接受创伤后应激障碍治疗的美国退伍军人的认知能力改善:来自随机对照试验的二次分析
Zulkayda Mamat1,2, Danielle C Mathersul1,3,4,5, Peter J Bayley1,2
1War Related Illness and Injury Study Center, VA Palo Alto Health Care System, Palo Alto, California, USA.
Journal of traumatic stress
|December 24, 2025
概括
通过认知处理疗法或治疗创伤后应激障碍 (PTSD),可以改善记忆和注意力等认知功能. 在两种疗法中,认知能力的改善与PTSD症状的减少有关.
科学领域:
- 神经科学是一个神经科学.
- 精神病学是一个精神病学.
- 临床心理学 临床心理学
背景情况:
- 认知功能障碍是创伤后应激障碍 (PTSD) 的主要特征.
- 现有的PTSD治疗有效地管理核心症状,但它们对认知缺陷的影响需要进一步调查.
- 在PTSD治疗后认知功能恢复方面存在有限的研究.
研究的目的:
- 为了研究经历PTSD治疗的退伍军人的认知变化.
- 探索认知改善和PTSD症状减轻之间的关系.
- 为了比较认知处理疗法 (CPT) 和Sudarshan Kriya (SKY) 之间的认知结果.
主要方法:
- 八十五名患有PTSD症状的美国退伍军人被随机分为CPT或SKY组.
- 使用剑桥神经心理测试自动化电池评估治疗前后的认知功能.
- 使用临床医生管理的PTSD尺度 (CAPS-5) 测量了PTSD症状.
主要成果:
- 参与者在治疗后的情节性视觉记忆,运动学习和视觉持续注意力的显著改善.
- 在CPT和SKY组之间没有观察到认知改善的显著差异.
- 认知功能增强与两种治疗手臂中PTSD症状的减少有显著的相关性.
结论:
- 无论如何治疗PTSD (CPT或SKY),都会改善认知功能.
- 认知能力的改善与PTSD症状的减少同时发生.
- 这些发现表明,治疗PTSD的治疗干预可以积极影响相关的认知障碍.
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