思考什么或如何思考 - 创伤后症状的症状减轻与创伤后认知或坚持性思维的变化有关吗? 一种隐藏变化得分模型方法
Kristina Meyer1, Nikola Schoofs1, Andrea Hildebrandt2
1Department of Psychiatry and Neurosciences, Psychiatric University Clinic of the Charité at St. Hedwig-Hospital, Charité Universitätsmedizin Berlin, Berlin, Germany.
概括
创伤后认知和坚持性思维的治疗变化与创伤后应激障碍 (PTSD) 症状的减少有关. 专注于认知可能有利于患有严重复发和避免症状的患者.
科学领域:
- 心理学 心理学 心理学
- 精神病学是一个精神病学.
- 认知行为疗法是认知行为疗法.
背景情况:
- 创伤后应激障碍 (PTSD) 与改变的思维模式有关,包括创伤后认知的变化和增加的坚持性思维.
- 这些认知变化显著影响一个人对世界和自我的感知.
研究的目的:
- 研究创伤后认知和坚持性思维的变化以及心理治疗后创伤后症状严重程度的变化之间的关联.
- 为了比较创伤后认知变化的预测价值与减轻症状的坚持性思维.
主要方法:
- 219名患有创伤后压力症状的患者接受了以创伤为重点的心理治疗.
- 创伤后认知库存 (PTCI) 和坚持性思维问卷 (PTQ) 在治疗前和后进行.
- 隐性变化得分模型被用来分析认知指标的变化与戴维森创伤量表 (DTS) 之间的关系.
主要成果:
- 在PTCI和PTQ的变化与PTSD症状严重程度 (DTS分数) 的整体减少有关.
- 具体来说,创伤后认知 (PTCI) 的变化与重新体验和避免症状的减少有显著联系.
- 在联合分析时,坚持性思维 (PTQ) 的变化与这些特定症状子尺度的变化没有显著关联.
结论:
- 创伤后认知和坚持性思维都是心理治疗中潜在的有价值的治疗目标.
- 针对性地关注创伤后认知可能对经历严重复发和避免症状的患者特别有益.
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