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访问同伴支持以及远程医疗的有效性在帮助个人打击PTSD方面正在研究

Photo of a doctor and patient in a telemedicine session. Even with access to telemedicine, many PTSD patients do not finish their treatment. A new study from UTHealth is looking at innovative ways to change that. (Photo by Rogelio Castro/UTHealth)
即使获得远程医疗,许多PTSD患者也无法完成治疗。UTHealth的一项新研究是将基于证据的心理治疗与同伴支持配对以解决此问题。(Rogelio Castro/Uthealth摄影)

在德克萨斯大学创伤研究人员领导的一项研究中,使用基于循证的心理治疗与同伴支持配对的“无人留下的人”的军事咒语正在帮助退伍军人完成创伤后应激障碍(PTSD)的治疗,以完成创伤后应激障碍(PTSD)的治疗。beplay苹果手机能用吗休斯敦的健康科学中心(Uthealth)。

根据他们所服务的战争剧院,患有这种疾病的退伍军人人数有所不同,但有10-20%的退伍军人可以追溯到越南战争。美国退伍军人事务部。

“这项特殊的研究正在研究战斗退伍军人,因为由于几个因素,例如他们所经历的创伤的类型和强度,他们经历了重复创伤事件的历史,在部署中出门在外,他们更有可能患有PTSD。在这些事件中,甚至在他们的一名服务人员中看到了发生创伤的事情。”梅尔巴·埃尔南德斯·泰亚达(Melba Hernandez-Tejada), PhD, DHA, associate professor in the Louis A. Faillace, MD, Department of Psychiatry and Behavioral Sciences at麦戈文医学院在Uthealth。

基于暴露的治疗是对PTSD的有效治疗方法,治疗师通过使用远程医疗来克服与治疗相关的物流和污名来消除许多障碍来获得此护理。

埃尔南德斯·泰亚达(Hernandez-Tejada)说:“通过远程医疗会议,患者不必担心需要运输到他们的任命,或者他们的提供者有多远,或者被看到进入心理健康诊所。”“当消除这些障碍时,他们只能专注于治疗,并获得所需的帮助才能变得更好。”

However, even with increased access to providers, many PTSD patients do not finish their course of treatment. Hernandez-Tejada said the dropout rate ranges from 25%-to 50%, based on clinic and research data from PTSD patients in the U.S.

Hernandez-Tejada相信结对wh的病人o are currently undergoing treatment with volunteer peers who have successfully completed PTSD exposure therapy and who are no longer symptomatic may be a way to address this problem.

在这项研究中,接受PTSD治疗的人将与他们的支持同伴相遇,以熟悉他们及其治疗过程。然后,同伴在曝光练习中陪伴患者,以克服对可能特别触发或创伤的情况的反应,例如进入拥挤的市场。

“It’s the same concept as having a workout buddy who encourages you to exert yourself, but for PTSD the therapy homework can sometimes involve things like going to places that are realistically safe, but trigger anxiety, like a crowded store or a movie theater,” Hernandez-Tejada said. “The patients can work on those situations that trigger their PTSD symptoms gradually, in stages of increasing difficulty, accompanied by their peer while supervised by the therapist. If their anxiety is triggered by going to a place like the grocery store at an hour when it’s crowded, they might start with driving to the store and sitting in the parking lot, and then getting out of the car and walking to the door before going inside, and then going inside, etc.”

作为治疗的一部分,患者最多五个星期就建立了这种暴露治疗支持系统。

“我们不希望患者对同龄人产生依赖;相反,我们希望他们利用与同龄人的联系来面对他们的恐惧触发器并通过他们的工作,然后在他们获得一些精通后自己做这些事情。

Hernandez-Tejada希望这项试验能够帮助您阐明她患有PTSD患者的不同方式,并在不同的令人痛苦的经历下继续壮成长。

“PTSD patients benefit by social support in treatment, and it is always important to learn more about what their triggers are and what can be done to support them in confronting these triggers both during and after treatment,” she said.

The current trial is funded by the U.S. Army Medical Research and Development Command (USAMRDC) (BA160297). Ron Acierno, PhD, professor in the Faillace Department of Psychiatry and Behavioral Sciences at McGovern Medical School, is also an investigator on this study.

支持当前试验的数据是从美国退伍军人事务部(HX00152)和美国国防部(W81XWH-14-1-0264和W81XWH-08-0047)资助的研究获得的。Acierno是这项研究的主要研究者。beplay苹果手机能用吗

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