治疗特异性,疾病特异性或一般治疗能力是否预测创伤后应激障碍的症状减少?
Regina Steil1, Judith Weiss1, Meike Müller-Engelmann1,2
1Department of Clinical Psychology and Psychotherapy, Institute of Psychology, Goethe University Frankfurt am Main, Frankfurt am Main, Germany.
European journal of psychotraumatology
|September 27, 2023
概括
治疗师的能力并没有显著影响创伤后应激障碍 (PTSD) 治疗结果. 然而,一个强大的治疗联盟与在接受PTSD辩证行为疗法 (DBT-PTSD) 或认知处理疗法 (CPT) 的患者中减少PTSD症状有关.
科学领域:
- 心理学 心理学 心理学
- 精神病学是一个精神病学.
- 临床心理学 临床心理学
背景情况:
- 在创伤后应激障碍 (PTSD) 干预中,治疗师能力和治疗成功的研究有限.
- 关于这种关联的现有发现往往是矛盾的.
研究的目的:
- 检查特定类型的治疗师能力 (PTSD特定,治疗特定,一般的CBT) 与治疗联盟与PTSD症状减轻之间的联系.
- 评估在接受PTSD辩证行为疗法 (DBT-PTSD) 和认知处理疗法 (CPT) 的患者中这些关系.
主要方法:
- 160名患有PTSD和情绪调节困难的妇女是随机对照试验的一部分.
- 治疗师的能力是从录制的会议中评价的;联盟是通过患者自我报告 (HAQ) 来评估的.
- 使用临床医生 (CAPS-5) 和自我报告 (PCL-5) 尺度测量PTSD症状治疗前后.
主要成果:
- 治疗师能力与临床医生或自我评估的PTSD症状严重程度之间没有发现显著的关联.
- 特定于PTSD的能力显示出预测临床医生评估的PTSD症状减少的趋势.
- 治疗联盟在临床医生和自我评估措施上显著预测了症状的减少.
结论:
- 在这个训练有素的样本中,治疗师的能力与PTSD症状的减少没有直接相关.
- 一个强大的治疗联盟是成功治疗PTSD治疗结果的关键因素.
- 需要在自然环境中进行进一步的研究,以探索能力治疗成功的联系.
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