在认知处理疗法中追踪个性化点:变化的数量很重要
Philip Held1, Daniel R Szoke1, Sarah A Pridgen1
1Department of Psychiatry and Behavioral Sciences, Rush University Medical Center, Chicago, Illinois, USA.
Journal of traumatic stress
|May 8, 2025
概括
在认知处理疗法 (CPT) 中,个性化卡点 (ISP) 与创伤后应激障碍 (PTSD) 症状改善一起显示出减少. 然而,互联网服务提供商并没有预测PTCI测量到的超出一般点的PTSD结果.
科学领域:
- 心理学 心理学 心理学
- 临床心理学 临床心理学
- 心理治疗研究 心理治疗研究
背景情况:
- 认知处理疗法 (CPT) 解决了被称为"卡住点"的不适应性信念.
- 像创伤后认知清单 (PTCI) 这样的标准化措施评估了一般的停滞点 (GSP).
- 在预测治疗结果方面,个性化卡点 (ISP) 的实用性需要进一步研究.
研究的目的:
- 调查ISP的变化是否与创伤后应激障碍 (PTSD) 症状的减少有关.
- 确定ISP是否预测PTSD严重程度独立于PTCI评估的GSP.
- 评估ISP信念强度变化与PTSD症状减少之间的关联.
主要方法:
- 患有PTSD的成年人 (N=57) 接受了为期1周的虚拟CPT计划.
- 在整个治疗期间以及1个月和3个月的随访期间,追踪了个性化滞留点 (ISP) 和他们的信念强度.
- 线性混合效应模型分析了ISP变化与PTSD症状减少 (自我报告的PCL-5和临床医生评级的CAPS-5) 之间的关系,控制共变量.
主要成果:
- 从基线到1个月的随访期间,观察到PTSD症状 (PCL-5和CAPS-5) 的显著减少.
- 平均ISP信念强度在治疗期间和长达1个月的随访期间大幅下降.
- 虽然更多的ISP预测PCL-5得分降低,但ISP没有预测PTCI评估的GSP之外的PTSD症状变化.
结论:
- 减少ISP与PTSD症状的改善有关.
- 互联网服务提供商没有提供超出PTCI测量的一般停滞点的PTSD结果的预测价值.
- 追踪ISP可能仍然有利于个性化治疗和增加患者参与度.
相关概念视频
Cognitive Therapy
25
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...
25
Beck's Cognitive Therapy
25
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...
25
Modeling in Therapy
33
Modeling, a key technique in therapy, uses observational learning to help clients acquire and practice new skills by watching therapists demonstrate desired behaviors. This approach, rooted in Albert Bandura's concept of vicarious learning, plays a significant role in therapeutic interventions for various psychological conditions, including social anxiety, ADHD, and depression.
Participant Modeling
Participant modeling involves therapists demonstrating calm and effective behaviors in...
Participant Modeling
Participant modeling involves therapists demonstrating calm and effective behaviors in...
33
Psychotherapy
42
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...
42
Interpersonal Psychotherapy
11
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.
11
Rational Emotive Behavior Therapy
30
Cognitive-behavioral therapies (CBTs) are grounded in the belief that our thoughts profoundly influence our emotions and actions. Advocates of CBT emphasize three core assumptions: first, that cognitions are identifiable and measurable; second, that they are central to psychological functioning; and third, that irrational or maladaptive beliefs can be replaced with rational and adaptive ones. This transformative approach to therapy has paved the way for specific models such as Albert...
30


