负面的创伤后认知和认知情绪调节策略作为PTSD症状变化的预测因素,在治疗PTSD的密集门诊计划期间
Jonathan W Murphy1, Marley Warren1, Dale L Smith1,2
1Department of Psychiatry and Behavioral Sciences, Rush University Medical Center, Chicago, IL, USA.
Cognitive behaviour therapy
|March 18, 2025
概括
这项研究发现,负面的创伤后认知和认知情绪调节策略预测减少了PTSD严重程度. 然而,与强化治疗计划中抑郁症严重程度降低相比,它们的影响很小.
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:
- 负创伤后认知 (NPC) 和认知情绪调节 (CER) 策略与PTSD治疗结果有关.
- 同时调查NPC和CER作为临床环境中的预测因素是有限的.
- 以前的研究主要集中在特定疗法,如长期暴露.
研究的目的:
- 检查NPC和CER策略作为PTSD严重程度降低的预测因素.
- 为了在现实世界中评估这些预测因素,密集治疗计划设置.
- 为了比较NPC和CER对PTSD严重程度和抑郁症严重程度的影响.
主要方法:
- 分析了487名军人和退伍军人的数据,他们参加了为期2周的创伤后应激障碍强化治疗计划 (ITP).
- 评估负面的创伤后认知 (自我集中,世界集中) 和认知情绪调节策略 (灾难化).
- 统计建模以评估NPC,CER和PTSD严重程度变化之间的预测关系.
主要成果:
- 减少自我关注的NPC,世界关注的NPC和灾难化预测在治疗和随访期间减少了PTSD严重程度.
- NPCs和CER对PTSD严重性的影响很小 (R2在0.005到0.04之间).
- 抑郁症严重程度的减少显示出显著更大的效果大小 (R2 = .40).
结论:
- 在密集治疗计划中,NPC和CER策略是PTSD严重程度降低的重要预测因素.
- 在这种情况下,这些认知因素对PTSD症状变化的整体影响相对较小.
- 需要进一步的研究来探索跨不同治疗设置和格式的预测因素.
相关概念视频
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
01:25Cognitive Therapy
44
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...
44
01:20Coping Strategies: Emotion Focused
37
Emotion-focused coping refers to a set of strategies aimed at managing the emotional impact of stressors, rather than directly addressing their causes. This approach involves altering one's emotional response to stressful situations to reduce their psychological effects. For example, individuals might talk with a friend or engage in activities like journaling to express their feelings. Such actions can help achieve emotional clarity or release, providing the psychological stability needed...
37
01:38Cognitive Dissonance
32.3K
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...
32.3K
01:25Beck's Cognitive Therapy
31
Cognitive therapy is a psychological approach designed to address distortions in thinking, which can lead to negative emotions and unrealistic beliefs. These cognitive distortions often influence how individuals interpret and respond to situations, exacerbating emotional distress. Below are some prevalent cognitive distortions, their characteristics, and examples of how they manifest in thought processes.
Arbitrary Inference
Arbitrary inference involves making conclusions without sufficient...
Arbitrary Inference
Arbitrary inference involves making conclusions without sufficient...
31
01:25Interpersonal Psychotherapy
19
Interpersonal psychotherapy (IPT) is a structured, time-limited therapeutic approach initially developed to treat depression. It integrates key concepts from psychodynamic, humanistic, and cognitive-behavioral therapies, making it a uniquely eclectic framework. The therapy is rooted in the interpersonal theories of Adolph Meyer and Harry Stack Sullivan, as well as John Bowlby's attachment theory, and focuses on the interplay between interpersonal relationships and emotional well-being.
19