CBT for PTSD in Disaster Relief Workers

描述(由申请人提供)：本快速申请拟进行 纽约市灾难中42名男性或女性的随机对照试验 2001年9月11日恐怖袭击及其影响下的救援人员 最初诊断为全身性或阈值下创伤后应激障碍的患者 这件事。105名工人将包括在最初的 评估DSM-IV轴I障碍和创伤后应激障碍症状状态，以允许 20%的不纳入和30%的辍学率。专题会议 纳入标准将随机分为5个疗程的CBT治疗(CBT； N=21)或照常治疗(TAU；N=21)。治疗部位 将是康奈尔大学纽约威尔医学中心，曼哈顿和 威彻斯特校园。治疗依从性将由研究小组进行评估 使用手册作者开发的、经过修改以供使用的仪器 和救灾人员在一起。分配到CBT条件的参与者将 在每堂课结束时填写自我报告问卷。后处理 临床访谈将在5周结束后进行 试验和自我报告评估将在治疗后和3点进行 月份。这项拟议研究的目的是：(1)评估一种 5个疗程，个人认知行为治疗(CBT)，改编 用于灾难工作人员，与正常治疗(TAU)对比 (2)准备更大规模的三组随机对照 急救人员CBT、EMDR和支持性咨询的研究 暴露于各种关键事件；(3)探索潜在的主持人 CBT组的治疗反应，包括基线愤怒，报告 创伤暴露时的解离和长时间想象时的解离 在治疗中暴露。

DESCRIPTION (provided by applicant): This Rapid application proposes to conduct a randomized controlled trial with 42 male or female New York City disaster relief workers exposed to the terrorist attack of September 11, 2001 and its aftermath who carry a primary diagnosis of full or subthreshold PTSD related to the event. One hundred and five workers will be included in the initial assessment for DSM-IV Axis I disorders and PTSD symptom status to allow for a 20 percent non-inclusion and 30 percent dropout rate. Subjects meeting inclusion criteria will be randomized to either a 5-session CBT treatment (CBT; N= 21) or treatment as usual condition (TAU; N= 21). The sites for treatment will be the New York Weill Medical Center of Cornell University, Manhattan and Westchester Campuses. Treatment adherence will be assessed by the study team utilizing instruments developed by the authors of the manual, modified for use with disaster relief workers. Participants assigned to the CBT condition will complete self-report questionnaires at the end of each session. Post-treatment clinical interviews will be administered after the completion of the 5-week trial, and self-report assessments will be administered post-treatment and at 3 months. The aims of this proposed study are: (1) to evaluate the efficacy of a 5 session manualized individual, cognitive behavioral treatment (CBT), adapted for use with disaster workers, compared to a treatment as usual (TAU) contrast group; (2) to prepare for a larger scale three group randomized controlled study of CBT, EMDR, and supportive counseling for emergency services personnel exposed to a variety of critical incidents; (3) to explore potential moderators of treatment response in the CBT group, including baseline anger, reports of dissociation during trauma exposure, and dissociation during prolonged imaginal exposure in treatment.