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认知加工疗法在改善患有与军事性创伤相关创伤后应激障碍的退伍军人心理社会功能、健康和生活质量方面的作用。

The role of cognitive processing therapy in improving psychosocial functioning, health, and quality of life in veterans with military sexual trauma-related posttraumatic stress disorder.

作者信息

Holliday Ryan, Williams Rush, Bird Jessica, Mullen Kacy, Surís Alina

机构信息

VA North Texas Health Care System.

Providence Medical Group.

出版信息

Psychol Serv. 2015 Nov;12(4):428-434. doi: 10.1037/ser0000058.

Abstract

Although research has identified evidence-based treatments (EBTs) for military sexual trauma (MST)-related posttraumatic stress disorder (PTSD), few studies have examined the effect of such treatments on psychosocial functioning, health or quality of life in individuals with MST-related PTSD. Male and female veterans (N = 45) with MST-related PTSD took part in a randomized clinical trial that included either 12 weeks of an evidence-based psychotherapeutic treatment (cognitive processing therapy; [CPT]) or a standard control condition (present centered therapy) and 6 months of follow-up. To assess quality of life and psychosocial functioning, each participant was administered the Quality of Life Inventory and the Short Form (36) Health Survey. Using a hierarchical linear modeling approach, results demonstrated that participants treated with CPT reported significantly higher physical functioning over time than did participants treated with PCT. Implications are discussed with regard to the role of psychotherapy in improving a patient's psychosocial and health functioning.

摘要

尽管研究已经确定了针对军事性创伤(MST)相关创伤后应激障碍(PTSD)的循证治疗方法(EBTs),但很少有研究考察此类治疗方法对患有MST相关PTSD的个体的心理社会功能、健康状况或生活质量的影响。患有MST相关PTSD的男性和女性退伍军人(N = 45)参与了一项随机临床试验,该试验包括为期12周的循证心理治疗(认知加工疗法;[CPT])或标准对照条件(以当前为中心的疗法)以及6个月的随访。为了评估生活质量和心理社会功能,对每位参与者进行了生活质量量表和简明健康调查(36项)。使用分层线性建模方法,结果表明,随着时间的推移,接受CPT治疗的参与者在身体功能方面的报告得分显著高于接受PCT治疗的参与者。文中讨论了心理治疗在改善患者心理社会和健康功能方面的作用。

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