个人间的信任可以预测和解释PTSD组认知处理治疗期间的症状变化吗? 对代的信任游戏的调查
M Wright Williams1,2,3, Christopher Hunt4,5, David P Graham1,2,3
1Michael E. DeBakey Veterans Affairs Medical Center, Houston, Texas, USA.
Journal of clinical psychology
|July 22, 2025
概括
人际信任,从行为上衡量,预测在集体认知处理疗法 (GCPT) 中减少了PTSD症状. 准信任可能会提高退伍军人GCPT的有效性.
科学领域:
- 心理学 心理学 心理学
- 临床心理学 临床心理学
- 行为科学 行为科学
背景情况:
- 集体认知处理疗法 (GCPT) 是退伍军人中创伤后应激障碍 (PTSD) 的常见治疗方法.
- 推动GCPT有效性的确切机制,特别是人际信任,仍然不清楚.
- 自我报告措施可能无法充分捕捉群体环境中人际信任的动态性质.
研究的目的:
- 在GCPT中调查人际信任在预测和解释PTSD症状减轻中的作用.
- 利用代信任游戏 (ITG),一种行为任务,来评估现实世界的信任行为.
主要方法:
- 一项为期12周的有效性试验将GCPT (n=37) 与患有PTSD的退伍军人通常治疗 (TAU) 等候名单 (n=23) 相比较.
- 参与者完成了ITG和PTSD治疗前和后的措施.
- 此外,GCPT参与者还进行了每次会议的PTSD严重程度和关系质量的评估.
主要成果:
- 在ITG测量中的信任行为改善在GCPT和TAU组之间没有显著差异.
- 然而,增强的ITG分数部分解释了GCPT组中PTSD症状的减少.
- 较高的ITG分数,与自我报告的信任不同,预测了更大的PTSD症状减少和改善团体关系质量.
结论:
- 行为测量的人际信任显示出作为GCPT症状变化的预测者和调解者的潜力.
- 针对GCPT中人际信任的干预措施可能会提高患有PTSD的退伍军人治疗效率.
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