人际关系问题作为PTSD焦虑症状轨迹的预测因素:一个回顾性的多层次建模研究
Agnes Fasting1, Maria Vikan Simensen1, Peter Sele2
1Department of Psychology, University of Oslo, Oslo, Norway.
Journal of affective disorders
|March 8, 2026
概括
患有创伤后应激障碍 (PTSD) 的患者有显著的人际关系问题,但这些似乎不会阻碍住院治疗期间焦虑症状的改善. 需要进一步的研究来理解这些复杂的关系.
科学领域:
- 精神病学是一个精神病学.
- 临床心理学 临床心理学
- 心理健康研究 心理健康研究
背景情况:
- 创伤后应激障碍 (PTSD) 通常与人际关系困难有关.
- 了解这些困难对治疗结果的影响对于有效的PTSD护理至关重要.
研究的目的:
- 为了调查PTSD患者是否在治疗前表现出高水平的人际关系问题.
- 确定这些人际关系问题是否预测住院治疗期间的焦虑症状轨迹.
主要方法:
- 对58名慢性PTSD住院患者 (2016-2021) 的回顾性质量控制研究.
- 分析了使用多级建模 (MLM) 对每周焦虑症状 (贝克焦虑库存 - BAI) 进行例行收集的数据.
- 评估了治疗前的人际关系问题,使用人际关系问题的目录-64-Circumplex (IIP-64-C).
主要成果:
- 创伤后应激障碍患者的人际关系问题明显高于非临床样本.
- 治疗前的人际关系问题并没有预测治疗期间焦虑症状改善的程度较低.
- 在IIP-64-C亚尺度和焦虑症状随时间变化之间没有发现显著的关联.
结论:
- 在PTSD住院患者中增加的人际关系困难可能不会直接阻碍焦虑症状的改善.
- 由于样本大小可能不足 (N=58) 结果应谨慎解释.
- 未来的研究应该探索时间变化的共变量,以更好地了解人际问题对PTSD恢复的影响.
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