创伤后应激障碍的叙事暴露疗法

P. Grech, R. Grech
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引用次数: 7

摘要

叙述暴露疗法(NET)是一种相对较新的治疗方法,可能对患有创伤后应激障碍(PTSD)的个体有益。本综述的目的是探讨NET治疗PTSD症状的机制、证据基础和有效性。使用Medline、PsycINFO、EMBASE和Cochrane中央对照试验登记册(Central)进行文献检索。论文、评论文章和灰色文献的参考文献列表也被手工检索。调查结果在叙述性评论中提出。尽管在应用前和应用过程中必须仔细考虑文化问题,但对NET的新兴研究表明,它是一种潜在的有效和可获得的创伤后应激障碍症状治疗方法。目前关于NET的研究提供了证据,证明其有效性,特别是对最初打算为其服务的难民人口。它还有其他吸引人的特点,比如它的可达性和文化考虑。但是,必须注意到现有研究方法的局限性,特别是小样本量。
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Narrative Exposure Therapy for Post-Traumatic Stress Disorder
Narrative Exposure Therapy (NET) is a relatively novice treatment that may be beneficial for use with individuals who suffer from Post-traumatic Stress Disorder (PTSD). The aim of this review was to explore the mechanism, evidence-base and effectiveness of NET in remediating PTSD symptoms. A literature search was carried out using Medline, PsycINFO, EMBASE and The Cochrane Central Register of Controlled Trials (CENTRAL). Reference lists of papers, review articles and grey literature were also hand searched. Findings were presented in a narrative review. The emerging research on NET presents it as a potentially effective and accessible treatment of PTSD symptoms though careful consideration of cultural issues must be made prior to and during application. Current research on NET provides evidence on its effectiveness especially with refugee populations for whom it was initially intended. It also has additional attractive characteristics such as its accessibility and cultural consideration. However methodological limitations of existing studies, in particular the small sample sizes, have to be noted.
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