认知行为联合治疗与在军人和退伍军人中长期暴露于PTSD:随机对照试验的结果和教训

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Candice M Monson¹, Nicole D Pukay-Martin², Anne C Wagner^1,3

¹Department of Psychology, Toronto Metropolitan University, Toronto, Canada.

European journal of psychotraumatology

|April 9, 2024

概括

对PTSD的认知行为联合治疗 (CBCT) 改善了军事人员的关系,与长期暴露 (PE) 不同. 这两种疗法都减少了PTSD症状,但CBCT的学率较低.

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:

军事人员和退伍军人面临高水平的创伤暴露和PTSD.
创伤后应激障碍通常与严重的亲密关系困难有关.
现有的PTSD治疗方法主要集中在个体结果上.

研究的目的:

为了比较对PTSD (CBCT) 和长期暴露 (PE) 的认知行为联合治疗在改善亲密关系功能方面的疗效.
评估两种疗法对军事人员和退伍军人的PTSD症状的影响.
调查差异化治疗中断率及其与关系运作的关系.

主要方法:

一个随机试验,涉及32名军人或退伍军人患有PTSD及其伴侣.
参与者被分配到CBCT (n=15) 或PE (n=17) 中.
收集了临床医生和自我报告的PTSD和关系功能.

主要成果:

CBCT显示了关系功能的改善,这与PE没有一致观察到.
无论是CBCT还是PE,都导致临床医生和自我报告的PTSD症状显著改善.
治疗中断率在CBCT (27%) 与PE (65%) 相比明显较低,特别是在治疗前关系功能较低的人群中.

结论:

作为一种基于夫妇的治疗方法,CBCT在患有PTSD的军人群体中增强了亲密关系的承诺.
虽然这两种疗法都有效治疗PTSD症状,但CBCT可能对关系结果和保持更有益.
这项研究强调了试验设计,招聘以及PTSD治疗研究中差异性学的影响.

关键词:

军事军事军事军事军事军事军事军事军事创伤后应激障碍 (PTSD) 是一种这就是TEPTT的意思.认知行为联合治疗.情侣疗法是一项夫妻疗法.长期暴露长期暴露亲密的关系亲密的关系长时间的暴露暴露.亲密的亲密关系.疗法联合认知行为疗法.一对夫妇的治疗方法治疗治疗治疗治疗治疗治疗治疗治疗治疗

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