Bryant Richard A, Moulds Michelle L, Guthrie Rachel M, Dang Suzanne T, Nixon Reginald D V
School of Psychology, University of New South Wales, Sydney, Australia.
J Consult Clin Psychol. 2003 Aug;71(4):706-12. doi: 10.1037/0022-006x.71.4.706.
This study investigated the extent to which providing cognitive restructuring (CR) with prolonged imaginal exposure (IE) would lead to greater symptom reduction than providing IE alone for participants with posttraumatic stress disorder (PTSD). Fifty-eight civilian survivors of trauma with PTSD were randomly allocated to IE/CR, IE, or supportive counseling (SC). Treatment involved 8 individual weekly sessions with considerable homework. Independent assessments were conducted pretreatment, posttreatment, and at 6-month follow-up. IE/CR and IE resulted in reduced PTSD and depression compared with SC at posttreatment and follow-up. Further, IE/CR participants had greater reductions in PTSD and maladaptive cognitive styles than IE participants at follow-up. These findings suggest that providing CR in combination with IE may enhance treatment gains.
本研究调查了对于创伤后应激障碍（PTSD）患者，提供认知重构（CR）并结合延长想象暴露（IE）相比于仅提供IE，在症状减轻方面是否能取得更大效果。58名患有PTSD的创伤平民幸存者被随机分配至IE/CR组、IE组或支持性咨询（SC）组。治疗包括每周8次个体治疗，并布置大量家庭作业。在治疗前、治疗后及6个月随访时进行独立评估。在治疗后及随访时，与SC组相比，IE/CR组和IE组的PTSD及抑郁症状均有所减轻。此外，在随访时，IE/CR组参与者的PTSD及适应不良认知方式的减轻程度大于IE组参与者。这些发现表明，将CR与IE相结合可能会增强治疗效果。
