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创伤后应激障碍的认知行为联合疗法可改善各种创伤后应激障碍症状及与创伤相关的认知:一项随机对照试验的结果

Cognitive-behavioral conjoint therapy for PTSD improves various PTSD symptoms and trauma-related cognitions: Results from a randomized controlled trial.

作者信息

Macdonald Alexandra, Pukay-Martin Nicole D, Wagner Anne C, Fredman Steffany J, Monson Candice M

机构信息

Women's Health Sciences Division, National Center for PTSD-VA Boston Healthcare System.

Trauma Recovery Center, Cincinnati VA Medical Center.

出版信息

J Fam Psychol. 2016 Feb;30(1):157-62. doi: 10.1037/fam0000177. Epub 2015 Dec 14.

Abstract

Numerous studies document an association between posttraumatic stress disorder (PTSD) and impairments in intimate relationship functioning, and there is evidence that PTSD symptoms and associated impairments are improved by cognitive-behavioral conjoint therapy for PTSD (CBCT for PTSD; Monson & Fredman, 2012). The present study investigated changes across treatment in clinician-rated PTSD symptom clusters and patient-rated trauma-related cognitions in a randomized controlled trial comparing CBCT for PTSD with waitlist in a sample of 40 individuals with PTSD and their partners (N = 40; Monson et al., 2012). Compared with waitlist, patients who received CBCT for PTSD immediately demonstrated greater improvements in all PTSD symptom clusters, trauma-related beliefs, and guilt cognitions (Hedge's gs -.33 to -1.51). Results suggest that CBCT for PTSD improves all PTSD symptom clusters and trauma-related cognitions among individuals with PTSD and further supports the value of utilizing a couple-based approach to the treatment of PTSD.

摘要

大量研究记录了创伤后应激障碍(PTSD)与亲密关系功能受损之间的关联,并且有证据表明,创伤后应激障碍的认知行为联合疗法(PTSD的CBCT;Monson & Fredman,2012)能改善PTSD症状及相关损伤。本研究在一项随机对照试验中,对40名患有PTSD的个体及其伴侣(N = 40;Monson等人,2012)进行了研究,比较了PTSD的CBCT与等待名单,调查了治疗过程中临床医生评定的PTSD症状群和患者评定的创伤相关认知的变化。与等待名单组相比,接受PTSD的CBCT治疗的患者在所有PTSD症状群、创伤相关信念和内疚认知方面立即表现出更大的改善(Hedge's g为-.33至-1.51)。结果表明,PTSD的CBCT改善了PTSD患者的所有PTSD症状群和创伤相关认知,并进一步支持了采用基于夫妻的方法治疗PTSD的价值。

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