在患有分离性PTSD亚型的患者中,以分离为重点的认知行为疗法 (DF-CBT):一项探索性研究
Alexis Vancappel1,2, Claudie Chavigny1, Lyna Chami1
1Department of psychiatry, CHRU de Tours, Pôle de Psychiatrie-Addictologie, Tours, France.
概括
以分离为重点的认知行为疗法 (DF-CBT) 在创伤后应激障碍 (PTSD) 患者中显著减少了分离症状. 这种疗法还改善了情绪调节和正念,为这些衰弱的疾病提供了有希望的治疗方法.
科学领域:
- 心理学 心理学 心理学
- 精神病学是一个精神病学.
- 创伤研究 创伤研究
背景情况:
- 离散症状在创伤后应激障碍 (PTSD) 中很普遍,但缺乏黄金标准的治疗方法.
- 越来越多地提出认知和行为模型来理解分离.
研究的目的:
- 调查分离焦点认知行为疗法 (DF-CBT) 计划对PTSD患者分离症状的小组疗法的有效性.
- 探索DF-CBT对相关心理因素的影响,如正念和情绪调节.
主要方法:
- 一组27名患有分离性PTSD的患者从大学医院创伤中心招募.
- 参与者填写了干预前和后的问卷,评估分离,PTSD,正念,关于情绪和分离的信念,情绪调节,焦虑和抑郁.
- 这项干预包括7次DF-CBT.
主要成果:
- DF-CBT导致分裂性症状,PTSD,焦虑和抑郁症的显著减少.
- 所有测量变量的效应大小值得注意,范围从0.61到1.1不等.
- 分离的减少与减少对情绪和分离的负面信念,以及改善正念和情绪调节有关.
结论:
- 这项研究提供了第一个经验证据,证明DF-CBT在治疗PTSD分裂症状中的有效性.
- 这些发现支持提出的认知和行为机制是解离的基础.
- 建议通过受控随机试验进一步验证.
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