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创伤后应激障碍的团体治疗中创伤经历、分离和焦虑的披露。

Disclosure of traumatic experiences, dissociation, and anxiety in group therapy for posttraumatic stress.

机构信息

Department of Psychology, James Cook University, Townsville, QLD, Australia.

出版信息

Anxiety Stress Coping. 2010 Jul;23(4):449-61. doi: 10.1080/10615800903414315.

DOI:10.1080/10615800903414315
PMID:19916086
Abstract

This study examined the relationships among the symptoms of posttraumatic stress disorder (PTSD), anxiety, dissociation with self-disclosure among 72 male military veterans with PTSD who were attending an eight-week group therapy treatment program. At intake to the program, participants were administered a baseline demographics questionnaire, the Clinicians Administered PTSD Scale, a dissociation measure, and the Hospital Anxiety and Depression Scale (HADS). Participants completed the dissociation measure and the HADS again at discharge from the program and at a follow-up three months later. We found that the frequency and severity of dissociation reported by participants decreased over time. It was also found that high self-disclosers had higher levels of dissociation when compared to low self-disclosers at baseline and program end, but showed a greater decline in levels of dissociation at three-month follow-up. It was also found that, regardless of the level of disclosure, anxiety levels at follow-up were significantly lower than baseline levels of anxiety.

摘要

本研究考察了创伤后应激障碍(PTSD)症状、焦虑、与自我表露相关的解离症状之间的关系,研究对象为 72 名参加为期八周的团体治疗项目的 PTSD 男性退伍军人。在项目开始时,参与者接受了一份基础人口统计问卷、临床医生管理的 PTSD 量表、解离量表和医院焦虑抑郁量表(HADS)。参与者在项目结束时和三个月后的随访中再次完成了解离量表和 HADS。我们发现,参与者报告的解离频率和严重程度随时间推移而降低。还发现,与低自我表露者相比,高自我表露者在基线和项目结束时的解离程度更高,但在三个月随访时的解离程度下降更大。还发现,无论自我表露程度如何,随访时的焦虑水平明显低于基线时的焦虑水平。

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