情绪调节与长期暴露于创伤后应激障碍的结果之间的患者内部关联
Alice E Coyne1, Elsa Mattson1, Jenna M Bagley1
1Department of Psychological Sciences, Case Western Reserve University.
Journal of consulting and clinical psychology
|November 16, 2023
概括
在治疗期间,减轻创伤后应激障碍 (PTSD) 症状可能会改善情绪调节 (ER). 对于患有严重抑郁症的人来说,增强ER可能是治疗的关键组成部分.
科学领域:
- 精神病学是一个精神病学.
- 临床心理学 临床心理学
- 创伤研究 创伤研究
背景情况:
- 情绪调节 (ER) 的困难是发展和维持创伤后应激障碍 (PTSD) 的重要危险因素.
- 在治疗期间ER和PTSD症状变化之间的时间关系需要进一步调查.
- 了解ER是否作为特定患者亚组的差异性变化机制至关重要.
研究的目的:
- 检查ER患者内部变化与随后的PTSD症状减轻之间的关联.
- 调查这种关联是否受到基线ER,抑郁症严重程度或边界人格障碍症状的缓解.
主要方法:
- 来自一项随机对照试验 (NCT01600456) 的数据分析,涉及149名患有PTSD的成年人.
- 参与者接受了长期暴露 (PE) 或与塞特拉林结合的PE.
- 在整个治疗过程中重复评估ER困难和PTSD症状,并进行基线调节者评估.
主要成果:
- 在随后的会议中,ER的改善与PTSD症状的减少有关 (标准化效应=0.13).
- 创伤后应激障碍症状的减少也与后续会议ER的改善有关 (标准化效应=0.34).
- 在患有较高基线抑郁症的患者中,ER和PTSD症状变化的相关性更强 (标准化效应=0.39).
结论:
- 减少PTSD症状似乎更容易促进ER改善,而不是逆转在PE和PE与塞特拉林.
- 对于同时出现严重抑郁症的患者,ER可以作为更强大的变化机制.
- 治疗创伤后应激障碍的治疗师应该考虑为患有高抑郁症的患者强调ER技能发展.
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