MTV om behandling og rehabilitering af PTSD - RCT Documentation ...

Figur 22:
Outcome for Vietnamveteraner med PTSD, behandlet i en af tre modeller
Table 2: Outcomes for Veterans With PTSD Treated in Long­Stay Specialized PTSD Units (N=333). Short­Stay PTSD Units (N=222). and General Psychiatric Units (N=230)
Admission Versus Discharge Admission Versus Follow­up
Admission Discharge Model by Time Admission 4 months 8 monts 12 months Model by Time
(df­2)
Postdischarge Postdischarge Postdischarge (df­6)
Outcome Measure Mean SD Mean SD x2 p (a) Mean SD Mean SD Mean SD Mean SD x2 p (a)
0.0001
38.77
0.0001
20.94
18.2
18.43
15.83
84.29
87.89
91.74
19.08
17.61
17.13
84.8
91
91.7
20.2
20.69
19.57
84.32
91.53
91.18
17.27
18.12
17.35
87.79
102.66
97.08
22.13
25.27
17.92
76.43
82.77
81.76
17.27
18.12
17.35
87.79
102.66
97.08
18.28
16.48
13.44
134.99
130.03
133.13
16.31
15.21
14.68
135.32
133.69
136.9
PTSD scores
Clinician-Administered PTSD Scale
Long-stay PTSD units
Short-stay PTSD units
General psychiatric units
Mississippi Scale for Combat-Related
Posttraumatic Stress Disorder
Long-stay PTSD units
Short-stay PTSD units
Kilde: Fontana & Rosenheck ((558), p. 762-63).
212 MTV – behandling og rehabilitering af PTSD
n.s.
8.75
n.s.
7.35
16.08
15.71
14.98
139.29
136.07
137.45
17.52
13.86
13.66
138.09
137.19
137.64
15.99
13.95
14.13
138.16
136.37
136.6
16.31
15.21
14.68
135.32
133.69
136.9
General psychiatric units
0.001
22.78
0.003
11.82
0.14
0.18
0.12
0.58
0.6
0.66
0.16
0.15
0.13
0.58
0.61
0.69
0.16
0.16
0.14
0.57
0.6
0.68
0.14
0.15
0.14
0.59
0.66
0.76
0.14
0.15
0.11
0.45
0.49
0.56
0.14
0.15
0.14
0.59
0.66
0.76
0.001
21.57
0.0001
18.51
0.64
0.61
0.6
2.67
2.58
2.66
0.68
0.59
0.58
2.62
2.52
2.69
0.69
0.63
0.62
2.62
2.53
2.6
0.72
0.64
0.61
2.38
2.37
2.62
0.77
0.7
0.64
2.33
2.12
2.3
0.72
0.64
0.61
2.38
2.37
2.62
0.0001
47.89
0.0001
51.78
0.14
0.14
0.16
0.12
0.1
0.1
0.15
0.13
0.15
0.12
0.09
0.09
0.17
0.14
0.18
0.13
0.1
0.11
0.14
0.18
0.26
0.08
0.11
0.16
0.12
0.08
0.06
0.06
0.03
0.03
0.14
0.18
0.26
0.08
0.11
0.16
n.s.
6.2
0.003
11.5
0.08
0.07
0.09
0.04
0.03
0.04
0.07
0.05
0.07
0.04
0.03
0.03
0.09
0.06
0.07
0.05
0.02
0.03
0.08
0.07
0.11
0.04
0.02
0.04
0.08
0.04
0.04
0.04
0.01
0.01
0.08
0.07
0.11
0.04
0.02
0.04
13.38 n.s.
49.23 0.0001
4.97
5.46
5.14
7.5
7.88
7.52
4.94
4.07
4.52
8.06
6.57
8.1
4.89
4.64
4.69
7.88
7.54
7.95
6.22
6.18
6.16
11.1
10.59
11.66
4.8
3.51
3.17
7.93
3.91
5.51
6.22
6.18
6.16
11.1
10.59
11.65
Psychiatric symptom scores
Addiction Severity Index
Long-stay PTSD units
Short-stay PTSD units
General psychiatric units
Brief Symptom Inventory
Long-stay PTSD units
Short-stay PTSD units
General psychiatric units
Addiction Severity Index
ratings of substance abuse
Alcohol
Long-stay PTSD units
Short-stay PTSD units
General psychiatric units
Drugs
Long-stay PTSD units
Short-stay PTSD units
General psychiatric units
Rating of violent behaviors
and thoughts (17)
Long-stay PTSD units
Short-stay PTSD units
General psychiatric units
11.94 n.s.
21.92 0.0001
11.34
12.93
10.94
22.34
25.5
22.77
11.87
12.52
9.86
23.31
27.23
22.78
12.9
12.65
11.28
25.21
29.4
24.55
13.95
14.81
13.31
25.61
27.05
26.57
12.61
14.8
9.44
23.5
28.54
20.71
13.95
14.81
13.31
25.61
27.05
26.57
Rating of social involvement (b)
Long-stay PTSD units
Short-stay PTSD units
General psychiatric units
7.42 n.s.
– –
5.01
5.42
4.62
5.65
1.69
2.1
5.62
5.18
6
2.54
1.75
2.5
5.91
6.96
2.25
2.69
–
–
–
–
–
–
–
–
–
–
–
–
Days veteran worked for pay
in past month
Long-stay PTSD units
Short-stay PTSD units
4.68
1.73
2.23
1.81
5.59
2.37
6.25
2.54
General psychiatric units
a) Benferroni-corrected probability level is 0.006. b) Sum of three standardized variables: the number of people one felt close to, frequency of contact with
them, and amount of participation in social activities (18).