Department of Psychiatry and Behavioral Sciences, Rush University Medical Center, United States of America; Department of Psychological and Brain Sciences, University of Iowa, United States of America.
Department of Psychiatry and Behavioral Sciences, Rush University Medical Center, United States of America.
J Affect Disord. 2024 Sep 15;361:620-626. doi: 10.1016/j.jad.2024.06.019. Epub 2024 Jun 4.
Greater difficulties in emotion regulation (ER) and decreased use of adaptive ER strategies have been associated with higher levels of posttraumatic stress disorder (PTSD) symptoms. To date, limited research has explored whether ER improves with PTSD treatment or whether such improvements are linked with improvements in PTSD symptoms.
Veterans and service members with PTSD (N = 223) participated in a 2-week intensive treatment program (ITP) based in Cognitive Processing Therapy (CPT). ER was measured using the Difficulties in Emotion Regulation Short Form (DERS-SF) at baseline and on days 4 and 9 of treatment. PTSD symptoms were reported on the PTSD Symptom Checklist for DSM-5 (PCL-5) at baseline, on days 3, 5, 6, and 8 of treatment, and at post-treatment.
DERS-SF scores decreased during treatment (M = 5.12, d = 0.38). Baseline DERS-SF did not predict overall PCL-5 scores across timepoints (p = .377). However, scores on the DERS-SF over time were significantly associated with PCL-5 improvement over the course of treatment (p < .001, R = 0.07). Finally, improvements in all subscales of the DERS-SF across time except clarity were significantly associated with improvement in PCL-5 over time.
Additional treatment components in the ITP beyond CPT may have contributed to ER improvements. Conclusions are also limited by the use of self-report data.
An intensive CPT-based treatment program for veterans and service members can lead to improved ER in two weeks. ER improvements are associated with PTSD symptom severity during the ITP.
情绪调节困难（ER）和适应性 ER 策略的使用减少与更高水平的创伤后应激障碍（PTSD）症状有关。迄今为止，有限的研究探讨了 ER 是否随着 PTSD 治疗而改善，或者这种改善是否与 PTSD 症状的改善有关。
患有 PTSD 的退伍军人和军人（N=223）参加了基于认知处理疗法（CPT）的为期 2 周的强化治疗计划（ITP）。在治疗的第 4 天和第 9 天，使用情绪调节困难量表短表（DERS-SF）测量 ER。在基线、治疗第 3、5、6 和 8 天和治疗后，使用 DSM-5 创伤后应激障碍检查表（PCL-5）报告 PTSD 症状。
在治疗过程中，DERS-SF 分数下降（M=5.12，d=0.38）。基线 DERS-SF 并不能预测所有时间点的总体 PCL-5 评分（p=0.377）。然而，随着时间的推移，DERS-SF 上的分数与治疗过程中 PCL-5 的改善显著相关（p<0.001，R=0.07）。最后，除了清晰度外，随着时间的推移，DERS-SF 的所有子量表的改善都与 PCL-5 的改善显著相关。
ITP 中除 CPT 以外的其他治疗成分可能导致 ER 改善。结论还受到自我报告数据的限制。
针对退伍军人和军人的基于 CPT 的强化治疗计划可以在两周内改善 ER。ER 改善与 ITP 期间 PTSD 症状严重程度相关。
