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基于团体的聚焦怜悯疗法对创伤后应激障碍的亲密伴侣暴力女性幸存者的经验回避、生活意义和心理一致感的影响:一项随机对照试验。

Group-based Compassion-focused Therapy on Experiential Avoidance, Meaning-in-life, and Sense of Coherence in Female Survivors of Intimate Partner Violence with PTSD: A Randomized Controlled Trial.

机构信息

Shiraz University, Shiraz, Iran.

Lorestan University, Khurramabad, Iran.

出版信息

J Interpers Violence. 2022 Apr;37(7-8):NP4187-NP4211. doi: 10.1177/0886260520958660. Epub 2020 Sep 15.

DOI:10.1177/0886260520958660
PMID:32933348
Abstract

The current study was carried out to investigate the effects of compassion-focused therapy (CFT) on experiential avoidance, meaning-in-life, and sense of coherence (SoC) in women suffering from post-traumatic stress disorder (PTSD) due to the intimate partner violence (IPV).42 women suffering from PTSD due to the IPV exposure were randomized to the two groups of experimental and control (21 per group). All participants completed the questionnaires of experiential avoidance, meaning-in-life, and SoC as pre-test measures. The experimental group received eight sessions of CFT, while the controls did not receive any treatment. After that, all subjects responded to the questionnaires of experiential avoidance, meaning-in-life, and SoC as the post-test measures. Data were analyzed using one-way repeated measures MANOVA.Subjects of the experimental group indicated a greater reduction in post-test scores of experiential avoidance, and a significant rise in the level of meaning-in-life and its subscales including the presence of meaning-in-life and search for meaning-in-life when compared to the controls. Nevertheless, there was no change in the level of SoC as a function of CFT.Applying CFT can result in reducing experiential avoidance and raising the meaning of life in women with PTSD due to IPV exposure. CFT is highly recommended to strengthen the well-being of patients with PTSD and reduce the PTSD symptoms.

摘要

本研究旨在探讨慈悲焦点疗法(CFT)对亲密伴侣暴力(IPV)所致创伤后应激障碍(PTSD)女性的经验回避、生活意义和心理一致感(SoC)的影响。42 名因 IPV 而患有 PTSD 的女性被随机分为实验组和对照组(每组 21 名)。所有参与者都完成了经验回避、生活意义和 SoC 的问卷作为前测措施。实验组接受了 8 次 CFT 治疗,而对照组则没有接受任何治疗。之后,所有受试者都作为后测措施回答了经验回避、生活意义和 SoC 的问卷。采用单因素重复测量 MANOVA 对数据进行分析。与对照组相比,实验组的经验回避后测得分显著降低,生活意义及其子量表(包括生活意义的存在和寻找生活意义)的水平显著提高。然而,CFT 并没有改变 SoC 的水平。

应用 CFT 可以降低 IPV 暴露所致 PTSD 女性的经验回避,提高生活意义。强烈推荐 CFT 来增强 PTSD 患者的幸福感,减轻 PTSD 症状。

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