paper discusses a treatment model involving a phase- oriented treatment approach that begins with pharmacotherapy and continues with trauma-focused psychotherapy. Other combined approaches also are discussed. A rationale supporting the need for psychosocial treatment in the majority of patients who receive pharmacotherapy for chronic PTSD is presented.