检查情绪处理理论和结果的预测因素在长期暴露PTSD
Elizabeth Alpert1, Adele M Hayes1, Edna B Foa2
1Department of Psychological and Brain Sciences, University of Delaware, United States.
Behaviour research and therapy
|June 12, 2023
概括
认知变化,特别是减少负面创伤思想和认知硬性,预测长期暴露 (PE) 治疗创伤后应激障碍 (PTSD) 的更好的结果. 仅仅是情绪激活并不能预测症状的改善.
科学领域:
- 心理学 心理学 心理学
- 临床心理学 临床心理学
- 心理治疗研究 心理治疗研究
背景情况:
- 长期暴露 (PE) 是创伤后应激障碍 (PTSD) 的一种成熟的治疗方法.
- 了解PE变化的机制对于优化治疗至关重要.
- 情绪处理被认为是成功治疗PTSD的关键组成部分.
研究的目的:
- 为了确定治疗结果的关键预测因素在PTSD的PE.
- 检查PE课程期间情绪处理的促进者和指标.
- 区分认知和情绪变化作为PE的机制.
主要方法:
- 视频录制的PE课程的观察编码,其中42名成年人被诊断患有PTSD.
- 评估负面情绪激活,与创伤相关的认知 (负面和积极) 以及认知刚性的评估.
- 通过自我报告和临床访谈评估PTSD症状的改善.
主要成果:
- 与创伤相关的负面认知有较大的下降,预测PTSD症状在自我报告措施上有所改善.
- 较低的平均认知刚性也预测了自报告措施的PTSD症状改善.
- 峰值情绪激活,减少负面情绪和增加积极认知并没有预测改善.
结论:
- 认知变化,特别是与创伤相关的认知和认知刚性,是PTSD成功PE结果的重要预测因素.
- 这些发现强调了PE过程中情绪处理中的认知转变的重要性.
- 讨论了精炼情绪处理理论和PE临床应用的含义.
更多相关视频
09:55Use of a Psychophysiological Script-driven Imagery Experiment to Study Trauma-related Dissociation in Borderline Personality Disorder
Published on: March 8, 2018
12.5K
08:20Simultaneous Application of Transcranial Direct Current Stimulation during Virtual Reality Exposure
Published on: January 18, 2021
4.1K
相关概念视频
Post-traumatic Stress Disorder
76
Post-traumatic stress disorder (PTSD) is a psychiatric condition that arises following exposure to traumatic events such as natural disasters, forced displacement, or severe accidents. It significantly impairs individuals' ability to cope with daily activities and disrupts their emotional and psychological equilibrium.
Symptoms and Behavioral Manifestations
A spectrum of distressing symptoms characterizes PTSD. Recurrent flashbacks, where individuals involuntarily relive traumatic events,...
Symptoms and Behavioral Manifestations
A spectrum of distressing symptoms characterizes PTSD. Recurrent flashbacks, where individuals involuntarily relive traumatic events,...
76
Traumatic Memory
136
Emotionally traumatic events often lead to memories that are exceptionally vivid and enduring, sometimes persisting with remarkable clarity throughout an individual's life. A classic example of this phenomenon is a person who survives a car accident. Even years later, they may recall every detail of the event with startling accuracy — the screeching of the tires, the jarring impact, and the acrid smell of burning rubber. Such vividness contrasts sharply with how an individual...
136
Psychological Responses to Stress
79
Psychological responses to stress encompass the various cognitive and emotional reactions individuals experience when faced with challenging or threatening situations, such as a job loss. Prolonged exposure to stressors can disturb emotional balance, increasing negative emotions (e.g., anxiety and sadness) and diminishing positive emotions (e.g., joy and satisfaction). These persistent emotional shifts are associated with an increased risk of both physical illness and mental health issues, such...
79
Coping Strategies: Emotion Focused
105
Emotion-focused coping refers to a set of strategies aimed at managing the emotional impact of stressors, rather than directly addressing their causes. This approach involves altering one's emotional response to stressful situations to reduce their psychological effects. For example, individuals might talk with a friend or engage in activities like journaling to express their feelings. Such actions can help achieve emotional clarity or release, providing the psychological stability needed...
105
Cognitive Theories: Schachter-Singer Theory of Emotion
482
Stanley Schachter and Jerome Singer proposed the two-factor theory of emotion, which emphasizes the interplay between physiological arousal and cognitive labeling in forming emotional experiences. This theory suggests that emotions are not simply a result of physiological responses but rather a combination of these responses and the individual's cognitive interpretation of them.
Physiological Arousal and Cognitive Labeling
According to this theory, when an individual experiences...
Physiological Arousal and Cognitive Labeling
According to this theory, when an individual experiences...
482
Role of Amygdala in Memory
299
The amygdala is a small, almond-shaped structure responsible for processing and storing memories, particularly those linked to emotions like fear and stress. It plays an essential role in the brain's response to emotionally significant events and often enhances memory formation by triggering stress hormone release. The amygdala is vital for encoding and retrieving memories associated with fear or stress, a process that is adaptive by helping organisms avoid dangerous situations.
One of the...
One of the...
299
