Bryant Richard A, Kenny Lucy, Joscelyne Amy, Rawson Natasha, Maccallum Fiona, Cahill Catherine, Hopwood Sally
School of Psychology, University of New South Wales, Sydney, Australia.
Eur J Psychotraumatol. 2019 Feb 7;8(6):1556551. doi: 10.1080/20008198.2018.1556551. eCollection 2017.
: Prolonged grief disorder (PGD) causes significant impairment in approximately 7% of bereaved people. Although cognitive behaviour therapy (CBT) has been shown to effectively treat PGD, there is a need to identify predictors of treatment non-response. : PGD patients ( = 80) were randomly allocated to receive 10 weekly two-hour group CBT sessions and (a) four individual sessions of exposure therapy or (b) CBT without exposure. PGD was assessed by self-report measures at baseline, post-treatment ( 61), and six-months ( 56) after treatment. : Post-treatment assessments indicated that greater reduction in grief severity relative to pretreatment levels was associated with being in the CBT/Exposure condition, and lower baseline levels of self-blame and avoidance. At follow-up, greater grief symptom reduction was associated with being in the CBT/Exposure condition and lower levels of avoidance. : These patterns suggest that strategies that target excessive self-blame and avoidance during treatment may enhance response to grief-focused cognitive behaviour therapy.
持续性悲伤障碍（PGD）在约7%的丧亲者中会导致严重损害。尽管认知行为疗法（CBT）已被证明能有效治疗PGD，但仍有必要确定治疗无反应的预测因素。：80名PGD患者被随机分配接受为期10周、每周两小时的团体CBT治疗，以及（a）4次个体暴露疗法治疗或（b）无暴露的CBT治疗。在基线、治疗后（n = 61）和治疗后6个月（n = 56）通过自我报告测量评估PGD。：治疗后评估表明，与治疗前水平相比，悲伤严重程度的更大降低与处于CBT/暴露组、较低的基线自责和回避水平相关。在随访中，更大程度的悲伤症状减轻与处于CBT/暴露组和较低的回避水平相关。：这些模式表明，在治疗期间针对过度自责和回避的策略可能会增强对以悲伤为重点的认知行为疗法的反应。
