Australian Centre for Posttraumatic Mental Health, Department of Psychiatry, University of Melbourne, Vic, Australia.
Australian Centre for Posttraumatic Mental Health, Department of Psychiatry, University of Melbourne, Vic, Australia; School of Psychology, Flinders University, SA, Australia.
J Anxiety Disord. 2014 Mar;28(2):237-40. doi: 10.1016/j.janxdis.2013.12.002. Epub 2013 Dec 22.
This paper examines clinical predictors of posttraumatic stress disorder (PTSD) treatment outcomes following Cognitive Processing Therapy (CPT) in Australian military veterans. Fifty nine treatment seeking veterans were enrolled in a randomized controlled trial comparing 12 sessions of CPT (n = 30) with usual treatment (n = 29) at three community-based veterans counseling centers. PTSD and key co-morbidities (depression, anxiety, anger and alcohol use) were measured. Growth curve modeling was used to examine factors which influenced PTSD severity post-treatment. For the CPT condition, baseline anger was the only co-morbidity predictive of change in PTSD severity over time. Participants with higher anger scores showed less of a decrease in PTSD severity over time. Higher anxiety in participants in treatment as usual was significantly associated with better treatment gains. This research suggests that veterans experiencing high levels of anger might benefit from targeted anger reduction strategies to increase the effectiveness of CPT treatment for PTSD.
本文考察了认知加工疗法（CPT）治疗澳大利亚退伍军人创伤后应激障碍（PTSD）的临床预测因素。59 名寻求治疗的退伍军人参加了一项随机对照试验，在三个社区退伍军人咨询中心将 12 节 CPT（n = 30）与常规治疗（n = 29）进行比较。评估 PTSD 及主要合并症（抑郁、焦虑、愤怒和饮酒）。增长曲线模型用于检查影响治疗后 PTSD 严重程度的因素。对于 CPT 组，基线愤怒是唯一与 PTSD 严重程度随时间变化相关的合并症预测因素。愤怒得分较高的参与者随时间推移 PTSD 严重程度下降幅度较小。常规治疗组中焦虑较高与治疗效果更好显著相关。这项研究表明，经历高水平愤怒的退伍军人可能受益于有针对性的愤怒减轻策略，以提高 CPT 治疗 PTSD 的效果。
