认知暴露疗法治疗创伤后应激障碍的5年随访

目的:探讨5年随访时认知暴露治疗对创伤后应激障碍(PTSD)患者的效果. 方法:63例PTSD患者随机分为两组,分别进行药物治疗和心理治疗,并且在治疗前、治疗后、治疗后3个月、治疗后5年进行心理状况评定. 结果:重复测量的方差分析表明,在创伤后应激障碍症状清单量表(PCLS)、症状自评量表、贝克抑郁问卷、汉米尔顿抑郁量表、状态-特质焦虑问卷及汉米尔顿焦虑量表上,总体上组间(药物和心理治疗)效应不显著(F=3.111,P＞0.05),时间(重复变量)效应显著(F=9.011,P＜0.01).治疗后心理治疗组PCLS再经历和回避分比药物治疗组下降更显著. 结论:认知暴露治疗和药物治疗对PTSD患者疗效相近,认知暴露治疗对再经历症状和回避症状疗效更好.

The effect of cognitive-exposure therapy on posttraumatic stress disorder:a five-year follow up

Objective:To explore the effect of cognitive-exposure therapy on PTSD(posttraumatic stress disorder) patients after 5 years.Method:63 PTSD patients were divided randomly into two groups:medication group and psychological therapy group,and assessed psychologically before treatment,just after treatment,at the 3rd month after treatment,at the 5th year after treatment.Results:Repeated measure variance analysis showed no main between-group effect on PCLS(posttraumatic stress disorder diecklist scale),SCL-90,BDI,HAMD,STAI and HAMA score(F=3.111,P>0.05),but showed pre-post treatment main effect(F=9.011,P<0.01).The re-experience and avoidance score decreased more in the psychological therapy group than the medication group after thetreatment.Conclusion:Cognitive-exposure therapy is similar in total curative effect and superior in improving re-experience and avoidance to medication in treatment of patients with PTSD.