对双重诊断的退伍军人书面暴露治疗 (WET) 叙述进行主题模型分析
Michael T Shaw1, Thomas J Shaw2,3, Kayla R Jones2
1Department of Veterans Affairs Medical Center, William S. Middleton Memorial Veterans Hospital, Madison, WI, USA.
概括
书面暴露疗法 (WET) 可能对患有PTSD和物质使用障碍同时发生的个体效果较差,如果负面认知普遍存在. 分析WET叙述揭示了对负面认知的关注增加与治疗结果较差相关.
科学领域:
- 精神病学是一个精神病学.
- 心理学 心理学 心理学
- 行为科学 行为科学
背景情况:
- 书面暴露疗法 (WET) 是一种认知行为干预,用于患有PTSD和物质使用障碍并发症的人.
- 在这个人群中影响WET有效性的因素仍然不清楚.
- 分析WET会议的书面叙述提供了一个潜在的途径,以了解治疗结果.
研究的目的:
- 分析来自双重诊断的退伍军人的WET叙述.
- 通过结构性主题建模,探索这些叙述中的潜在主题.
- 检查叙事内容与研究结果之间的关联.
主要方法:
- 结构主题建模应用于19名双重诊断的退伍军人的WET叙述.
- 分析探讨了这些著作的潜在主题.
- 在一个住院物质使用障碍环境中,研究了主题和治疗结果之间的关联.
主要成果:
- 在WET叙述中确定了潜在的主题,包括负面认知的维度.
- 叙述中的负面认知变化与PTSD症状严重程度的变化相关 (CAPS-5,p=0.045).
- 关于创伤事件负面影响的写作增加与治疗响应减少有关.
结论:
- 负面认知可能会阻碍WET对双重诊断个体的有效性.
- 湿教育叙述的内容提供了对治疗反应的见解.
- 需要进一步的研究来探索负面认知在WET结果中的作用.
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