Rauch Sheila A M, Foa Edna B, Furr Jami M, Filip Jennifer C
Center for the Treatment and Study of Anxiety, Department of Psychiatry, University of Pennsylvania, Philadelphia, Pennsylvania 19104, USA.
J Trauma Stress. 2004 Dec;17(6):461-5. doi: 10.1007/s10960-004-5794-8.
The present paper examines imagery vividness and anxiety during Prolonged Exposure (PE) for chronic PTSD among 69 female survivors of sexual or nonsexual assault. All participants received between 9 and 12 individual sessions of either PE alone or in combination with cognitive restructuring. As hypothesized, vividness and anxiety ratings from early imaginal exposure sessions were moderately to highly correlated, but these correlations decreased in later sessions. Both subjective distress and vividness decreased significantly with exposure. Greater reductions in subjective distress between the first and last exposure session were related to better outcome. However, contrary to hypothesis, vividness was not related to outcome. Theoretical implications of the results are discussed.
本文考察了69名遭受性侵犯或非性侵犯的女性慢性创伤后应激障碍（PTSD）患者在延长暴露疗法（PE）过程中的意象生动性和焦虑水平。所有参与者均接受了9至12次单独的治疗，治疗方式为单独进行PE或PE与认知重建相结合。正如所假设的那样，早期意象暴露治疗阶段的生动性和焦虑评分呈中度至高度相关，但在后期阶段这些相关性有所下降。随着暴露治疗的进行，主观痛苦和生动性均显著降低。首次暴露治疗与最后一次暴露治疗之间主观痛苦的更大程度降低与更好的治疗效果相关。然而，与假设相反，生动性与治疗效果无关。本文讨论了这些结果的理论意义。
Zotero 插件