对创伤后应激障碍的强迫性信念
Robert E Fite1,2,3, Johanna Thompson-Hollands1,2
1National Center for PTSD at VA Boston Healthcare System, Boston, MA USA.
概括
通常在强迫症 (OCD) 中研究的不适应性信念,也与创伤后应激障碍 (PTSD) 有关. 这项研究探讨了共享的信念类别及其对PTSD治疗的评估.
科学领域:
- 精神病学和心理学 精神病学和心理学
- 认知行为疗法是认知行为疗法.
背景情况:
- 适应不良的信念是强迫症 (OCD) 和创伤后应激障碍 (PTSD) 的核心.
- 强迫症研究侧重于诸如夸大责任,高估威胁,完美主义和思想控制等信念.
- 传统上,PTSD研究强调负面的自我,世界和其他信仰.
研究的目的:
- 提出强迫症中研究的不适应性信念也与PTSD相关.
- 探索创伤如何影响特定信仰类别的脆弱性.
- 确定在PTSD中被低估的信念类别,这些可能是临床相关的.
主要方法:
- 关于强迫症和PTSD的不适应信念的现有文献的理论综述.
- 在先前的研究中分析这些信念的测量策略.
- 确定与PTSD相关但历史上被低估的信念类别.
主要成果:
- 在强迫症中研究的许多信念类别被认为与PTSD有关.
- 创伤可能会导致对某些信念的脆弱性,而其他可能是先前存在的风险因素.
- 在当前的临床实践中,与PTSD相关的特定信念类别可能被低估.
结论:
- 适应不良的信念,特别是那些在强迫症中被研究的信念,在PTSD中需要更多的关注.
- 了解创伤和事先存在的因素在信念形成中的相互作用对于PTSD至关重要.
- 讨论了潜在的临床干预措施,以解决对PTSD治疗的强迫性信念.
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