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A Pilot Study of Interpersonal Psychotherapy for PTSD in Women Veterans

机译:女性退伍军人创伤后应激障碍的人际心理治疗的初步研究

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Objective: This pilot study aimed to determine whether interpersonal psychotherapy (IPT) for posttraumatic stress disorder (PTSD) would be effective with a sample of women veterans who experienced military-related PTSD. Method: Women veterans presenting for mental health services through the Trauma Services Program at the Washington, DC, Veterans Affairs Medical Center (VAMC) were referred to the study by Veterans Affairs (VA) clinicians if they experienced trauma during their military service and scored > 35 on the PTSD Checklist-Military Version. A total of 20 women completed a baseline assessment and were referred to treatment, the first trial of this treatment method with a veteran sample. Of the 15 women veterans who started treatment, 10 completed a trial of 12 individual sessions. Assessments were conducted posttreatment and at three months posttreatment follow-up. Results: There was a significant decline in PTSD symptom severity from baseline to posttreatment, and these gains were maintained at three-month follow-up. Approximately one-third of the group no longer met full criteria for PTSD diagnosis, results that are comparable to studies of evidence-based treatments for PTSD (prolonged exposure and cognitive processing therapy) in military samples. Conclusions: IPT, a non-trauma-focused intervention that aims to increase social support and improve interpersonal functioning, shows promise as another means of addressing PTSD in veterans. It should be tested in a larger sample to determine if IPT for PTSD might serve as an alternative for veterans who would prefer a non-trauma-focused intervention to address their difficulties.
机译:目的:这项前瞻性研究旨在确定创伤后应激障碍(PTSD)的人际心理治疗(IPT)对于经历过与军事相关的PTSD的女性退伍军人样本是否有效。方法:通过退伍军人事务医疗中心(VAMC)通过华盛顿特区的创伤服务计划为心理健康服务提供服务的女性退伍军人,如果退伍军人事务(VA)临床医生在服兵役期间遭受创伤,并进行了评分> PTSD检查表-军事版中的第35页。共有20名妇女完成了基线评估,并接受了治疗,这是该治疗方法的第一项试验,采用了退伍军人样本。在开始治疗的15位女性退伍军人中,有10位完成了12个疗程的试验。在治疗后和治疗后三个月进行评估。结果:从基线到治疗后,PTSD症状的严重程度显着下降,并且在随访三个月中保持了这些增加。该组中约有三分之一不再符合PTSD诊断的全部标准,这一结果与军事样本中PTSD循证治疗(长时间暴露和认知加工疗法)的研究相当。结论:IPT是一种非创伤性干预措施,旨在增加社会支持并改善人际交往功能,显示出有望作为解决退伍军人创伤后应激障碍的另一种方法。应该在更大的样本中对其进行测试,以确定针对创伤后应激障碍的IPT是否可以替代那些希望采用非创伤性干预来解决其困难的退伍军人。

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