Treatment of posttraumatic stress disorder: A review

被引:139
作者
Shalev, AY
Bonne, O
Eth, S
机构
[1] Center for Traumatic Stress, Hadassah University Hospital, Jerusalem
[2] Center for Traumatic Stress, Department of Psychiatry, Hadassah University Hospital, Jerusalem, 91120
来源
PSYCHOSOMATIC MEDICINE | 1996年 / 58卷 / 02期
关键词
biopsychosocial framework; posttraumatic stress disorder;
D O I
10.1097/00006842-199603000-00012
中图分类号
R749 [精神病学];
学科分类号
100205 ;
摘要
This article analyzes the literature on the treatment of posttraumatic stress disorder (PTSD). It briefly exposes the theoretical basis for each treatment modality and extensively examines pharmacological, behavioral, cognitive, and psychodynamic therapies, as well as group and family therapies, hypnosis, inpatient treatment, and rehabilitation. Articles were identified by scanning Medline and PsychLit for all papers in English reporting treatment of PTSD. Anecdotal case reports were, then, excluded. Eighty one articles were identified and categorized as either biological or psychological, with the latter category further divided into behavioral, cognitive, psychodynamic, and other treatment modalities. Information regarding the type of trauma, the sample studied, the treatment method, and the results of the treatment has been extracted from each article and is presented briefly. A synthesis of findings in each area is provided. Most studies explored a single treatment modality (e.g., pharmacological, behavioral). The cumulated evidence from these studies suggests that several treatment protocols reduce PTSD symptoms and improve the patient's quality of life. The magnitude of the results, however, is often limited, and remission is rarely achieved. Given the shortcoming of unidemnsional treatment of PTSD, it is suggested that combining biological, psychological, and psychosocial treatment may yield better results. It is further argued that rehabilitative goals should replace curative techniques in those patients with chronic PTSD. A framework for identifying targets for each treatment modality is presented.
引用
收藏
页码:165 / 182
页数:18
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