童年相关的PTSD:认知在EMDR中的作用和图像重写
Nele Assmann1,2, Sophie A Rameckers3, Anja Schaich1,2
1Department of Psychiatry, Psychosomatic and Psychotherapy, University of Lübeck, Lübeck, Germany.
European journal of psychotraumatology
|September 12, 2024
概括
负面认知在治疗创伤后应激障碍 (PTSD) 中发挥着关键作用. 消极认知的变化,特别是自我信念,往往会在眼动脱敏和再处理 (EMDR) 和图像重写 (ImRs) 等疗法后降低PTSD症状.
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:
- 与创伤相关的负面认知经常与创伤后应激障碍 (PTSD) 症状严重程度有关.
- 以前的研究表明,负面认知在心理治疗治疗结果中起着调解作用.
- 负面认知在眼动脱敏和再处理 (EMDR) 和图像重写 (ImRs) 中对PTSD的特定影响仍然未得到充分研究.
研究的目的:
- 研究与创伤相关的负面认知在治疗童年创伤引起的PTSD中的作用.
- 在两个特定的治疗模式的背景下分析这种关系:EMDR和ImRs.
主要方法:
- 一项随机临床试验,涉及155名因童年创伤而被诊断患有PTSD的成年患者.
- 参与者在多个国际地点接受了EMDR或IMR治疗.
- 使用线性混合模型的格兰杰因果分析评估了在多个时间点负面认知 (PTCI) 和PTSD症状 (CAPS-5,IES-R) 之间的时间关系.
主要成果:
- 负面认知的变化,特别是与自我相关的认知,显著地在PTSD症状的变化之前发生了指数创伤.
- 对于其他创伤,PTSD症状变化先于负面的认知变化,表明复杂的双向关系.
- 在这种关系上没有观察到特定治疗 (EMDR与ImRs) 的缓解作用.
结论:
- 与创伤相关的负面认知似乎在创伤后应激障碍的治疗过程中发挥着普遍而重要的作用.
- 关于自我的认知在推动PTSD症状减少方面尤其具有影响力.
- 建议通过更频繁的评估进行进一步的研究,以充分阐明这些时间动态.
关键词:
在EMDR中,您可以使用EMDR.创伤后应激障碍 创伤后应激障碍创伤后应激障碍是一种创伤后应激障碍.童年创伤 童年创伤负面的认知 (cogniciones negativas) 是一种消极的认知.图像重新编写 图像重新编写负面的认知是负面的认知.心理治疗是一种心理治疗.心理治疗是一种心理治疗.重写与图像的重写创伤 婴儿 儿童创伤更多相关视频
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