罪恶认知的变化调解了创伤感知罪恶减轻治疗对PTSD和抑郁症结果的影响
Alexander C Kline1,2, Katia M Harlé1,2, Kaitlyn E Panza1,2
1VA San Diego Healthcare System, San Diego, California, USA.
Journal of clinical psychology
|February 10, 2024
概括
以创伤为基础的减轻内治疗 (TrIGR) 通过改变内认知,而不是避免应对,有效地减少PTSD和抑郁症症状. 这突出了内认知变化作为创伤相关的内退伍军人的关键治疗要素.
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:
- 创伤知情减轻内疗法 (TrIGR) 是一项为期六次的认知行为疗法,旨在减轻与创伤相关的内和痛苦.
- 虽然TrIGR在减少创伤后应激障碍 (PTSD) 和抑郁症症状方面表现出有效性,但其有效性的潜在机制仍未得到充分探索.
研究的目的:
- 这项研究旨在调查避免应对和与创伤相关的内认知的变化是否会调解TrigR对PTSD和抑郁症结果的治疗效果.
- 这项研究旨在阐明TrigR发挥其益处的具体途径.
主要方法:
- 进行了一项随机对照试验,对145名9/11后的美国退伍军人进行了随机对照试验,他们被诊断出患有创伤相关的内.
- 参与者接受了TrigR或支持性护理治疗.
- 并行调解模型被用于分析与治疗相关的变化,以避免应对和内认知作为PTSD和抑郁症症状减轻的中介在3个月和6个月的随访.
主要成果:
- 治疗意图分析显示,内认知的变化,但不是避免应对,在3个月 (a×b = -0.15,p < 0.01) 和6个月 (a×b = -0.17,p < 0.01) 随访期间显著调解了PTSD严重程度的减少.
- 同样,罪恶认知的变化,而避免应对没有,调解了3个月 (a×b = -0.10,p = 0.02) 和6个月 (a×b = -0.11,p = 0.01) 后续调查后抑郁症严重程度的改善.
结论:
- 与避免应对的变化相比,内认知的变化似乎是TrigR在减少PTSD和抑郁症症状的有效性中更为关键的组成部分.
- 罪恶认知修改被认为是治疗创伤相关的内的潜在关键活性成分,需要临床医生的注意.
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