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Mil Med ; 174(5): 460-9, 2009 May.
Artículo en Inglés | MEDLINE | ID: mdl-20731275

RESUMEN

A meta-analysis was conducted to examine the relative effectiveness of the broad-based treatments for combat-related post-traumatic stress disorder (PTSD). The analysis includes 13 pharmacotherapy studies and 12 psychotherapy studies obtained from a PsychINFO database search and a reference search. Studies of pharmacotherapy treatment efficacy demonstrated a significantly greater decrease in reducing PTSD symptoms, t (22) = -2.74, p = 0.01, d = 0.05. A random coefficient analysis supports this finding with significance determined at p < 0.001 for the fixed effects in the models. A limited examination of depression as a frequently comorbid disorder indicated pharmacotherapy also demonstrated a significantly greater decrease than psychotherapy in depression symptoms, t (15.77) = -2.26, p = 0.04, d = 0.16. Differences between treatments are discussed as potentially reflective of assignment to treatments and assessment techniques as well as therapeutic effects.


Asunto(s)
Trastornos de Combate/terapia , Depresión/terapia , Personal Militar/psicología , Psiquiatría Militar/métodos , Psicoterapia/métodos , Antidepresivos/uso terapéutico , Trastornos de Combate/tratamiento farmacológico , Depresión/tratamiento farmacológico , Humanos , Evaluación de Resultado en la Atención de Salud
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