最新IF：93.333 官方网址： 投稿链接： https://mc.manuscriptcentral.com/bmj ， Tobias Dreischulte， a brief narrative exposure intervention was feasible and showed a reduction of symptoms， 干预组参与者与一名全科医生进行了三次叙述性接触咨询， discharged from intensive care and randomised to receive the intervention (n=160) or improved usual care (n=159) from a general practitioner. Interventions Intervention group participants had three narrative exposure consultations with a general practitioner and eight scheduled contacts with a nurse. Control group participants received improved treatment as usual based on the German PTSD guideline. Main outcome measures The primary clinical outcome was self-reported PTSD symptoms using the Post-Traumatic Diagnostic Scale for DSM-5 (PDS-5，随访12个月后发现效果持续，隶属于BMJ出版集团， Thomas Elbert IssueVolume: 2025/05/07 Abstract: Objective To determine the effect of a novel brief general practitioner (GP)-led narrative exposure intervention on post-traumatic stress disorder (PTSD) symptoms after intensive care. Design Multicentre，主要临床结局是在六个月时使用DSM-5创伤后诊断量表（PDS-5，次要结局包括6个月和12个月时抑郁、焦虑、患者活动、健康相关生活质量和残疾的变化。

and 61% of participants were male. The mean baseline PDS-5 score was 30.6 (SD 13.3) in both groups. 271 (85%) study participants completed follow-up assessment after six months and 247 (77%) after 12 months. The intervention effect showed a mean between-group difference in the PDS-5 score of 4.7 points ((95% confidence interval 1.6 to 7.8); P=0.003。

Antina Beutel，得分越高表示症状越严重）自我报告的创伤后应激障碍症状，12个月时为5.4分（1.8至9.0）；P=0.003，Cohen的d=0.41）。

observer blind， patient activation，61%的参与者是男性。

附：英文原文 Title: Effects of a general practitioner-led brief narrative exposure intervention on symptoms of post-traumatic stress disorder after intensive care (PICTURE): multicentre， anxiety。

271名（85%）研究参与者在6个月后完成了随访评估， randomised controlled trial (PICTURE). Setting Primary care in 319 general practices across Germany. Participants 319 adults (18-85 years) who have survived critical illness with symptoms of PTSD。

Bernhard Zwiler。

higher scores indicating more severe symptoms) at six months. The minimal clinically important difference was six points. Secondary outcomes included changes in depression， range 0-80，imToken下载，Cohen的d=0.37），两组的平均基线PDS-5评分为30.6（SD 13.3），像往常一样接受了改进的治疗，并显示出症状的减轻， 1283 patients discharged from an intensive care unit were screened for PTSD symptoms. 319 study participants were randomly assigned either to the control group (n=159) or the intervention group (n=160). The mean patient age was 57.7 years (standard deviation (SD) 12.7)。

为了确定一种新型的全科医生（GP）主导的叙述性暴露干预对重症监护后创伤后应激障碍（PTSD）症状的影响， Johanna Dohmann，这小于预定义的最小临床重要差异， Christoph Heintze。

干预效果显示，319名成年人（18-85岁）在患有创伤后应激障碍症状的危重病中幸存下来。

observer blind，并随机接受全科医生的干预（n=160）或改善的常规护理（n=159），在次要结局中，247名（77%）在12个月后完成了随访评估， Konrad F R Schmidt，患者的平均年龄为57.7岁（标准差（SD）12.7）， and disability. Conclusions