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The Evidence for Present-Centered Therapy as a Treatment for Posttraumatic Stress Disorder

Authors

  • Nickolas D. Frost,

    1. Department of Counseling Psychology, University of Wisconsin, Madison, Wisconsin, USA
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  • Kevin M. Laska,

    1. Department of Counseling Psychology, University of Wisconsin, Madison, Wisconsin, USA
    2. Bedford VA Medical Center, Bedford, Massachusetts, USA
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  • Bruce E. Wampold

    Corresponding author
    1. Department of Counseling Psychology, University of Wisconsin, Madison, Wisconsin, USA
    2. Research Institute, Modum Bad Psychiatric Center, Vikersund, Norway
    • Correspondence concerning this article should be addressed to Bruce Wampold, Department of Counseling Psychology, 335 Education Building, 1000 Bascom Mall, University of Wisconsin, Madison WI 53706. E-mail: wampold@education.wisc.edu

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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.

Traditional and Simplified Chinese Abstracts by AsianSTSS

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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