简短的家庭参与在创伤为中心的心理治疗期间提高了退伍军人的家庭作业质量
Michelle Fernando1, Robert E Fite1, Johanna Thompson-Hollands1
1National Center for PTSD, VA Boston Healthcare System.
Psychological trauma : theory, research, practice and policy
|March 21, 2024
概括
一个简短的家庭干预 (BFI) 改善了创伤后应激障碍 (PTSD) 的退伍军人的家庭作业质量. 让家庭成员参与创伤后应激障碍治疗可以增强支持性行为和讨论,从而对治疗参与产生积极影响.
科学领域:
- 心理学 心理学 心理学
- 临床心理学 临床心理学
- 心理治疗研究 心理治疗研究
背景情况:
- 完成家庭作业对于认知行为治疗结果至关重要.
- 家庭作业在以创伤为重点的心理治疗中的作用以及家庭环境对创伤后应激障碍 (PTSD) 的影响需要进一步调查.
- 家庭成员可以通过促进PTSD退伍军人的家庭作业参与来提高治疗结果.
研究的目的:
- 为了检查简短的家庭干预 (BFI) 对PTSD退伍军人的家庭作业参与的影响.
- 测试这一假设,即退伍军人的家庭成员获得BFI将证明更好的家庭作业完成和质量.
- 探索家庭参与如何影响治疗过程和PTSD的结果.
主要方法:
- 采用混合方法方法,分析了BFI随机临床试验中的24个退伍军人家庭二元组的数据.
- 退伍军人正在接受以创伤为重点的心理治疗,临床医生在每次会议后评估了家庭作业的质量和完成.
- 使用快速定性方法分析了对二子集进行的半结构面试,以确定BFI后家庭行为的转变.
主要成果:
- 定量分析显示,在BFI条件下,退伍军人的临床医生评级的家庭作业质量明显更高.
- 虽然BFI组的家庭作业完成率较高,但这种差异没有达到统计学意义.
- 定性调查结果表明,BFI促进了关于PTSD的讨论,并促进了更多支持家庭行为.
结论:
- 让家庭成员参与PTSD治疗可以积极改变家庭环境.
- 看来,BFI提高了PTSD退伍军人完成家庭作业的质量.
- 通过干预措施改变家庭动态可能会提高PTSD的治疗参与度和结果.
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