创伤后应激障碍的认知行为治疗研究进展
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摘要
认知行为疗法已被证实是一种治疗创伤后应激障碍的有效方法,主要包括心理卫生教育、暴露法、认知重建、焦虑管理训练四种技术。认知行为疗法已经应用于对暴力袭击、恐怖袭击、交通事故、战争、地震等事件中的受害者进行干预。眼动脱敏与再加工被认为是治疗创伤后应激障碍的有效方法之一,但对其治疗效果的争议也很大。在对创伤后应激障碍的认知行为治疗研究中,应采用随机对照实验设计,以增加研究结果的有效性。
Cognitive behavior therapy(CBT) has proven to be an effective treatment for posttraumatic stress disorder(PTSD),which typically comprises psychoeducation,exposure,cognitive restructuring,anxiety management training.CBT has been applied for PTSD caused by assault,terrorism,road traffic accidents,combat,earthquake,etc.Eye movement desensitization and reprocessing has been proposed as an effective treatment for PTSD.However,a debate has been triggered by efficacy.Randomized controlled trial of CBT for PTSD must be conducted to enhance the validity of studies results.
Cognitive behavior therapy(CBT) has proven to be an effective treatment for posttraumatic stress disorder(PTSD),which typically comprises psychoeducation,exposure,cognitive restructuring,anxiety management training.CBT has been applied for PTSD caused by assault,terrorism,road traffic accidents,combat,earthquake,etc.Eye movement desensitization and reprocessing has been proposed as an effective treatment for PTSD.However,a debate has been triggered by efficacy.Randomized controlled trial of CBT for PTSD must be conducted to enhance the validity of studies results.
引文
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[2]Rothbaum B O,Astin M C,Marsteller F.Prolonged exposure versus eyemovement desensitization and reprocessing(EMDR)for PTSD rape vic-tims[J].Journal of Traumatic Stress,2005,18(6):607-616.
[3]Foa E B,Hembree E A,Cahill S P,et al.Randomized trial of pro-longed exposure for posttraumatic stress disorder with and withoutcognitive restructuring:outcome at academic and community clinics[J].Journal of Consulting and Clinical Psychology,2005,73(5):953-964.
[4]Duffy M,Gillespie K,Clark D M.Post-traumatic stress disorder inthe context of terrorism and other civil conflict in Northern Ireland:ran-domised controlled trial[J].BMJ,2007,334:1147-1150.
[5]Difede J,Cukor J,Jayasinghe N,et al.Virtual reality exposuretherapy for the treatment of posttraumatic stress disorder followingSeptember 11,2001[J].Journal of Clinical Psychiatry,2007,68(11):1639-1647.
[6]Blanchard E B,Hickling E J,Devineni T.A controlled evaluationof cognitive behavioral therapy for posttraumatic stress in motor ve-hicle accident survivors[J].Behaviour Research and Therapy,2003,41(1):79-96.
[7]Blanchard E B,Hickling E J,Malta L S,et al.One-and two-year prospective follow-up of cognitive behavior therapy or sup-portive psychotherapy[J].Behaviour Research and Therapy,2004,42(7):745-759.
[8]Kubany E S,Hill E E,Owens J A.Cognitive trauma therapy forbattered women with PTSD:preliminary findings[J].Journal ofTraumatic Stress,2003,16(1):81-91.
[9]Basoglu M,Salcioglu E,Livanou M.A randomized controlledstudy of single-session behavioural treatment of earthquake-re-lated post-traumatic stress disorder using an earthquake simulator[J].Psychological Medicine,2007,37(2):203-213.
[10]Taylor T,Thordarson D S,Maxfield L,et al.Comparative effica-cy,speed,and adverse effects of three PTSD treatments:exposuretherapy,EMDR,and relaxation training[J].Journal of Consultingand Clinical Psychology,2003,71(2):330-338.
[2]Rothbaum B O,Astin M C,Marsteller F.Prolonged exposure versus eyemovement desensitization and reprocessing(EMDR)for PTSD rape vic-tims[J].Journal of Traumatic Stress,2005,18(6):607-616.
[3]Foa E B,Hembree E A,Cahill S P,et al.Randomized trial of pro-longed exposure for posttraumatic stress disorder with and withoutcognitive restructuring:outcome at academic and community clinics[J].Journal of Consulting and Clinical Psychology,2005,73(5):953-964.
[4]Duffy M,Gillespie K,Clark D M.Post-traumatic stress disorder inthe context of terrorism and other civil conflict in Northern Ireland:ran-domised controlled trial[J].BMJ,2007,334:1147-1150.
[5]Difede J,Cukor J,Jayasinghe N,et al.Virtual reality exposuretherapy for the treatment of posttraumatic stress disorder followingSeptember 11,2001[J].Journal of Clinical Psychiatry,2007,68(11):1639-1647.
[6]Blanchard E B,Hickling E J,Devineni T.A controlled evaluationof cognitive behavioral therapy for posttraumatic stress in motor ve-hicle accident survivors[J].Behaviour Research and Therapy,2003,41(1):79-96.
[7]Blanchard E B,Hickling E J,Malta L S,et al.One-and two-year prospective follow-up of cognitive behavior therapy or sup-portive psychotherapy[J].Behaviour Research and Therapy,2004,42(7):745-759.
[8]Kubany E S,Hill E E,Owens J A.Cognitive trauma therapy forbattered women with PTSD:preliminary findings[J].Journal ofTraumatic Stress,2003,16(1):81-91.
[9]Basoglu M,Salcioglu E,Livanou M.A randomized controlledstudy of single-session behavioural treatment of earthquake-re-lated post-traumatic stress disorder using an earthquake simulator[J].Psychological Medicine,2007,37(2):203-213.
[10]Taylor T,Thordarson D S,Maxfield L,et al.Comparative effica-cy,speed,and adverse effects of three PTSD treatments:exposuretherapy,EMDR,and relaxation training[J].Journal of Consultingand Clinical Psychology,2003,71(2):330-338.
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