探讨在接受重症治疗的退伍军人中,负面创伤后认知和疼痛强度的变化之间的关系
Sacha McBain1, Dale L Smith2, Sarah Pridgen1
1Department of Psychiatry and Behavioral Sciences, Road Home Program, Rush University Medical Center.
概括
创伤后认知能力的改善与接受PTSD治疗的退伍军人疼痛的减少有关. 然而,这种关联可以通过整体的PTSD症状改善来解释,而不仅仅是认知变化.
科学领域:
- 心理学 心理学 心理学
- 创伤研究 创伤研究
- 疼痛管理 疼痛管理
背景情况:
- 创伤后应激障碍 (PTSD) 通常与退伍军人的慢性疼痛同时发生.
- 创伤后认知,如对创伤的负面评估,是干预的潜在目标.
研究的目的:
- 研究在接受强化PTSD治疗的退伍军人中改善创伤后认知和减少疼痛强度之间的关联.
- 探索军事性创伤 (MST) 作为这个协会的主持人.
主要方法:
- 497名患有PTSD的退伍军人完成了为期2周的密集治疗计划.
- 疼痛强度和创伤后认知被评估在基线,治疗中期和治疗后.
- 使用了顺序逻辑混合效应模型,敏感性分析考虑了PTSD症状变化.
主要成果:
- 创伤后认知的减少与平均,当前和最严重的疼痛水平的下降显著相关.
- 对疼痛强度变化的效果大小是适度的.
- 在调整为PTSD症状改善时,认知变化和疼痛减轻之间的关联不再显著.
结论:
- 初步发现表明,针对负面评估的创伤专注干预措施可能有助于缓解PTSD退伍军人的疼痛.
- 敏感性分析表明,整体PTSD症状改善可能解释了观察到的疼痛减轻.
- 需要进一步的研究来区分认知和症状变化的作用在与PTSD和疼痛同时发生的退伍军人的疼痛结果中.
相关概念视频
Cognitive Dissonance
33.7K
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...
33.7K
Post-traumatic Stress Disorder
114
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,...
114
Negative and Cognitive Symptoms of Schizophrenia
125
Negative symptoms of schizophrenia indicate a reduction or absence of typical behaviors and emotional responses found in healthy individuals, while positive symptoms reflect an excess or distortion of normal functioning.
Negative Symptoms
Negative symptoms of schizophrenia manifest as deficits in normal emotional and behavioral functioning, profoundly impacting daily life. Individuals with schizophrenia often display a flat affect, characterized by a near-total absence of emotional expression,...
Negative Symptoms
Negative symptoms of schizophrenia manifest as deficits in normal emotional and behavioral functioning, profoundly impacting daily life. Individuals with schizophrenia often display a flat affect, characterized by a near-total absence of emotional expression,...
125


