Brief eclectic psychotherapy for PTSD: a randomized controlled trial.

摘要: To the Editor: Trauma-focused cognitive-behavioral therapy (CBT) and eye movement desensitization reprocessing are empirically supported treatments for posttraumatic stress disorder (PTSD).1 However, dropout rates from CBT studies usually around 20%; up to 58% of patients who completed still diagnosed with PTSD at posttreatment assessment. Furthermore, only 32%–66% achieve good end-state functioning. Therefore, there is a need further development in field.2 Brief eclectic psychotherapy (BEP), fully manualized, 16-session multimodal treatment approach, differs trauma-focused that (1) aim exposure catharsis rather than habituation/extinction; (2) use mementos farewell ritual, applied grief work, added; (3) psychodynamic elements such as reflecting on connection between early life experiences processing adult trauma, or implicit transference phenomena, introduced domain meaning integration. BEP has proved be effective reducing symptoms police officers3 survivors interpersonal violence, accidents, disasters.4 In single photon emission computed tomography study, was shown modulate functioning specific PTSD-related sites prefrontal cortex,5 while magnetic resonance imaging scans did not detect any treatment-related changes hippocampal volumes.6 responders showed reduced heart rate responsivity trauma scripts7 an increase cortisol dehydroepiandrosterone levels.8 These promising results deserve augmentation by independent research group. we conducted randomized, controlled trial vs “minimal attention” control group sample suffering chronic had experienced variety traumatic events.