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认知加工疗法和全息再加工对遭受创伤的学生创伤后认知减少的影响。

Effect of cognitive processing therapy and holographic reprocessing on reduction of posttraumatic cognitions in students exposed to trauma.

作者信息

Basharpoor Sajjad, Narimani Mohamad, Gamari-Give Hossien, Abolgasemi Abas, Molavi Parviz

机构信息

Mohaghegh Ardebili University, Ardebil, Iran.

出版信息

Iran J Psychiatry. 2011 Fall;6(4):138-44.

Abstract

OBJECTIVE

This research was conducted to examine the effect of cognitive processing therapy and holographic reprocessing on the reduction of posttraumatic cognitions in students exposed to trauma.

METHOD

This was an experimental study with spread pretest-posttest randomized groups design. Statistical society of this research consisted of male freshman, junior and senior high school students of Uremia (N=10286). Utilizing Traumatic Events Screening Inventory, and SCL-90 R on 1000 randomly selected high school students, 129 students were recognized as having experienced traumatic events. Of the subjects, 60 were selected randomly. Then, clinical interview was conducted, and the selected sample was randomly assigned in to three groups of cognitive processing therapy, holographic reprocessing and control. These groups responded to Posttraumatic Cognitions Inventory in pretest and post test. Differences of pre-post test scores were analyzed using one way ANOVA and Scheffe test.

RESULTS

The results demonstrated significant differences between the three groups in total score of the Posttraumatic Cognition Inventory. Difference was also observed in negative cognitions on self and self-blame dimensions. Furthermore, these two therapeutic methods were equally effective in the reduction of posttraumatic cognitions.

CONCLUSION

It appears that cognitive processing therapy and holographic reprocessing which had been originally developed and tested for sexually assaulted females, can also be applied for the victims of other traumatic events, particularly adolescents.

摘要

目的

本研究旨在探讨认知加工疗法和全息再加工疗法对遭受创伤的学生创伤后认知减少的影响。

方法

这是一项采用前后测随机分组设计的实验研究。本研究的统计总体包括尿毒症的男性初一、初三和高三学生(N = 10286)。利用创伤事件筛查量表和症状自评量表(SCL - 90 R)对随机抽取的1000名高中生进行测试,129名学生被认定经历过创伤事件。从这些受试者中随机选取60名。然后进行临床访谈,并将所选样本随机分为认知加工疗法组、全息再加工疗法组和对照组。这些组在前后测中对创伤后认知量表进行了回应。使用单因素方差分析和谢弗检验分析前后测分数的差异。

结果

结果表明,三组在创伤后认知量表总分上存在显著差异。在自我和自责维度的消极认知方面也观察到差异。此外,这两种治疗方法在减少创伤后认知方面同样有效。

结论

看来最初为遭受性侵犯的女性开发和测试的认知加工疗法和全息再加工疗法,也可应用于其他创伤事件的受害者,尤其是青少年。

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