创伤症状,恢复,并参与健康管理和恢复(WMR)计划

Alisha D. Lee, W. A. Bullock, Janet Hoy
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引用次数: 2

摘要

尽管创伤后应激障碍(PTSD)在严重精神疾病(SMI)患者中的患病率不成比例,并且出现了有效的创伤特异性治疗方法来治疗合并PTSD/SMI,但PTSD在这一人群中的治疗仍然不足。文献指出了造成这种情况的两个原因:重度精神分裂症患者对PTSD的诊断不足,以及缺乏临床医生对创伤特异性问题的信心/培训。一项荟萃分析发现,非创伤特异性组减轻了非重度精神分裂症人群的创伤症状。在此背景下,本研究的目的是确定具有严重精神障碍和创伤症状的个体在完成非创伤特异性、以康复为重点的群体治疗——健康管理和康复(WMR)计划后,是否报告创伤症状减轻。通过心理健康恢复测量和创伤后应激障碍检查表获得54名参与者的wmr前后数据。参与者报告在心理健康恢复方面有显著改善,创伤症状显著减少。结果表明,wmr——一个非创伤特异性小组项目——可能为那些可能无法获得循证创伤特异性治疗和/或可能不希望专门解决创伤问题的重度精神分裂症患者提供减少创伤症状的希望。有必要进一步探索WMR参与减少重度精神分裂症患者创伤症状的潜力。
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Trauma symptoms, recovery, and participation in the Wellness Management and Recovery (WMR) program
ABSTRACT Despite the disproportionate prevalence of posttraumatic stress disorder (PTSD) among individuals with severe mental illness (SMI), and the emergence of effective trauma-specific treatments for comorbid PTSD/SMI, PTSD remains undertreated in this population. Literature points to two reasons for such: underdiagnosing of PTSD among individuals with SMI, and lack of clinician confidence/training in trauma-specific issues. A meta-analysis found non-trauma-specific groups reduced trauma symptoms in non-SMI populations. Against this backdrop, the purpose of this study was to determine whether individuals with SMI and trauma symptoms reported reduced trauma symptoms following completion of a non-trauma-specific, recovery-focused group treatment, the Wellness Management and Recovery (WMR) program. Pre- and post-WMR data were obtained from 54 participants via the Mental Health Recovery Measure and Posttraumatic Stress Disorder Checklist. Participants reported significant improvements in mental health recovery, and significant decreases in trauma symptoms. Results suggested that WMR—a non-trauma-specific group program—may offer promise in reducing trauma symptoms among individuals with SMI who may not have access to evidence-based trauma-specific treatments and/or who may not wish to specifically address trauma issues. Further exploration of the potential of WMR participation to reduce trauma symptoms among individuals with SMI is warranted.
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