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脑卒中幸存者的非正式照护者的认知评估和创伤后应激障碍症状。

Cognitive appraisals and posttraumatic stress disorder symptoms in informal caregivers of stroke survivors.

机构信息

Clinical Psychology Unit, University of Sheffield, Sheffield, UK.

出版信息

Rehabil Psychol. 2010 Feb;55(1):91-6. doi: 10.1037/a0018417.

DOI:10.1037/a0018417
PMID:20175639
Abstract

OBJECTIVE

To examine associations between cognitive appraisals (i.e., negative appraisals about the self, negative appraisals about the world, and self-blame) and the severity of posttraumatic stress disorder (PTSD) symptoms in informal caregivers (i.e., family relatives or close associates) of stroke survivors.

METHOD

A cross-sectional study was conducted in which informal caregivers (N = 51) of recent stroke survivors completed the Posttraumatic Diagnostic Scale and the Posttraumatic Cognitions Inventory.

RESULTS

PTSD symptom severity correlated significantly with the Posttraumatic Cognitions Inventory Self, World, and Self-Blame subscales and with time since stroke and age (negative relationship). Cognitive appraisals explained 58% of the variance in PTSD symptom severity.

CONCLUSION

The associations found between negative cognitive appraisals and the severity of PTSD symptoms are consistent with current cognitive models of PTSD and the recommended use of trauma-related cognitive-behavioral therapy for individuals with PTSD.

摘要

目的

探讨认知评估(即对自我的负面评价、对世界的负面评价和自责)与脑卒中幸存者的非正式照顾者(即亲属或亲密伙伴)创伤后应激障碍(PTSD)症状严重程度之间的关系。

方法

进行了一项横断面研究,其中脑卒中幸存者的非正式照顾者(N=51)完成了创伤后诊断量表和创伤后认知清单。

结果

PTSD 症状严重程度与创伤后认知清单的自我、世界和自责分量表以及脑卒中后时间和年龄呈显著负相关(负相关)。认知评估解释了 PTSD 症状严重程度的 58%。

结论

与 PTSD 症状严重程度之间发现的负性认知评估之间的关联与 PTSD 的当前认知模型以及 PTSD 个体推荐使用创伤相关认知行为疗法一致。

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