认知行为疗法中突然改善对创伤后应激障碍的影响。
The impact of sudden gains in cognitive behavioral therapy for posttraumatic stress disorder.
作者信息
Kelly Kacie A, Rizvi Shireen L, Monson Candice M, Resick Patricia A
机构信息
Women's Health Sciences Division, National Center for PTSD, VA Boston Healthcare System, Boston, MA 02130, USA.
出版信息
J Trauma Stress. 2009 Aug;22(4):287-93. doi: 10.1002/jts.20427.
Abstract
This study investigated sudden gains, i.e., rapid and stable improvements, in posttraumatic stress disorder (PTSD) symptoms that may occur in cognitive-behavioral therapy. Twenty-nine of 72 participants (39.2%) experienced a sudden gain during treatment. Mixed model ANOVAs analyzed sudden gains impact on clinician-rated PTSD symptom severity, patient-rated PTSD symptom severity, and patient-rated depressive symptom severity. Sudden gains in PTSD symptomology were associated with greater reductions in PTSD symptom severity for the avoidance/numbing and hyperarousal symptom clusters at posttreatment. By 6-month follow-up, the sudden gains group had maintained those reductions in symptoms, but the nonsudden gains group had achieved equal reductions in symptom severity. Participants experiencing sudden gains on PTSD measures had lower depression severity at posttreatment and follow-up.
摘要
本研究调查了创伤后应激障碍（PTSD）症状可能在认知行为疗法中出现的突然改善，即快速且稳定的好转情况。72名参与者中有29名（39.2%）在治疗期间经历了突然改善。混合模型方差分析评估了突然改善对临床医生评定的PTSD症状严重程度、患者自评的PTSD症状严重程度以及患者自评的抑郁症状严重程度的影响。PTSD症状学的突然改善与治疗后回避/麻木和过度警觉症状群的PTSD症状严重程度更大程度的降低相关。到6个月随访时，突然改善组维持了症状的减轻，但非突然改善组在症状严重程度上也实现了同等程度的减轻。在PTSD测量中经历突然改善的参与者在治疗后和随访时的抑郁严重程度较低。
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