对于PTSD的认知处理治疗中断的预测因素:对会话治疗过程的检查
Danielle R Shayani1, Caroline A Canale1, Denise M Sloan2
1Department of Psychological and Brain Sciences, University of Delaware, Newark, DE, USA.
Behaviour research and therapy
|November 12, 2023
概括
在创伤后应激障碍 (PTSD) 治疗中,通过识别早期的客户参与,可以降低高退学率. 生理上的痛苦和认知情绪处理预测了较低的学率,而避免预测了认知处理疗法 (CPT) 的更高的学率.
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:
- 高退学率是治疗成人创伤后应激障碍 (PTSD) 的重大挑战.
- 了解早期治疗阶段的客户因素对于预测和潜在地减少学至关重要.
- 认知处理疗法 (CPT) 是一种黄金标准的PTSD治疗方法,与其他治疗方法 (如书面暴露疗法 (WET)) 相比,其退学率在历史上更高.
研究的目的:
- 识别早期客户流程指标,预测成人PTSD认知处理疗法 (CPT) 的学.
- 调查在早期CPT会议与治疗完成后的适应性反应,情感参与和适应性处理之间的关系.
- 为改善治疗参与度和减少PTSD治疗中学率的潜在目标提供经验证据.
主要方法:
- 利用观察编码系统来分析来自随机对照试验的CPT早期会议的音频记录.
- 编码的客户端在四点级别上的过程,评估不适应性反应 (过度概括的信念,反处理,避免),情感参与 (负面情绪,生理困扰) 和适应性处理 (认知情感处理).
- 采用二进制后勤回归来分析CPT组中53名成年PTSD参与者的数据,检查早期学预测因素 (≤9次).
主要成果:
- 在早期会议中,更高水平的生理性痛苦和认知情绪处理与更低的退学概率有关.
- 在早期的CPT会议中,增加的回避行为显著预测了更高的脱学概率.
- 在这项研究中,没有发现负面情绪,反处理和过度概括的信念是放弃学业的重要预测因素.
结论:
- 治疗参与的早期指标,特别是生理上的痛苦和认知情绪处理,可以预测PTSD中CPT的学率较低.
- 在早期的会议中,避免行为是中断的关键预测因素,表明干预的目标.
- 这些发现强调了监测和解决早期客户流程的重要性,以加强参与并改善创伤后应激障碍治疗结果.
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