Prolonged exposure treatment for post-traumatic stress disorder: Single case studies in a sample of adults with mild intellectual disabilities

IF 2.1 3区医学 Q2 PSYCHOLOGY, EDUCATIONAL

Journal of Applied Research in Intellectual Disabilities Pub Date : 2024-04-14 DOI:10.1111/jar.13237

Paul Prins, Karin Nijhof

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引用次数: 0

Abstract

Background

Post-traumatic stress disorder (PTSD) is common in adults with intellectual disabilities. Often there are additional disorders such as substance use, mood and anxiety disorders. The current study focuses on the feasibility and initial efficacy of prolonged exposure (PE) for PTSD in adults with mild intellectual disabilities. The secondary effect of PE on additional mood, anxiety and substance use disorders is also examined.

Methods

A single case experimental design (N = 12) with an A (baseline)-B (intervention) phase including a follow-up measurement after 3 months was conducted. Time series and single time points measurements were performed.

Results

Six participants dropped-out. The results showed a significant decrease in PTSD symptoms and a significant decrease in additional symptoms (social avoidance, anxiety and stress), among participants who completed treatment.

Conclusion

PE appears to be a feasible and effective treatment for PTSD in some adults with mild intellectual disabilities. Suggestions emerge from this study to make standard PE treatment more appropriate for adults with mild intellectual disabilities. Further research is needed to reduce drop-out in trauma treatment. Some suggestions for this are made in this study. Treatment of PTSD with PE did not appear to affect comorbid mood disorders. Further research is needed.

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创伤后应激障碍的长期暴露治疗：轻度智障成人样本中的单例研究

背景创伤后应激障碍（PTSD）在智障成人中很常见。他们通常还伴有其他障碍，如药物使用障碍、情绪障碍和焦虑障碍。目前的研究重点是长期暴露（PE）治疗轻度智障成人创伤后应激障碍的可行性和初步疗效。此外，本研究还探讨了 PTSD 对其他情绪、焦虑和药物使用障碍的继发性影响。方法采用单例实验设计（N = 12），分为 A（基线）- B（干预）阶段，包括 3 个月后的随访测量。进行了时间序列和单个时间点测量。结果六名参与者退出。结果显示，在完成治疗的参与者中，创伤后应激障碍症状明显减少，其他症状（社交回避、焦虑和压力）也明显减少。结论 PE 似乎是治疗轻度智障成人创伤后应激障碍的一种可行且有效的方法。本研究提出了一些建议，以使标准 PE 治疗更适合轻度智障成人。要减少创伤治疗中的辍学现象，还需要进一步的研究。本研究为此提出了一些建议。用 PE 治疗创伤后应激障碍似乎不会影响合并情绪障碍。需要进一步研究。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Applied Research in Intellectual Disabilities Multiple-

CiteScore

4.70

自引率

12.50%

发文量

期刊介绍： JARID is an international, peer-reviewed journal which draws together findings derived from original applied research in intellectual disabilities. The journal is an important forum for the dissemination of ideas to promote valued lifestyles for people with intellectual disabilities. It reports on research from the UK and overseas by authors from all relevant professional disciplines. It is aimed at an international, multi-disciplinary readership. Topics covered include community living, quality of life, challenging behaviour, communication, sexuality, medication, ageing, supported employment, family issues, mental health, physical health, autism, economic issues, social networks, staff stress, staff training, epidemiology and service provision.