在创伤回忆期间的心率反应性作为PTSD认知处理治疗中治疗结果的预测指标
Joseph K Carpenter1, Suzanne L Pineles1, Michael G Griffin2
1National Center for PTSD, Women's Health Sciences Division, Boston, MA, USA; Veterans Affairs (VA) Boston Healthcare System, Boston, MA, USA; Department of Psychiatry, Boston University Chobanian & Avedisian School of Medicine, Boston, MA, USA.
Behaviour research and therapy
|March 19, 2024
概括
创伤后应激障碍 (PTSD) 的认知处理疗法 (CPT) 中创伤回忆期间心率反应较低,预测症状改善较少,学率更高. 这表明情绪激活对于认知创伤治疗很重要.
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:
- 在创伤回忆期间的情感参与对于有效的创伤集中治疗至关重要.
- 在创伤回忆期间生理反应的减少与创伤后应激障碍 (PTSD) 治疗的较差结果有关.
- 这种联系在以认知为导向的治疗中尚未得到充分研究.
研究的目的:
- 为了调查在创伤回忆期间的治疗前心率 (HR) 反应是否预测PTSD症状的改善.
- 为了确定HR反应率是否预测认知处理疗法 (CPT) 中的治疗中断.
主要方法:
- 142名因人际暴力而患有PTSD的妇女参加了两项临床试验.
- 治疗前HR反应性是通过听到创伤记忆脚本后的HR平均增加来衡量的.
- 线性混合效应模型分析了HR反应性和PTSD症状变化和退学之间的关系.
主要成果:
- 人力资源反应性没有显著预测整体PTSD症状变化.
- 较低的HR反应性与重新体验和避免症状的改善程度较低有关.
- 较低的HR反应率预测了治疗中断的可能性增加.
结论:
- 治疗前对创伤记忆的生理反应性可能表明在PTSD的CPT中治疗反应.
- 调查结果暂时支持在创伤回忆过程中情绪激活在认知创伤治疗中的重要性.
- 需要进一步的研究,以了解低HR反应性对治疗结果的影响.
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