创伤后应激障碍症状严重程度与创伤后应激治疗中的痛苦耐受性之间的关联
Brianna M Byllesby1, Patrick A Palmieri2
1Department of Psychology, University of South Dakota, Vermillion, South Dakota, USA.
Journal of traumatic stress
|August 13, 2024
概括
这项研究发现,创伤后应激障碍 (PTSD) 症状预测在接受治疗的患者中较低的痛苦耐受性. 然而,改善的应急耐受性并没有预测PTSD症状的减少,这表明它可能是症状改善的结果,而不是原因.
科学领域:
- 心理学 心理学 心理学
- 临床心理学 临床心理学
- 心理病理学 心理病理学
背景情况:
- 痛苦耐受性,即能够承受负面情绪的能力,与创伤后应激障碍 (PTSD) 的严重程度有关.
- 较低的痛苦耐受性通常与较高的PTSD症状水平有关.
- 了解应急耐受性和PTSD之间的动态关系具有临床意义.
研究的目的:
- 检查PTSD症状严重程度和痛苦耐受性变化之间的并发和潜在关联.
- 为了调查PTSD症状是否预测了12周内痛苦耐受性的变化,反之亦然.
- 为了探索这些协会跨越不同的PTSD症状集群.
主要方法:
- 长度研究包括212名在门诊心理治疗中的患者.
- 在12周的时间里,有3个评估点.
- 随机截断交叉滞后面板建模 (RI-CLPM) 来分析时间关系.
主要成果:
- 早些时候的PTSD症状严重程度显著预测了晚些时候的低应急耐受性 (β = -296和β = -0.395).
- 应急耐受性没有预测随后的PTSD症状严重程度.
- 探索性分析显示,PTSD症状集群预测了痛苦耐受性,但不是相反.
结论:
- 这些发现支持PTSD症状影响应急耐受性的关系.
- 痛苦耐受性可能是症状变化的结果,而不是PTSD症状减少的预测因素.
- 在PTSD治疗中,耐受痛苦对症状缓解至关重要.
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