Stapleton Jennifer A, Taylor Steven, Asmundson Gordon J G
University of Regina.
J Trauma Stress. 2006 Feb;19(1):19-28. doi: 10.1002/jts.20095.
This study sought to investigate the efficacy of prolonged exposure, eye movement desensitization and reprocessing, and relaxation training on trait anger and guilt and on trauma-related anger and guilt within the context of posttraumatic stress disorder (PTSD) treatment. Fifteen PTSD patients completed each treatment and were assessed at posttreatment and at 3-month follow-up. All three treatments were associated with significant reductions in all measures of anger and guilt, with gains maintained at follow-up. There were no significant treatment differences in efficacy or in the proportion of patients who worsened on anger or guilt measures over the course of treatment. Between-treatment effect sizes were generally very small. Results suggest that all three treatments are associated with reductions in anger and guilt, even for patients who initially have high levels of these emotions. However, these PTSD therapies may not be sufficient for treating anger and guilt; additional interventions may be required.
本研究旨在探讨延长暴露疗法、眼动脱敏再处理疗法以及放松训练在创伤后应激障碍（PTSD）治疗背景下，对特质愤怒和内疚以及与创伤相关的愤怒和内疚的疗效。15名PTSD患者完成了每种治疗，并在治疗后及3个月随访时进行评估。所有三种治疗均与愤怒和内疚的所有测量指标显著降低相关，且这些改善在随访时得以维持。在疗效方面，以及在治疗过程中愤怒或内疚测量指标恶化的患者比例方面，三种治疗之间均无显著差异。治疗间的效应量总体上非常小。结果表明，所有三种治疗均与愤怒和内疚的减少相关，即使对于最初这些情绪水平较高的患者也是如此。然而，这些PTSD治疗方法可能不足以治疗愤怒和内疚；可能需要额外的干预措施。
