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认知行为疗法对创伤后应激障碍患者心理症状及恢复自传体记忆的有效性。

The effectiveness of cognitive behavioral therapy with respect to psychological symptoms and recovering autobiographical memory in patients suffering from post-traumatic stress disorder.

作者信息

Akbarian Fatemehsadat, Bajoghli Hafez, Haghighi Mohammad, Kalak Nadeem, Holsboer-Trachsler Edith, Brand Serge

机构信息

Psychology and Counseling Organization of Iran, Science and Research Branch, Islamic Azad University, Tehran, Iran.

Iranian National Center for Addiction Studies (INCAS), Iranian Institute for Reduction of High-Risk Behaviors, Tehran University of Medical Sciences, Tehran, Iran ; ASEAN Institute for Health Development, Mahidol University, Nakhonpathom, Thailand.

出版信息

Neuropsychiatr Dis Treat. 2015 Feb 19;11:395-404. doi: 10.2147/NDT.S79581. eCollection 2015.

Abstract

OBJECTIVES

Given the persistence of post-traumatic stress disorder (PTSD) and its major impact on everyday life, it is important to identify effective treatments. In additional to pharmacological treatments, psychotherapeutic treatments are also highly effective. The aim of the present study was to investigate, among a sample of patients suffering from PTSD, the influence of an additional cognitive behavioral therapy (CBT) intervention on their symptoms of PTSD, depression, and anxiety, and on autobiographical memory.

METHODS

A total of 40 patients suffering from PTSD (mean age: 31.64 years; 78.6% female patients) and under psychopharmacological treatment were randomly assigned to an intervention or control condition. The intervention consisted of ten group sessions (one 60-90 minute session per week) of CBT. At baseline and 10 weeks later, a series of self-rating and experts'-rating questionnaires were completed.

RESULTS

Over time, symptoms of PTSD, depression, and anxiety decreased; however, greater improvement was observed in the experimental than the control condition. Likewise, as a general pattern of results, memory performance improved over time, though again this improvement was greater in the experimental condition.

CONCLUSION

Compared to a control condition, additional CBT improves the treatment of PTSD, with respect to both symptoms and autobiographical memory.

摘要

目的

鉴于创伤后应激障碍(PTSD)持续存在且对日常生活有重大影响,识别有效的治疗方法很重要。除药物治疗外,心理治疗也非常有效。本研究的目的是在一组PTSD患者样本中,调查额外的认知行为疗法(CBT)干预对其PTSD、抑郁和焦虑症状以及自传体记忆的影响。

方法

共有40名正在接受心理药物治疗的PTSD患者(平均年龄:31.64岁;78.6%为女性患者)被随机分配到干预组或对照组。干预包括十次CBT小组治疗(每周一次,每次60 - 90分钟)。在基线期和10周后,完成了一系列自评和专家评定问卷。

结果

随着时间推移,PTSD、抑郁和焦虑症状有所减轻;然而,与对照组相比,实验组的改善更为明显。同样,作为总体结果模式,记忆表现随时间有所改善,不过实验组的改善同样更大。

结论

与对照组相比,额外的CBT在症状和自传体记忆方面都改善了PTSD的治疗效果。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ffec/4344184/c23e5e820a77/ndt-11-395Fig1.jpg

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