Background: Post-traumatic stress disorder (PTSD) is a psychiatric disorder commonly caused by a traumatic event(s) and prevalent among service members and veterans. Accelerated Resolution Therapy (ART) is an emerging "mind-body" psychotherapy for PTSD that is generally briefer and less expensive than current first-line treatments, such as cognitive processing therapy (CPT) and prolonged exposure (PE) therapy. Objective: This study aimed to examine the results of ART for treatment of military-related PTSD, with stratification by prior history of PTSD treatment, including refractory PTSD following receipt of guideline-driven first-line psychotherapy. Methods: The study compares the PTSD treatment results of ART between (military service members and/or) veterans with a prior history of PTSD treatment (medication only, n=40; first-line psychotherapy, n=33; other psychotherapy, n=42) and a treatment-naive group (n=33). Participants were assessed at baseline, post-treatment, and 3- or 6-month follow-up using PCL-M scores (PTSD checklist). Results: Mean age was 43.8 years, 95% male, 84% white race. The treatment completion rate was 72% with a mean of 3.5 treatment sessions. Within-group standardized effect sizes for pre-to-post changes in PTSD scores (PCL-M) were large at 1.11, 1.88, 1.03, and 1.48 for the medication only, first-line psychotherapy, other psychotherapy, and treatment-naive groups, respectively (p=0.02 for between-group comparison). Similar results were observed for measures of depression and anxiety, and baseline to follow-up results was generally similar. Conclusions: In a brief treatment period, ART appears to result in substantial reductions in symptoms of PTSD among veterans, including those previously treated (unsuccessfully) with first-line psychotherapies endorsed by the U.S. Department of Defense (DoD) and Veterans Affairs (VA). These results suggest that ART be considered as a treatment modality for veterans with refractory PTSD.

中文翻译：

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接受和未接受PTSD治疗的退伍军人之间创伤后应激障碍（PTSD）的加速分辨疗法（ART）的比较

背景：创伤后应激障碍（PTSD）是一种精神疾病，通常由创伤事件引起，并普遍存在于服务人员和退伍军人中。加速分辨疗法（ART）是针对PTSD的新兴“心理”心理疗法，通常比当前的一线疗法（如认知加工疗法（CPT）和长期暴露（PE）疗法）更短，更便宜。目的：本研究旨在检查ART的治疗军事相关PTSD的结果，并按PTSD的既往治疗史（包括接受指南驱动的一线心理治疗后的难治性PTSD）进行分层。方法：本研究比较了在军人和/或退伍军人中有PTSD治疗史的PTSD治疗结果（仅药物治疗，n = 40； n = 40）。一线心理治疗，n = 33；其他心理治疗，n = 42）和未接受治疗的组（n = 33）。使用PCL-M评分（PTSD清单）在基线，治疗后以及3个月或6个月的随访中对参与者进行评估。结果：平均年龄为43.8岁，男性占95％，白人占84％。治疗完成率为72％，平均疗程为3.5次。仅药物治疗，一线心理治疗，其他心理治疗和单纯治疗组的PTSD评分前后变化（PCL-M）的组内标准化效应量较大，分别为1.11、1.88、1.03和1.48 ，分别（对于组间比较，p = 0.02）。抑郁和焦虑的测量结果相似，基线与随访结果基本相似。结论：在短暂的治疗期间，ART似乎可以大大降低退伍军人的PTSD症状，包括先前接受（但未成功）接受美国国防部（DoD）和退伍军人事务（VA）认可的一线心理疗法治疗的人。这些结果表明，ART被视为难治性PTSD退伍军人的治疗方式。