Enhancing Treatment Effectiveness in Acute Stress Disorder

创伤后应激障碍（PTSD）是创伤后最常见的精神疾病。创伤后创伤后应激障碍的早期干预是必要的，因为慢性创伤后应激障碍可以抵抗治疗。早期干预是可能的，因为创伤后立即出现的急性应激障碍可以识别出那些将发展为慢性创伤后应激障碍的人。虽然急性应激障碍的认知行为疗法在许多情况下可以有效地预防PTSD，但许多人并没有从这种治疗中受益，因为这种治疗涉及到痛苦的记忆和情绪，这导致许多人退出治疗。本项目旨在通过评估大多数创伤幸存者可以使用的方法来扩展创伤后早期干预的效用。该项目将早期干预与暴露疗法、认知疗法、暴露疗法和认知疗法相结合或支持性咨询相比较。所有治疗将在最初的四周内进行，包括6个疗程。治疗后进行评估，6个月随访，1年随访。该项目的成果将对公共卫生产生重大益处，因为它们将提高急性创伤患者的治疗效果，并将显著减少社区中创伤后应激障碍的发病率。

Posttraumatic stress disorder (PTSD) is the most common psychiatric condition to develop after trauma. Early intervention of PTSD following a trauma is indicated because chronic PTSD can be resistant to treatment. Early intervention is possible because acute stress disorder immediately after a trauma identifies those people who will develop chronic PTSD. Although cognitive behaviour therapy of acute stress disorder can effectively prevent PTSD in many cases, many people do not benefit from this treatment because this treatment involves exposure to distressing memories and emotions, and this contributes to many people dropping out of treatment. This project aims to extend the utility of early intervention following trauma by assessing approaches that can be used by most trauma survivors. The project compares early intervention with either exposure, cognitive therapy, combined exposure and cognitive therapy, or supportive counseling. All therapy will be conducted in the initial four weeks and will comprise 6 sessions. Assessments will be conducted posttreatment, six-months follow-up, and one-year follow-up. The outcomes of this project will have significant public health benefits because they will lead to increased treatment effectiveness for acutely traumatized people, and will markedly reduce the incidence of PTSD in the community.