注意力能力和PTSD治疗反应:长时间单独暴露或与塞特拉林联合使用
Emma K Peconga1, Gabrielle M Gauthier1, Elsa K Mattson2
1Department of Psychology, University of Washington, Seattle, WA, USA.
概括
更高的持续注意力预测了创伤后应激障碍 (PTSD) 的更好的治疗结果. 这一发现表明,注意力可能是优化创伤后应激障碍治疗的关键因素.
科学领域:
- 神经科学是一个神经科学.
- 心理学 心理学 心理学
- 临床研究 临床研究
背景情况:
- 持续注意力受损与创伤后应激障碍 (PTSD) 认知疗法的较差结果有关.
- 注意力能力对以曝光为重点的PTSD治疗的影响仍未得到充分研究.
- 血清抗抑郁药可能会影响认知功能和潜在的适度治疗反应.
研究的目的:
- 研究患有PTSD的个体在治疗前持续的注意力和治疗反应之间的关联.
- 探索持续的注意力是否预测长期暴露 (PE) 治疗中的症状减轻,有或没有塞特拉林.
主要方法:
- 在接受PE或PE加塞特拉林之前,有142名患有PTSD的人完成了评估持续注意力的侧任务.
- 持续的注意力,PTSD严重程度,抑郁症严重程度和避免症状在治疗前和后被测量.
主要成果:
- 治疗前持续的注意力与PTSD或抑郁症严重程度没有显著的相关性.
- 更高的持续注意力与PTSD症状严重性 (d=.46) 和较低的回避症状 (d=.43) 的较大减少有关.
- 治疗方式 (PE与PE加塞特拉林) 并没有缓解持续注意力和治疗结果之间的关系.
结论:
- 持续注意力受损可能是影响PTSD治疗疗效的调节者.
- 未来的研究应该探索会话中的注意力机制,例如在暴露治疗期间与创伤刺激的接触.
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