@Article{信息:doi 10.2196 / / jmir。3582，作者=“Knaevelsrud, Christine and Brand, Janine and Lange, Alfred and ruward, Jeroen and Wagner, Birgit”，标题=“阿拉伯战争创伤患者创伤后应激障碍的网络心理治疗:随机对照试验”，期刊=“J Med Internet Res”，年=“2015”，月=“Mar”，日=“20”，卷=“17”，数=“3”，页=“e71”，关键词=“创伤后应激障碍”;中东;战争;暴力;认知疗法;精神卫生服务;摘要=“背景:近年来，中东地区的武装冲突导致创伤性事件暴露率很高。尽管对提供精神卫生保健的需求不断增加，但持续不断的暴力限制了提供精神卫生保健的传统方法。基于互联网的创伤后应激障碍(PTSD)干预措施在西方国家已被证明是可行和有效的，但其在战争和冲突地区的适用性和有效性尚不清楚。 Objective: This study investigated the efficacy of a cognitive behavioral Internet-based intervention for war-traumatized Arab patients, with focus on Iraq. Methods: A total of 159 individuals with PTSD participated in a parallel group randomized trial. Participants were randomly allocated by a computer-generated sequence to a treatment group (n=79) or a waiting list control group (n=80). The treatment group received 2 weekly 45-minute cognitive behavioral interventions via Internet over a 5-week period (10 sessions in total). The primary outcome was recovery from posttraumatic stress symptoms. Results: Posttraumatic stress symptoms were significantly reduced from baseline to posttreatment (intention-to-treat analysis) in the treatment group relative to the control group (F1,157=44.29, P<.001, d=0.92). Treatment effects were sustained at 3-month follow-up. Completer analysis indicated that 29 of 47 patients (62{\%}) in the treatment group had recovered from posttraumatic stress symptoms at posttreatment (reliable change and Posttraumatic Stress Diagnostic Scale score <20) versus 1 patient (2{\%}) in the control group (OR 74.19, 95{\%} CI 9.93-585.8, P<.001) indicating that the chance of recovering was 74.19 times higher in the treatment than in the control group. Conclusions: The results indicate, even in unstable and insecure settings with ongoing exposure to human rights violations through war and dictatorships, people with posttraumatic stress symptoms benefit from a cognitive behavioral treatment provided entirely through the Internet. This method of delivery could improve patients' access to humanitarian aid in the form of e-mental health services. Trial Registration: Australian New Zealand Clinical Trial Registry, ACTRN12611001019998; https://www.anzctr.org.au/Trial/Registration/TrialReview.aspx?id=347505 (Archived by WebCite at http://www.webcitation.org/6Wto4HCdH). ", issn="1438-8871", doi="10.2196/jmir.3582", url="//www.mybigtv.com/2015/3/e71/", url="https://doi.org/10.2196/jmir.3582", url="http://www.ncbi.nlm.nih.gov/pubmed/25799024" }