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Impact of intensive treatment programs for posttraumatic stress disorder on suicidal ideation in veterans and service members.
Psychological Services ( IF 1.9 ) Pub Date : 2021-04-08 , DOI: 10.1037/ser0000518
Loren M Post 1 , Philip Held 1 , Dale L Smith 1 , Kathryn Black 1 , Rebecca Van Horn 1 , Mark H Pollack 1 , Barbara O Rothbaum 1 , Sheila A M Rauch 1
Affiliation  

Intensive treatment programs (ITPs) are treating veterans with posttraumatic stress disorder (PTSD) and suicidal ideation (SI). The reduction of SI is a target to the abatement of suicide risk. This study examined whether ITPs utilizing PTSD treatments reduce SI and whether SI reduction is associated with PTSD symptom improvement. Veterans (N = 684) enrolled in a 2-week Prolonged Exposure (PE)-ITP or a 3-week Cognitive Processing Therapy (CPT)-ITP. Study data were drawn from self-report measures [PTSD Checklist for DSM-5 (PCL-5); item 9 of the Patient Health Questionnaire-9 (PHQ-9)] administered at intake and throughout treatment. The ITPs produced large treatment effects for PTSD. SI scores also decreased over time. Lower PTSD symptom severity was associated with less severe SI in both the PE-ITP and CPT-ITP. In conclusion, both PE- and CPT-ITPs effectively treat PTSD and reduce SI among veterans in as little as 2 weeks of intensive PTSD treatment. (PsycInfo Database Record (c) 2021 APA, all rights reserved).

中文翻译:

创伤后应激障碍强化治疗方案对退伍军人和服务人员自杀意念的影响。

强化治疗计划(ITP)正在治疗患有创伤后应激障碍(PTSD)和自杀意念(SI)的退伍军人。降低SI是降低自杀风险的目标。这项研究检查了使用PTSD治疗的ITP是否降低SI,以及SI降低是否与PTSD症状改善相关。退伍军人(N = 684)参加了2周的长时间暴露(PE)-ITP或3周的认知加工治疗(CPT)-ITP。研究数据来自自我报告指标[DSM-5的PTSD清单(PCL-5);在摄入过程中和整个治疗过程中都要进行“患者健康问卷9(PHQ-9)”的第9项。ITP对PTSD产生了巨大的治疗效果。SI分数也随时间下降。较低的PTSD症状严重程度与PE-ITP和CPT-ITP中较低的SI严重程度相关。综上所述,PE和CPT-ITP都可以在短短2周的强化PTSD治疗中有效治疗PTSD,并降低退伍军人的SI。(PsycInfo数据库记录(c)2021 APA,保留所有权利)。
更新日期:2021-04-08
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