在创伤后应激障碍的密集治疗计划中,评估自我有效性作为治疗机制
Jonathan W Murphy1, Chelsea Shotwell-Tabke1, Dale L Smith1
1Department of Psychiatry and Behavioral Sciences, Rush University Medical Center.
Psychological trauma : theory, research, practice and policy
|January 17, 2025
概括
应对自我效能 (CSE) 在PTSD治疗期间增加,并预测症状的减少,表明它可能标志着军事人员和退伍军人的治疗反应. 这种心理因素是恢复的关键.
科学领域:
- 心理学 心理学 心理学
- 临床心理学 临床心理学
- 创伤研究 创伤研究
背景情况:
- 创伤性暴露很常见,但很少有人患上创伤后应激障碍 (PTSD),这表明有保护性心理因素.
- 应对自我效能 (CSE),或对一个人处理创伤的能力的信念,是创伤后恢复的一个建议机制.
研究的目的:
- 评估应对自我效能 (CSE) 作为创伤后应激障碍 (PTSD) 的治疗机制.
- 为了检查CSE和临床症状在军事服务成员和退伍军人进行密集的PTSD治疗之间的关联.
主要方法:
- 收集了来自423名军事服务人员和退伍军人的数据,参加了为期2周的基于认知处理治疗的密集治疗计划.
- 利用线性混合效应模型在多个时间点评估CSE和临床症状 (PTSD,抑郁症).
- 包括一般自我有效性 (GSE) 作为基线共变量.
主要成果:
- 参与者在整个治疗过程中显示出早期和稳定的CSE增加.
- 在治疗期间,PTSD和抑郁症的严重程度在早期和稳步下降.
- CSE的增加预测了临床症状的减少,尽管CSE变化没有暂时先于症状改善. 基线GSE预测了结果,但症状的变化与基线GSE没有差异.
结论:
- 在CSE的变化预测PTSD治疗期间临床症状的变化.
- CSE可以作为治疗反应的指标,即使不是先前的因素.
- 研究结果强调了自我效能信念在PTSD恢复和治疗中的作用.
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