在创伤后应激障碍的认知疗法期间,认知过程和应对策略的变化先于症状的变化
Milan Wiedemann1, Magdalena Janecka2, Jennifer Wild1
1University of Oxford, Oxford, UK; Oxford Health NHS Foundation Trust, Oxford, UK.
Behaviour research and therapy
|October 8, 2023
概括
创伤后应激障碍 (PTSD) 的认知疗法通过改善负面评估,安全行为和记忆特征来起作用. 这些因素的变化导致治疗期间PTSD症状的减少.
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:
- 创伤后应激障碍 (PTSD) 的理论强调认知和行为因素.
- 埃勒斯和克拉克 (2000年) 的模型提出了PTSD发展,维护和治疗的关键机制.
- 对PTSD (CT-PTSD) 的认知治疗是一种常见的治疗方法.
研究的目的:
- 研究认知和行为因素的变化与PTSD症状变化之间的关系.
- 检查CT-PTSD期间埃勒斯和克拉克 (2000年) 模型中的因子的会话变化.
- 为了确定特定的认知/行为因素和PTSD症状之间的影响的方向性.
主要方法:
- 使用了双变的潜变得分模型 (LCSM).
- 分析了217名患有PTSD,接受CT-PTSD的患者的每次会议的自我报告数据.
- 评估PTSD症状的变化,负面评价,回忆特征,安全行为,对入侵的反应和创伤记忆失调.
主要成果:
- 负面评估的变化,回忆特征,安全行为,以及对入侵的无助反应在PTSD症状变化之前发生.
- 在创伤记忆失调和PTSD症状之间发现了双向关联.
- 这些认知和行为因素被确定为症状改善的关键驱动因素.
结论:
- 在CT-PTSD期间,认知和行为过程对于推动症状改善至关重要.
- 这些发现支持埃勒斯和克拉克 (2000) 提出的病因和治疗模式.
- 针对特定的认知和行为因素可能会提高CT-PTSD的疗效.
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