当前位置: X-MOL 学术Eur. J. Psychotraumatol. › 论文详情
Our official English website, www.x-mol.net, welcomes your feedback! (Note: you will need to create a separate account there.)
Response of young patients with probable ICD-11 complex PTSD to treatment with developmentally adapted cognitive processing therapy
European Journal of Psychotraumatology ( IF 5.783 ) Pub Date : 2021-06-30 , DOI: 10.1080/20008198.2021.1929024
Rebekka Eilers 1 , Eline Rimane 1 , Anna Vogel 1 , Babette Renneberg 2 , Regina Steil 3, 4 , Rita Rosner 1
Affiliation  

ABSTRACT

Background: ICD-11 features Complex Posttraumatic Stress Disorder (CPTSD) as a new diagnosis. To date, very few studies have investigated CPTSD in young patients, and there is a need for evidence on effective treatment.

Objective: The present study evaluates the applicability of developmentally adapted cognitive processing therapy (D-CPT) for CPTSD in young patients in a secondary analysis of the treatment condition of a randomized controlled trial (RCT) investigating the efficacy of D-CPT.

Methods: The D-CPT treatment group in the original study included 44 patients (14–21 years) with DSM-IV PTSD after childhood abuse. We used the ICD-11 algorithm to divide the sample into a probable CPTSD and a non-CPTSD group. We performed multilevel models for interviewer-rated and self-rated PTSD symptoms with fixed effects of group (CPTSD, non-CPTSD) and time (up to 12 months follow-up) and their interaction. Treatment response rates for both groups were calculated.

Results: Nineteen (43.2%) patients fulfilled criteria for probable ICD-11 CPTSD while 25 (56.8%) did not. Both CPTSD and non-CPTSD groups showed symptom reduction over time. The CPTSD group reported higher symptom severity before and after treatment. Linear improvement and treatment response rates were similar for both groups. D-CPT reduced symptoms of disturbances in self-regulation in both groups.

Discussion: Both, patients with and without probable ICD-11 CPTSD seemed to benefit from D-CPT and the treatment also reduced disturbances in self-regulation.

Conclusion: This study presents initial evidence of the applicability of D-CPT in clinical practice for young patients with CPTSD. It remains debatable whether CPTSD implies different treatment needs as opposed to PTSD.



中文翻译:

可能患有 ICD-11 复杂 PTSD 的年轻患者对发育适应性认知加工疗法治疗的反应

摘要

背景:ICD-11 将复杂性创伤后应激障碍 (CPTSD) 作为一项新诊断。迄今为止,很少有研究调查年轻患者的 CPTSD,因此需要有效治疗的证据。

目的:本研究通过对调查 D-CPT 疗效的随机对照试验 (RCT) 的治疗条件进行二次分析,评估了发育适应性认知加工疗法 (D-CPT) 对年轻患者 CPTSD 的适用性。

方法:原始研究中的 D-CPT 治疗组包括 44 名儿童期虐待后患有 DSM-IV PTSD 的患者(14-21 岁)。我们使用 ICD-11 算法将样本分为可能的 CPTSD 和非 CPTSD 组。我们对采访者评定和自我评定的 PTSD 症状进行了多层次模型,具有组别(CPTSD、非 CPTSD)和时间(长达 12 个月的随访)及其相互作用的固定效应。计算了两组的治疗反应率。

结果:19 名 (43.2%) 患者符合可能的 ICD-11 CPTSD 标准,而 25 名 (56.8%) 患者不符合。CPTSD 和非 CPTSD 组都显示随着时间的推移症状减轻。CPTSD 组在治疗前后报告了更高的症状严重程度。两组的线性改善和治疗反应率相似。D-CPT 减少了两组自我调节障碍的症状。

讨论:患有和不患有可能的 ICD-11 CPTSD 的患者似乎都受益于 D-CPT,并且治疗也减少了自我调节的障碍。

结论:本研究提供了 D-CPT 在年轻 CPTSD 患者临床实践中的适用性的初步证据。CPTSD 是否意味着与 PTSD 不同的治疗需求仍然存在争议。

更新日期:2021-06-30
down
wechat
bug