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Impact of intensive treatment programs for posttraumatic stress disorder on suicidal ideation in veterans and service members.
Psychological Services ( IF 3.097 ) 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计划对退伍军人和军人自杀意念的影响。

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。减少 SI 是降低自杀风险的目标。这项研究检验了利用 PTSD 治疗的 ITP 是否可以减少 SI,以及 SI 的减少是否与 PTSD 症状改善相关。退伍军人 (N = 684) 参加了为期 2 周的长期暴露 (PE)-ITP 或为期 3 周的认知加工治疗 (CPT)-ITP。研究数据取自自我报告措施 [DSM-5 的 PTSD 检查表 (PCL-5);患者健康调查问卷 9 (PHQ-9) 的第 9 项] 在摄入时和整个治疗过程中进行。ITP 对 PTSD 产生了巨大的治疗效果。SI 分数也随着时间的推移而下降。在 PE-ITP 和 CPT-ITP 中,较低的 PTSD 症状严重程度与较轻的 SI 相关。总之,PE-ITP 和 CPT-ITP 在短短 2 周的 PTSD 强化治疗中都能有效治疗 PTSD,并减少退伍军人的 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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