在现役军人样本中,认知处理治疗后疼痛和相关健康结果的变化
Norah C Hass1, Jennifer Schuster Wachen2,3, Casey L Straud4,5,6
1VA Boston Healthcare System, Boston, Massachusetts, USA.
Journal of traumatic stress
|March 6, 2025
概括
认知处理疗法 (CPT) 显著改善了士兵的创伤后应激障碍 (PTSD) 症状. 受访者还在疼痛,精神和身体健康方面有显著的改善,突出的是CPT.
科学领域:
- 心理学和行为健康 心理学和行为健康
- 军事医学 军事医学
- 创伤和与压力有关的疾病.
背景情况:
- 在军事人员中,创伤后应激障碍 (PTSD) 经常与疼痛和其他健康问题同时发生.
- 相互维护模型表明PTSD症状与相关健康问题之间存在双向关系.
- 认知处理疗法 (CPT) 是一种已建立的PTSD治疗方法,但它对伴随疾病的影响需要进一步调查.
研究的目的:
- 为了调查PTSD症状的减少和CPT后疼痛和健康结果的改善之间的关联.
- 为了检查治疗响应CPT的患者是否与非响应者相比表现出更好的疼痛和健康结果.
- 测试相互维护模型中关于减轻症状和改善健康的假设.
主要方法:
- 从一项涉及127名现役美国陆军士兵的家长试验中获得的数据的二次分析,诊断出患有PTSD.
- 参与者接受了可变长度的CPT.
- 使用重复测量的混合效应回归模型来分析从基线到1个月后续随访的变化,将临床显著的PTSD反应者 (PCL-5减少≥11分) 与非反应者进行比较.
主要成果:
- 在CPT后临床显著的PTSD改善与疼痛干扰,感知生活控制,情感痛苦,心理健康,身体健康和体质症状的统计学显著改善有关.
- 在所有测量疼痛和健康结果中,PTSD改善和访问之间的相互作用是显著的.
- 与非响应者相比,CPT响应者在这些领域显示出更好的结果.
结论:
- 通过CPT实现的PTSD症状的减少与在现役军人中同时改善疼痛和各种健康结果有关.
- 这些发现支持了相互维护模型,并强调了CPT对伴随性PTSD和健康问题的服务人员的全面好处.
- 成功的CPT治疗通过解决心理创伤和相关的身体和心理健康挑战,提高了军事人员的整体福祉.
相关概念视频
01:38Cognitive Dissonance
32.4K
Social psychologists have documented that feeling good about ourselves and maintaining positive self-esteem is a powerful motivator of human behavior (Tavris & Aronson, 2008). In the United States, members of the predominant culture typically think very highly of themselves and view themselves as good people who are above average on many desirable traits (Ehrlinger, Gilovich, & Ross, 2005). Often, our behavior, attitudes, and beliefs are affected when we experience a threat to our...
32.4K
01:25Cognitive Therapy
57
Cognitive therapy, pioneered by Aaron T. Beck in the 1960s, is a structured approach to addressing psychological distress by focusing on the influence of thoughts on emotions and behaviors. All cognitive therapies involve the basic assumption that human beings have control over their feelings, and that how individuals feel about something depends on how they think about it. Unlike psychoanalytic methods that delve into unconscious processes or humanistic approaches emphasizing...
57
01:28Psychotherapy
71
Psychotherapy is a versatile, nonmedical approach aimed at helping individuals address emotional, behavioral, and interpersonal issues to enhance their overall well-being. It can involve one-on-one sessions, couples counseling, or small group discussions with a therapist. The therapeutic process includes various techniques such as open discussion, interpretation of thoughts and behaviors, active listening, positive reinforcement, and role modeling. Psychotherapy aims to support individuals in...
71
01:27Post-traumatic Stress Disorder
26
Post-traumatic stress disorder (PTSD) is a psychiatric condition that arises following exposure to traumatic events such as natural disasters, forced displacement, or severe accidents. It significantly impairs individuals' ability to cope with daily activities and disrupts their emotional and psychological equilibrium.
Symptoms and Behavioral Manifestations
A spectrum of distressing symptoms characterizes PTSD. Recurrent flashbacks, where individuals involuntarily relive traumatic events,...
Symptoms and Behavioral Manifestations
A spectrum of distressing symptoms characterizes PTSD. Recurrent flashbacks, where individuals involuntarily relive traumatic events,...
26