在集体认知处理治疗期间与症状减少相关的预治疗特征与PTSD暴露治疗相比:退伍军人的探索性研究
Christopher Hunt1,2, Brooks Casas3,4, Pearl H Chiu3,4
1Michael E. DeBakey Veteran's Affairs Medical Center, Houston, TX, USA.
Cognitive behaviour therapy
|November 16, 2023
概括
将PTSD治疗与患者个人资料相匹配可以改善结果. 具有较高创伤后认知能力的退伍军人从群体认知处理疗法 (GCPT) 中获益更多,而其他退伍军人则对基于群体的暴露疗法 (GBET) 反应更好.
科学领域:
- 精神病学和行为科学
- 临床心理学 临床心理学
- 创伤研究 创伤研究
背景情况:
- 暴露和基于认知的疗法都对创伤后应激障碍 (PTSD) 有效.
- 然而,关于将这些治疗量身定制为个体患者特征的指导,特别是在小组环境中,是有限的.
- 以前的研究还没有调查治疗前的心理形状是否预测了对群体认知与基于暴露的PTSD治疗的差异反应.
研究的目的:
- 探索是否治疗前的心理特征预测了群体交付的认知处理疗法 (GCPT) 与基于群体的暴露疗法 (GBET) 中的症状减少.
- 检查PTSD症状集群,创伤后认知和情绪调节困难与两种不同的小组治疗中的治疗反应之间的关联.
主要方法:
- 利用了两项先前临床试验的数据,这些试验涉及患有PTSD的退伍军人.
- 采用生长曲线建模来分析与治疗前变量相关的每周PTSD症状变化.
- 评估PTSD症状集群的治疗前水平,创伤后认知和情绪调节困难.
主要成果:
- 在GCPT中,较高的治疗前创伤后认知预测了更大的PTSD症状减少,但在GBET中却没有.
- 特定的情绪调节困难与每个治疗类型的症状减少有关.
- 目标导向行为的困难在GBET中预测了反应,而缺乏情绪清晰和有限的战略访问在GCPT中预测了反应.
结论:
- 治疗前的心理形象似乎与集体PTSD治疗中的差异性治疗反应有关.
- 研究结果表明,根据退伍军人治疗前心理特征,将退伍军人与PTSD治疗组相匹配,可能会提高治疗结果.
- 这种个性化的方法可以优化对接受集体认知或基于暴露的PTSD治疗的个体的症状减轻.
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