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慈悲焦点治疗对 PTSD 女性亲密伴侣暴力幸存者自杀意念和认知扭曲的概念验证试验。

Compassion-Focused Therapy: Proof of Concept Trial on Suicidal Ideation and Cognitive Distortions in Female Survivors of Intimate Partner Violence With PTSD.

机构信息

Shiraz University, Shiraz, Iran.

Lorestan University, Khoramabad, Iran.

出版信息

J Interpers Violence. 2022 Jun;37(11-12):NP9613-NP9634. doi: 10.1177/0886260520984265. Epub 2020 Dec 29.

DOI:10.1177/0886260520984265
PMID:33375899
Abstract

This proof of concept trial aimed to assess the pre-post differences in suicidal ideation and cognitive distortions in the compassion-focused therapy (CFT), and to compare the psychological improvement in the experimental group to a control group. A total of 42 women suffering from PTSD due to exposure to intimate partner violence (IPV) were randomized to the experimental and control groups (21 per group). All participants completed the questionnaires of suicidal ideation and cognitive distortions as pretest measures. Subjects of the experimental group received 8 CFT sessions, while the controls did not receive any therapy. Then, all subjects responded to the questionnaires of suicidal ideation and cognitive distortions as the posttest measures. Data were analyzed using one-way repeated measures MANOVA. Subjects of the experimental group indicated a greater reduction in post-test scores of suicidal ideation and its subscales including passive suicidal ideation, preparation for suicide, and active suicidal ideation when compared to the controls. Moreover, the subjects of the experimental group indicated a greater reduction in the post-test scores of cognitive distortions than controls. These results provide support for a larger trial focusing on the efficacy of CFT on psychological outcomes of PTSD following exposure to IPV. This intervention has the potential to be deployed at higher scales for IPV-affected women with PTSD.

摘要

这项概念验证试验旨在评估基于同情的认知行为疗法(CFT)在自杀意念和认知扭曲方面的前后差异,并比较实验组和对照组的心理改善情况。共有 42 名因亲密伴侣暴力(IPV)而患有创伤后应激障碍(PTSD)的女性被随机分配到实验组和对照组(每组 21 名)。所有参与者都完成了自杀意念和认知扭曲的问卷作为前测措施。实验组的受试者接受了 8 次 CFT 治疗,而对照组则没有接受任何治疗。然后,所有受试者都用自杀意念和认知扭曲问卷作为后测措施进行了回答。数据采用单向重复测量 MANOVA 进行分析。与对照组相比,实验组的受试者在后测中自杀意念及其各分量表(包括被动自杀意念、自杀准备和主动自杀意念)的得分明显降低。此外,实验组的受试者在后测中认知扭曲的得分也明显低于对照组。这些结果为更大规模的试验提供了支持,该试验旨在关注基于同情的认知行为疗法对 IPV 暴露后 PTSD 的心理结局的疗效。这种干预措施有可能在更大范围内用于受 PTSD 影响的 IPV 女性。

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