CBT for PTSD in Disaster Relief Workers

描述（由申请人提供）：本快速申请建议进行 一项随机对照试验，42名男性或女性纽约市灾难 2001年9月11日恐怖袭击中的救援人员及其 创伤后应激障碍（PTSD）的主要诊断为与以下疾病有关的完全或亚阈值PTSD的患者 该活动内情的105名工人将被纳入最初的 DSM-IV轴I障碍和PTSD症状状态的评估， 20%的不被录取率和30%的辍学率。主题会议 入选标准将随机分为5个疗程的CBT治疗（CBT; N= 21）或常规治疗（TAU; N= 21）。治疗部位 将是康奈尔大学的纽约威尔医学中心，曼哈顿和 韦斯特切斯特校区。研究团队将评估治疗依从性 使用手册作者开发的工具， 和救灾人员在一起分配到CBT条件的参与者将 在每次会议结束时填写自我报告问卷。后处理 临床访谈将在5周的培训结束后进行。 试验和自我报告评估将在治疗后和3 个月本研究的目的是：（1）评价 5个疗程的人工化个人认知行为治疗（CBT），适应 与常规治疗（TAU）相比， 组;（2）准备较大规模的三组随机对照 急救人员认知行为疗法、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， 创伤暴露期间的分离，以及长时间想象中的分离。 暴露在治疗中。

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.