治疗前的关系特征预测了密集,多对夫妇组PTSD治疗的无控制试验的结果
Steffany J Fredman1, Yunying Le1, Candice M Monson2
1Department of Human Development and Family Studies, Pennsylvania State University.
概括
创伤后应激障碍的认知行为联合治疗 (PTSD的CBCT) 当伴侣从更高的痛苦或更低的关系满意度开始时,对伴侣有更多的好处. 对于PTSD的这对夫妇治疗中患者的结果并没有因关系因素而有显著差异.
科学领域:
- 心理学 心理学 心理学
- 临床心理学 临床心理学
- 创伤研究 创伤研究
背景情况:
- 创伤后应激障碍的认知行为联合治疗 (PTSD的CBCT) 改善了患者和伴侣的福祉.
- 之前关于CBCT对PTSD结果的预测因子的研究仅限于特定的人口统计.
- 了解哪些夫妇从这种治疗中获益最多,对于治疗优化至关重要.
研究的目的:
- 调查是否治疗前关系因素预测了接受CBCT治疗PTSD的军人/退伍军人夫妇的结果.
- 确定伴侣适应和关系满意度是否会影响患者和伴侣的治疗结果.
- 基于关系特征,探索对PTSD情侣治疗的潜在差异反应.
主要方法:
- 进行了一项针对PTSD的简化,密集,多对组版本CBCT的无控制试验.
- 该研究包括24名现役军人或退伍军人夫妇 (96%的男性患者/女性伴侣).
- 治疗前的伴侣适应和关系满意度被评估为患者和伴侣结果的预测指标.
主要成果:
- 患者的结果 (PTSD,并发症症状,关系满意度) 没有根据治疗前的关系因素显著变化.
- 治疗前的伴侣适应预测伴侣心理痛苦的下降更大.
- 较低的治疗前关系满意度预测了伴侣心理痛苦的更大下降和关系满意度的增加.
结论:
- 对于患者来说,CBCT对PTSD结果通常不依赖于治疗前关系特征.
- 伴侣在治疗前关系困扰较高或满意度较低的伴侣可能特别受益于PTSD的情侣治疗.
- 研究结果表明,关系因素是PTSDCBCT中伴侣结果的重要预测因素.
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