The Evidence for Present‐Centered Therapy as a Treatment for Posttraumatic Stress Disorder
Identifieur interne : 000F79 ( Main/Exploration ); précédent : 000F78; suivant : 000F80The Evidence for Present‐Centered Therapy as a Treatment for Posttraumatic Stress Disorder
Auteurs : Nickolas D. Frost [États-Unis] ; Kevin M. Laska [États-Unis] ; Bruce E. Wampold [États-Unis, Norvège]Source :
- Journal of Traumatic Stress [ 0894-9867 ] ; 2014-02.
Abstract
To examine the evidence for present‐centered therapy (PCT) as a treatment for posttraumatic stress disorder (PTSD), 5 randomized clinical trials that compared PCT to an existing evidence‐based treatment for PTSD were reviewed. A meta‐analysis was used to estimate between‐treatment differences on targeted measures, secondary measures, and dropout. PCT was found to be as efficacious as the comparison evidence‐based treatment in 3 of the 5 trials, and in the 2 cases where a no‐treatment condition was included, PCT was superior, with large effect sizes for targeted variables (d = 0.88, 0.74, and 1.27). When results were aggregated using meta‐analysis, effects for PCT versus an evidence‐based treatment for both targeted and secondary measures were small and nonsignificant (d = 0.13 and d = 0.09, respectively). As well, the dropout rate for PCT was significantly less than for the comparison evidence‐based treatments (14.3% and 31.3%, respectively). It appears that PCT is an efficacious and acceptable treatment for PTSD.
標題：「聚焦現在」治療作為創傷後壓力症治療的依據 撮要：本文回顧五個比較「聚焦現在」治療(PCT)和現存治療創傷後壓力症(PTSD)的實證為本療法的隨機臨床研究，以檢視PCT 作為PTSD 治療的依據。元分析會評估在目標量度、次量度和流失者各方面不同治療的差別。在五個研究中，有三個研究都發現PCT 與其他治療療效相當，而其中兩個包括「無治療」組別的研究都指出PCT更有效和有更大的目標變量(d=0.88, 0.74,和1.27)有效值。使用元分析聚合研究這些結果，在目標和次量度方面，PCT 對比實證為本治療的效果是輕微及統計學上不明顯的(分別是d=0.13和d=0.09)。再者，PCT 對比其他療法有明顯較低流失率(分別是14.3%和31.3%)。PCT 看來是治療PTSD的一種有效及容易接受的療法。 标题：「聚焦现在」治疗作为创伤后压力症治疗的证据 撮要：本文回顾五个比较「聚焦现在」治疗(PCT)和现存治疗创伤后压力症(PTSD)的实证为本疗法的随机临床研究，以检视PCT 作为PTSD 治疗的证据。元分析会评估在目标量度、次量度和流失者各方面不同治疗的差别。在五个研究中，有三个研究都发现PCT 与其他治疗疗效相当，而其中两个包括「无治疗」组别的研究都指出PCT更有效和有更大的目标变量(d=0.88, 0.74,和1.27)有效值。使用元分析聚合研究这些结果，在目标和次量度方面，PCT 对比实证为本治疗的效果是轻微及统计学上不明显的(分别是d=0.13和d=0.09)。再者，PCT 对比其他疗法有明显较低流失率(分别是14.3%和31.3%)。PCT 看来是治疗PTSD的一种有效及容易接受的疗法。
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DOI: 10.1002/jts.21881
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Wampold</name><affiliation wicri:level="2"><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Counseling Psychology, University of Wisconsin, Madison, Wisconsin</wicri:regionArea><placeName><region type="state">Wisconsin</region></placeName></affiliation><affiliation wicri:level="1"><country xml:lang="fr">Norvège</country><wicri:regionArea>Research Institute, Modum Bad Psychiatric Center, Vikersund</wicri:regionArea><wicri:noRegion>Vikersund</wicri:noRegion></affiliation><affiliation wicri:level="1"><country wicri:rule="url">États-Unis</country></affiliation></author></analytic><monogr></monogr><series><title level="j" type="main">Journal of Traumatic Stress</title><title level="j" type="alt">JOURNAL OF TRAUMATIC STRESS</title><idno type="ISSN">0894-9867</idno><idno type="eISSN">1573-6598</idno><imprint><biblScope unit="vol">27</biblScope><biblScope unit="issue">1</biblScope><biblScope unit="page" from="1">1</biblScope><biblScope unit="page" to="8">8</biblScope><biblScope unit="page-count">8</biblScope><date type="published" when="2014-02">2014-02</date></imprint><idno type="ISSN">0894-9867</idno></series></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">0894-9867</idno></seriesStmt></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract">To examine the evidence for present‐centered therapy (PCT) as a treatment for posttraumatic stress disorder (PTSD), 5 randomized clinical trials that compared PCT to an existing evidence‐based treatment for PTSD were reviewed. A meta‐analysis was used to estimate between‐treatment differences on targeted measures, secondary measures, and dropout. PCT was found to be as efficacious as the comparison evidence‐based treatment in 3 of the 5 trials, and in the 2 cases where a no‐treatment condition was included, PCT was superior, with large effect sizes for targeted variables (d = 0.88, 0.74, and 1.27). When results were aggregated using meta‐analysis, effects for PCT versus an evidence‐based treatment for both targeted and secondary measures were small and nonsignificant (d = 0.13 and d = 0.09, respectively). As well, the dropout rate for PCT was significantly less than for the comparison evidence‐based treatments (14.3% and 31.3%, respectively). It appears that PCT is an efficacious and acceptable treatment for PTSD.</div><div type="abstract" xml:lang="zh">標題：「聚焦現在」治療作為創傷後壓力症治療的依據 撮要：本文回顧五個比較「聚焦現在」治療(PCT)和現存治療創傷後壓力症(PTSD)的實證為本療法的隨機臨床研究，以檢視PCT 作為PTSD 治療的依據。元分析會評估在目標量度、次量度和流失者各方面不同治療的差別。在五個研究中，有三個研究都發現PCT 與其他治療療效相當，而其中兩個包括「無治療」組別的研究都指出PCT更有效和有更大的目標變量(d=0.88, 0.74,和1.27)有效值。使用元分析聚合研究這些結果，在目標和次量度方面，PCT 對比實證為本治療的效果是輕微及統計學上不明顯的(分別是d=0.13和d=0.09)。再者，PCT 對比其他療法有明顯較低流失率(分別是14.3%和31.3%)。PCT 看來是治療PTSD的一種有效及容易接受的療法。 标题：「聚焦现在」治疗作为创伤后压力症治疗的证据 撮要：本文回顾五个比较「聚焦现在」治疗(PCT)和现存治疗创伤后压力症(PTSD)的实证为本疗法的随机临床研究，以检视PCT 作为PTSD 治疗的证据。元分析会评估在目标量度、次量度和流失者各方面不同治疗的差别。在五个研究中，有三个研究都发现PCT 与其他治疗疗效相当，而其中两个包括「无治疗」组别的研究都指出PCT更有效和有更大的目标变量(d=0.88, 0.74,和1.27)有效值。使用元分析聚合研究这些结果，在目标和次量度方面，PCT 对比实证为本治疗的效果是轻微及统计学上不明显的(分别是d=0.13和d=0.09)。再者，PCT 对比其他疗法有明显较低流失率(分别是14.3%和31.3%)。PCT 看来是治疗PTSD的一种有效及容易接受的疗法。</div></front></TEI><affiliations><list><country><li>Norvège</li><li>États-Unis</li></country><region><li>Wisconsin</li></region></list><tree><country name="États-Unis"><noRegion><name sortKey="Frost, Nickolas D" sort="Frost, Nickolas D" uniqKey="Frost N" first="Nickolas D." last="Frost">Nickolas D. 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