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标题：Examining potential contraindications for prolonged exposure therapy for PTSD
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作者：Agnes van Minnen ; Melanie S. Harned ; Lori Zoellner 等
期刊名称：European Journal of Psychotraumatology
印刷版ISSN：2000-8198
电子版ISSN：2000-8066
出版年度：2012
卷号：3
DOI：10.3402/ejpt.v3i0.18805
语种：English
出版社：Taylor & Francis Group
摘要：Although prolonged exposure (PE) has received the most empirical support of any treatment for posttraumatic stress disorder (PTSD), clinicians are often hesitant to use PE due to beliefs that it is contraindicated for many patients with PTSD. This is especially true for PTSD patients with comorbid problems. Because PTSD has high rates of comorbidity, it is important to consider whether PE is indeed contraindicated for patients with various comorbid problems. Therefore, in this study, we examine the evidence for or against the use of PE with patients with problems that often co-occur with PTSD, including dissociation, borderline personality disorder, psychosis, suicidal behavior and non-suicidal self-injury, substance use disorders, and major depression. It is concluded that PE can be safely and effectively used with patients with these comorbidities, and is often associated with a decrease in PTSD as well as the comorbid problem. In cases with severe comorbidity, however, it is recommended to treat PTSD with PE while providing integrated or concurrent treatment to monitor and address the comorbid problems.Keywords: PTSD; comorbidity; prolonged exposure; (contra)indicationsFor the abstract or full text in other languages, please see Supplementary files under Reading Toolsonline(Published: 25 July 2012)Citation: European Journal of Psychotraumatology 2012, 3: 18805 - http://dx.doi.org/10.3402/ejpt.v3i0.18805
关键词：PTSD; comorbidity; prolonged exposure; (contra)indications