在患有创伤后应激障碍 (PTSD) 的人群中,用于创伤后成长 (PTG) 的认知行为疗法:系统性审查和元分析
Akram Ahmadzadeh1, Mohammad Saeed Khanjani1, Manoochehr Azkhosh2
1Department of Counselling, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran.
Journal of mental health (Abingdon, England)
|November 20, 2025
概括
认知行为疗法 (CBT) 在创伤后应激障碍 (PTSD) 患者中显著增强创伤后生长 (PTG). 研究中更大的样本大小与更大的PTG改善相关,这表明CBT在创伤恢复中有效.
科学领域:
- 心理学 心理学 心理学
- 创伤研究 创伤研究
- 临床干预 临床干预
背景情况:
- 创伤后成长 (PTG) 是创伤后经历的积极心理变化.
- 患有创伤后应激障碍 (PTSD) 的人可能会从促进PTG的治疗中受益.
- 认知行为疗法 (CBT) 是一种广泛用于各种心理健康状况的治疗方法.
研究的目的:
- 评估认知行为疗法 (CBT) 在被诊断患有创伤后应激障碍 (PTSD) 的个人中增强创伤后成长 (PTG) 的有效性.
- 综合现有研究中关于在PTSD群体中治疗PTG的CBT干预措施的发现.
主要方法:
- 在PubMed,Web of Science和Scopus数据库中进行了系统的文献搜索,截至2025年1月1日.
- 包括的研究包括临床试验,随机对照试验,准实验或实验设计,应用CBT用于PTSD中的PTG.
- 七篇文章,涉及249个人和46对夫妇,使用Verhegen质量评估检查清单进行了定性评估.
主要成果:
- 认知行为疗法证明了创伤后生长的显著改善 (SMD=-0.81,p=0.027).
- 在研究中增加样本大小和CBT对PTG改善的影响的大小之间观察到一个积极的关联 (P=0.056).
- 与对照组相比,干预组在PTG标志上显示出显著的改善.
结论:
- 认知行为疗法干预措施在促进创伤后成长方面是有效的.
- CBT帮助个人通过处理和处理创伤经历来实现成长.
- 这些发现支持使用CBT作为一种治疗策略,以促进创伤后的弹性和生长.
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