创伤后应激障碍症状与积极和消极影响之间的相互关系,对创伤后应激障碍的基于证据的治疗产生积极和消极影响
Peter L Rosencrans1, Rosemary S W Walker1, Alice E Coyne2
1Department of Psychology, University of Washington.
Journal of consulting and clinical psychology
|October 17, 2024
概括
创伤后应激障碍 (PTSD) 治疗与长期暴露改善了积极影响 (PA) 和消极影响 (NA). 情绪变化似乎是PTSD症状改善的结果,而不是原因.
科学领域:
- 临床心理学 临床心理学
- 精神病学是一个精神病学.
- 创伤研究 创伤研究
背景情况:
- 创伤后应激障碍 (PTSD) 的特点是增加负面影响 (NA) 和减少积极影响 (PA).
- 虽然PTSD治疗可以减少NA,但对PA的影响以及影响和PTSD症状变化之间的相互作用需要进一步调查.
研究的目的:
- 为了检查长期暴露 (PE) 治疗中患有PTSD的成年人中PA和NA的变化.
- 调查治疗期间影响和PTSD症状的会话到会话波动之间的时间关系.
主要方法:
- 一项随机对照试验,涉及130名患有PTSD的成年人接受PE或PE加塞特拉林.
- 影响 (使用PANAS) 和PTSD症状每周在10个会议中被测量.
- 交叉滞后的动态结构方程模型被用来分析人内,会话间的变化.
主要成果:
- 在治疗过程中观察到PA中度增加 (d = 0.51) 和NA显著减少 (d = 0.78).
- 人体内PA和NA的波动显示出相互关联,但PTSD症状变化更强烈地预测了后续影响.
- 用塞特拉林增量并没有改变这些时间关联.
结论:
- 长期暴露疗法导致PTBS患者的PA和NA显著改善.
- 影响的变化似乎是一个后果,而不是主要的驱动因素,在PE期间减少PTSD症状.
- 改善的NA可能源于与创伤线索相关的痛苦减少,而改善的PA可能与增加参与有价值的活动有关.
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