经历创伤后的认知变化轨迹在与PTSD的退伍军人谁完成了密集的认知处理疗法治疗方案的创伤后的认知变化轨迹
Daniel Szoke1, Erin Walker1, Nicole Christ1
1Department of Psychiatry and Behavioral Sciences, Rush University Medical Center, Chicago, USA.
Cognitive behaviour therapy
|March 13, 2024
概括
在认知处理治疗 (CPT) 期间,负面创伤后认知 (NPC) 可以以各种方式发生变化. 了解这些负面的思维模式.
科学领域:
- 心理学 心理学 心理学
- 精神病学是一个精神病学.
- 创伤研究 创伤研究
背景情况:
- 负面的创伤后认知 (NPC) 与创伤后应激障碍 (PTSD) 症状有关.
- 认知行为治疗,包括认知处理疗法 (CPT),针对PTSD中的NPC.
- 在CPT期间,NPC的特定变化模式 (轨迹) 尚不清楚.
研究的目的:
- 在为期2周的密集CPT计划中检查NPC变化的不同轨迹.
- 探索这些NPC变化轨迹如何与PTSD症状严重程度有关.
- 在CPT中识别共同的NPC变更流程.
主要方法:
- 对443名接受密集CPT计划的退伍军人NPC变化轨迹的分析.
- 基于随时间变化的不同NPC轨迹组的识别.
- 统计检查基线PTSD严重程度和轨迹组成员之间的关系.
主要成果:
- 确定了四个不同的NPC轨迹组:开始高端高,开始高端中等,开始中等结束低,开始低端低.
- 大多数参与者在治疗中期初步增加了NPC,随后下降.
- 基线PTSD症状严重程度预测了群体成员资格,NPC轨迹与治疗结束后的PTSD严重程度有关.
结论:
- 在CPT期间,NPC表现出多样化的变化模式,大多数最初在减少之前增加.
- 在NPC变化较小的轨迹中,治疗结束后PTSD症状较高的个体.
- 了解NPC轨迹可以帮助临床医生预测患者的进展,并使负面认知中与治疗相关的波动正常化.
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