在心理治疗过程中,功能和PTSD症状的相互变化
Natasha Benfer1, Benjamin C Darnell2, Luke Rusowicz-Orazem3
1Massachusetts Veterans Epidemiology Research and Information Center, VA Boston Healthcare System, Boston, MA, United States.
Journal of anxiety disorders
|August 30, 2024
概括
针对功能功能的治疗比预期更能改善创伤后应激障碍 (PTSD) 症状. 功能变化预测PTSD症状减少,特别是入侵和回避,突出了复杂的PTSD功能关系.
科学领域:
- 心理学 心理学 心理学
- 临床心理学 临床心理学
- 精神病学是一个精神病学.
背景情况:
- 创伤后应激障碍 (PTSD) 的心理治疗通常假设症状改善导致更好的功能.
- 创伤后应激障碍症状与日常功能之间的动态相互作用需要进一步调查.
研究的目的:
- 为了检查PTSD症状和功能之间的双向关系.
- 分析这些动态在接受功能集中治疗的退伍军人治疗期间.
主要方法:
- 采用一个随机拦截的交叉滞后面板模型,对161名被诊断患有PTSD的退伍军人进行了采访.
- 评估了PTSD症状 (总得分和DSM-5子集群) 和在12次治疗期间的功能.
- 比较以现在为中心的治疗和增强的适应性披露.
主要成果:
- 整体PTSD症状预测了功能变化,而不是相反,在第7届会议左右出现.
- 功能预测PTSD子集群B (入侵),C (避免) 和E (兴奋和反应性变化) 的变化比这些子集群预测的功能更频繁.
结论:
- 在以功能为重点的治疗中,功能在减少核心PTSD症状方面发挥着重要作用.
- 创伤后应激障碍和功能之间的关系是复杂的,并在治疗期间演变.
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