对于PTSD的认知行为夫妇治疗的影响:一个随机对照试验
Candice M Monson1, Steffany J Fredman, Alexandra Macdonald
1Ryerson University, Department of Psychology, 350 Victoria Ave, Toronto, ON M5B 2K3, Canada. candice.monson@psych.ryerson.ca
JAMA
|August 16, 2012
概括
对PTSD的认知行为联合治疗显著减少了PTSD症状,并改善了受影响夫妇的关系满意度. 这些积极的结果在3个月的随访中得到维持,证明了治疗的有效性.
科学领域:
- 精神病学和行为科学 精神病学和行为科学
- 临床心理学 临床心理学
- 情侣治疗研究研究 情侣治疗研究
背景情况:
- 创伤后应激障碍 (PTSD) 经常与亲密关系的挑战同时发生.
- 关系因素显著影响患有PTSD的个体的治疗结果.
研究的目的:
- 与等待名单对照相比,评估PTSD的认知行为联合治疗 (CBCT) 的疗效.
- 同时评估CBCT对PTSD症状严重程度和关系满意度的影响.
主要方法:
- 一项随机对照试验涉及40对异性恋和同性恋夫妇,其中一名伴侣患有PTSD.
- 参与者要么立即接受15个会议的CBCT治疗PTSD,要么被列入等待名单.
- 包括PTSD严重程度,并发症症状和关系满意度在内的结果被盲目的评估者在多个时间点和3个月的随访中评估.
主要成果:
- 与等待名单条件相比,PTSD的认知行为联合治疗导致PTSD症状严重程度的显著降低.
- 接受情侣治疗的患者报告的亲密关系满意度明显高于等待名单组的患者.
- 对于PTSD症状和关系满意度的治疗效益在3个月的随访中持续存在.
结论:
- 对创伤后应激障碍的认知行为联合治疗对于伴侣中一方患有创伤后应激障碍的夫妇来说是一种有效的干预.
- 该疗法成功地降低了PTSD症状严重程度和并发性症状,同时提高了人际关系的满意度.
- 专注于夫妇治疗为管理PTSD及其关系影响提供了一种有价值的方法.
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