慢性疼痛和创伤后应激障碍的强化治疗:爱国者计划

IF 2.5 3区 心理学 Q2 PSYCHOLOGY, MULTIDISCIPLINARY
John D Otis, Jonathan S Comer, Terence M Keane, Erica Checko Scioli, Donna B Pincus
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引用次数: 0

摘要

军事战斗可能导致人们需要接受与身体和心理创伤有关的综合治疗,其中最常见的是慢性疼痛和创伤后应激障碍(PTSD)。这些病症往往会同时出现,并导致严重的痛苦和对日常生活的干扰。因此,当务之急是在这些病症演变成慢性和抗拒改变之前,开发出有效、省时的治疗方法。我们开发并试点测试了疼痛和创伤强化门诊治疗(PATRIOT)项目,这是一种简短、强化(3 周,6 次疗程)的慢性疼痛和创伤后应激障碍综合治疗方法。本文概述了 PATRIOT 项目的概况和每个疗程的疗程概要,随后介绍了对 PATRIOT 项目的可行性、可接受性和初步疗效进行首次试点评估的结果,评估对象为 8 名合并慢性疼痛和创伤后应激障碍的退伍军人。没有人退出治疗。治疗后,根据创伤后应激障碍临床医师管理评估(CAPS),创伤后应激障碍症状明显减轻。从治疗前到治疗后,疼痛和灾难性思维也有所减少。通过持续的研究和支持,"爱国者计划 "可以为那些通过学习技能来更有效地控制疼痛和创伤后应激障碍的人提供一种简短、经济、更容易获得的治疗方案。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Intensive Treatment of Chronic Pain and PTSD: The PATRIOT Program.

Military combat can result in the need for comprehensive care related to both physical and psychological trauma, most commonly chronic pain and post-traumatic stress disorder (PTSD). These conditions tend to co-occur and result in high levels of distress and interference in everyday life. Thus, it is imperative to develop effective, time-efficient treatments for these conditions before they become chronic and resistant to change. We developed and pilot-tested the Pain and Trauma Intensive Outpatient Treatment (PATRIOT) Program, a brief, intensive (3 weeks, six sessions) integrated chronic pain and PTSD treatment. An overview and session-by-session outline of the PATRIOT Program is provided, followed by results from the first pilot evaluation of the PATRIOT Program's feasibility, acceptability, and preliminary efficacy in a sample of eight participating Veterans with comorbid chronic pain and PTSD. There were no treatment dropouts. At post-treatment, there were significant reductions in PTSD symptoms based on the Clinician-Administered Assessment of PTSD (CAPS). Pain and catastrophic thinking also decreased from pre- to post-treatment. With continued investigations and support, the PATRIOT Program may offer a brief, cost-effective, and more easily accessible treatment option for individuals who could benefit from learning skills to manage pain and PTSD more effectively.

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来源期刊
Behavioral Sciences
Behavioral Sciences Social Sciences-Development
CiteScore
2.60
自引率
7.70%
发文量
429
审稿时长
11 weeks
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