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治疗杀人事件中失去亲人者的复杂性悲伤和创伤后应激障碍:一项随机对照试验。

Treating complicated grief and posttraumatic stress in homicidally bereaved individuals: A randomized controlled trial.

作者信息

van Denderen Mariëtte, de Keijser Jos, Stewart Roy, Boelen Paul A

机构信息

Department of Clinical Psychology, University of Groningen, Groningen, The Netherlands.

University of Groningen, University Medical Center Groningen, Department of Health, Sciences, Community & Occupational Medicine, Groningen, The Netherlands.

出版信息

Clin Psychol Psychother. 2018 Feb 26. doi: 10.1002/cpp.2183.

Abstract

Homicidally bereaved individuals may experience symptoms of Complicated Grief (CG) and Posttraumatic Stress Disorder (PTSD). This Randomized Controlled Trial examined the effectiveness of an 8-session treatment encompassing Cognitive Behavioural Therapy (CBT) and Eye Movement Desensitization and Reprocessing (EMDR) to reduce self-rated CG and PTSD symptoms in 85 Dutch adult homicidally bereaved men and women. We compared changes in symptoms of CG (assessed using the Inventory of Complicated Grief) and PTSD (assessed using the Impact of Event Scale) between an intervention group and a waitlist control group. The treatment was effective in reducing CG and PTSD symptoms, from pretreatment to posttreatment. It can be concluded that EMDR and CBT seem promising treatments for homicidally bereaved individuals for both men and women, and regardless of the time since the loss. Further research is needed to examine whether a combined treatment of EMDR and CBT together is of added value in situations where grief and trauma are intertwined over offering only one of the two treatment modalities.

摘要

遭受杀人丧亲之痛的个体可能会出现复杂悲伤(CG)和创伤后应激障碍(PTSD)的症状。这项随机对照试验检验了一种为期8节的治疗方法的有效性,该方法包括认知行为疗法(CBT)和眼动脱敏再处理疗法(EMDR),旨在减轻85名荷兰成年杀人丧亲的男性和女性的自评CG和PTSD症状。我们比较了干预组和候补对照组之间CG症状(使用复杂悲伤量表评估)和PTSD症状(使用事件影响量表评估)的变化。从治疗前到治疗后,该治疗在减轻CG和PTSD症状方面是有效的。可以得出结论,EMDR和CBT对于遭受杀人丧亲之痛的男性和女性个体似乎都是有前景的治疗方法,且与丧失发生后的时间无关。需要进一步研究来检验,在悲伤和创伤相互交织的情况下,EMDR和CBT联合治疗相较于仅提供两种治疗方式中的一种是否具有附加价值。

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