PDF(Pubmed)
Abstract：
Veterans\' quality of life (QoL) can be drastically affected by posttraumatic stress disorder (PTSD). We compared prolonged exposure therapy (PET) with metacognitive therapy (MCT) in their effects on quality of life (QoL) among veterans with post-traumatic stress disorder (PTSD). Overall, 57 veterans with PTSD were randomly assigned to three groups MCT (N = 17), PET (N = 17), and Control (N = 23). The 36-item short-form survey (SF-36) was used to evaluate QoL pretest, posttest, and after a 3-month follow-up. The MCT was based on the practice of detached mindfulness, controlling rumination/anxiety, and challenging negative beliefs about symptoms. The PET was based on in-vivo and imaginal exposure to trauma-related events, and discontinuation of avoidance-oriented coping strategies. Both MCT and PET groups significantly improved QoL at posttest and follow-up, compared with the control group (P < .001); however, the MCT and PET groups showed no significant difference at posttest (P = .644) or follow-up (P = .646). Our results support the efficacy of PET as the standard for PTSD treatment, while also signifying the effectiveness of MCT at increasing the QoL in war-related PTSD at a 3-month follow-up.
摘要：
创伤后应激障碍（PTSD）会严重影响退伍军人的生活质量（QoL）。我们比较了长期暴露疗法（PET）和元认知疗法（MCT）对创伤后应激障碍（PTSD）退伍军人生活质量（QoL）的影响。总的来说,57名患有创伤后应激障碍的退伍军人被随机分配到三个MCT组(N=17)，PET(N=17),和控制（N=23）。36项简短调查(SF-36)用于评估QoL预测试，后测,经过3个月的随访。MCT是基于独立正念的实践，控制沉思/焦虑，挑战对症状的负面信念。PET是基于体内和想象暴露于创伤相关事件，并停止以回避为导向的应对策略。MCT和PET组在测后和随访时均显着改善QoL，与对照组相比(P<.001);然而,MCT组和PET组在测后(P=.644)或随访(P=.646)均无显著差异.我们的结果支持PET作为PTSD治疗标准的疗效，同时也表明在3个月的随访中，MCT在增加与战争有关的PTSD的QoL方面的有效性。
