自责认知的减少预示着认知加工疗法对与军事性创伤相关 PTSD 的改善。
Reductions in self-blame cognitions predict PTSD improvements with cognitive processing therapy for military sexual trauma-related PTSD.
机构信息
Rocky Mountain Mental Illness Research, Education and Clinical Center for Suicide Prevention, Denver, CO, USA; University of Colorado Anschutz Medical Campus, Aurora, CO, USA.
Research Service, Veterans Affairs North Texas Health Care System, 4500 S. Lancaster Rd. Research Service (151), Dallas, TX, USA; Department of Psychiatry, University of Texas Southwestern Medical Center, Dallas, TX, USA.
出版信息
Psychiatry Res. 2018 May;263:181-184. doi: 10.1016/j.psychres.2018.03.007. Epub 2018 Mar 14.
Reductions in trauma-related negative cognitions during Cognitive Processing Therapy (CPT) are theorized to precede posttraumatic stress disorder (PTSD) symptom reduction. This mechanism of change has not been validated for veterans with military sexual trauma-related PTSD. Using data from a previously published randomized clinical trial (n = 32), changes in trauma-related negative cognitions about self, self-blame, and the world were entered as predictors of change in PTSD symptoms for cross-lagged panel analyses. From baseline to 6-months posttreatment, only changes in self-blame predicted and temporally preceded changes in PTSD symptoms, highlighting a potential mechanism of change in CPT for military sexual trauma-related PTSD.
创伤后负性认知在认知加工疗法（CPT）中减少，被认为先于创伤后应激障碍（PTSD）症状减轻。这一变化机制尚未在有军事性创伤相关 PTSD 的退伍军人中得到验证。利用先前发表的一项随机临床试验的数据（n=32），将创伤后自我、自责和世界相关负性认知的变化作为 PTSD 症状变化的预测因子，进行交叉滞后面板分析。从基线到治疗后 6 个月，只有自责的变化预测并先于 PTSD 症状的变化，这突出了 CPT 治疗军事性创伤相关 PTSD 的潜在变化机制。
Zotero 插件