与机构背叛有关的创伤后应激障碍治疗结果
Madeline J Bruce1, Deborah M Little2, Melba A Hernandez-Tejada2
1Department of Psychology, Webster University, Webster Groves, Missouri, USA.
Journal of traumatic stress
|August 29, 2025
概括
机构背叛对治疗的持续性有很大影响,受影响的个人,特别是男性和黑人患者,更有可能提前退出治疗. 在这些情况下,可能需要修改治疗方案以获得成功的结果.
科学领域:
- 心理学
- 创伤研究
- 临床研究
背景情况:
- 机构的背叛,一个组织的违反信任, 可以加剧创伤后应激障碍 (PTSD) 的症状.
- 了解机构背叛对治疗的影响对于有效的心理健康干预至关重要.
研究的目的:
- 评估标准的12-15次治疗方案是否足够,
- 为了比较机构背叛患者和对照组的治疗结果.
主要方法:
- 一个质量保证项目, 比较57名在医院接受治疗的患者和57名没有接受治疗的患者.
- 排除有性虐待史的参与者,
- 治疗持续时间,需要修改和减轻症状 (PTSD,抑郁症) 的分析.
主要成果:
- 患有机构背叛的患者更有可能提前停止治疗,特别是男性和黑人患者.
- 继续接受治疗的患者通常需要额外或修改方案 (例如,书面暴露治疗+CPT,长期暴露+CPT).
- 在所有参与者中都观察到PTSD和抑郁症状的显著下降,
结论:
- 标准的治疗方案对遭受机构背叛的个人来说可能是不够的,强调了需要量身定制的方法.
- 修改和扩展的治疗方案有望解决这一群体的复杂需求.
- 需要进行进一步的研究, 以提高机构背叛幸存者的治疗效果.
更多相关视频
08:25Polar Histogram Visualization of Acute Stress Disorder Scale Scores for Comprehensive Clinical Assessment
Published on: December 6, 2024
515
09:55Use of a Psychophysiological Script-driven Imagery Experiment to Study Trauma-related Dissociation in Borderline Personality Disorder
Published on: March 8, 2018
12.7K
相关概念视频
01:27Post-traumatic Stress Disorder
113
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,...
113
03:20The Stanford Prison Experiment
23.6K
The famous and controversial Stanford Prison Experiment, conducted by social psychologist Philip Zimbardo and his colleagues at Stanford University, demonstrated the power of social roles, social norms, and scripts.
23.6K
01:20Traumatic Memory
173
Emotionally traumatic events often lead to memories that are exceptionally vivid and enduring, sometimes persisting with remarkable clarity throughout an individual's life. A classic example of this phenomenon is a person who survives a car accident. Even years later, they may recall every detail of the event with startling accuracy — the screeching of the tires, the jarring impact, and the acrid smell of burning rubber. Such vividness contrasts sharply with how an individual...
173
01:24Treatment Strategies for Psychological Disorders
267
Treatment approaches for psychological disorders fall into three main categories: psychological, biological, and sociocultural. Each approach targets different aspects of mental health, requiring varying levels of education and training.
Psychological therapies focus on modifying emotions, thoughts, and behaviors through talking, interpreting, listening, rewarding, challenging, and modeling. Clinical psychologists, counselors, and social workers commonly practice psychotherapy. Clinical...
Psychological therapies focus on modifying emotions, thoughts, and behaviors through talking, interpreting, listening, rewarding, challenging, and modeling. Clinical psychologists, counselors, and social workers commonly practice psychotherapy. Clinical...
267
01:25Interpersonal Psychotherapy
98
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.
98
01:25Beck's Cognitive Therapy
107
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...
107