Contractor Ateka A, Jin Ling, Weiss Nicole H
Department of Psychology, University of North Texas, Denton, TX, U.S.
Counselling Psychology, Werklund School of Education, University of Calgary, Calgary, AB, CA.
J Psychother Integr. 2023 Jun;33(2):213-234. doi: 10.1037/int0000290. Epub 2022 Aug 4.
Processing of Positive Memories Technique (PPMT) was proposed as a novel intervention for posttraumatic stress disorder (PTSD). PPMT comprises of 5 sessions focused on identifying and processing positive memories. As an open label pilot study, we explored PPMT's effects on PTSD severity, depression severity, affect and cognitive processes, and therapeutic alliance. A sample of 12 trauma-exposed participants seeking services at a University Psychology Clinic participated in 5 PPMT sessions (=29.25 years; 58.30% women). We used the reliable change indices and clinically significant change score approach. The following number of participants showed statistically reliable changes: 9 participants for PTSD severity (8 recovered/improved); 6 participants for depression severity (5 improved); 5 participants for positive affect levels (2 recovered/improved); 9 participants for negative affect levels (8 recovered); 9 participants for posttrauma cognitions (7 recovered/improved); 5 participants for positive emotion dysregulation (4 recovered); 11 participants for number of retrieved positive memories (3 recovered); and 5 participants for therapeutic alliance (4 recovered). PPMT may impact certain posttrauma targets more effectively (PTSD, depression, negative affect, posttrauma cognitions). PPMT may be more helpful in improving regulation rather than levels of positive affect. PPMT, if supported in further investigations, may add to the clinician tool-box of PTSD interventions.
积极记忆加工技术(PPMT)被提出作为创伤后应激障碍(PTSD)的一种新型干预方法。PPMT包括5个专注于识别和加工积极记忆的疗程。作为一项开放标签的试点研究,我们探讨了PPMT对PTSD严重程度、抑郁严重程度、情感和认知过程以及治疗联盟的影响。12名在大学心理诊所寻求服务的经历过创伤的参与者样本参加了5个PPMT疗程(平均年龄=29.25岁;58.30%为女性)。我们使用了可靠变化指数和临床显著变化评分方法。以下数量的参与者显示出统计学上可靠的变化:9名参与者的PTSD严重程度有变化(8名康复/改善);6名参与者的抑郁严重程度有变化(5名改善);5名参与者的积极情感水平有变化(2名康复/改善);9名参与者的消极情感水平有变化(8名康复);9名参与者的创伤后认知有变化(7名康复/改善);5名参与者的积极情绪失调有变化(4名康复);11名参与者的提取积极记忆数量有变化(3名康复);5名参与者的治疗联盟有变化(4名康复)。PPMT可能对某些创伤后目标(PTSD、抑郁、消极情感、创伤后认知)有更有效的影响。PPMT在改善调节方面可能比提高积极情感水平更有帮助。如果在进一步研究中得到支持,PPMT可能会被添加到临床医生治疗PTSD的工具库中。