van Heemstra Henriëtte, van der Aa Niels, Mooren Trudy, Medema Daniel, Vink Gerko, Knipscheer Jeroen, Moradi Ali, Kleber Rolf, Ter Heide Jackie June
ARQ Centrum'45, Diemen, The Netherlands.
Department of Clinical Psychology, Utrecht University, Utrecht, The Netherlands.
PLoS One. 2024 Sep 16;19(9):e0310093. doi: 10.1371/journal.pone.0310093. eCollection 2024.
While treatment of posttraumatic stress disorder (PTSD) in refugees is generally effective, many refugees remain symptomatic after treatment. Coping styles could be relevant to PTSD treatment response and as such may be a potential focus of PTSD treatment.
The study aims to examine 1) if baseline coping styles are related to treatment response after EMDR therapy or stabilization, and 2) if coping styles change during these treatments.
Seventy-two refugees with PTSD were randomly allocated to 12 hours of EMDR therapy or stabilization. A coping questionnaire (COPE-easy) and clinical interview for PTSD (CAPS-IV) were administered before and after treatment and at three-month follow-up. The association between baseline coping styles and PTSD symptom change was examined using regression analysis and a t-test. Changes in coping styles were analyzed using mixed design ANOVA.
No significant relations between baseline coping style levels and PTSD symptom changes were found. Additionally, coping style levels did not change significantly after either treatment.
Contrary to the hypothesis, we did not find any evidence that treatment was related to (changes in) coping style. Addressing pre-treatment coping styles among refugees receiving short-term therapy, may not be required for reducing PTSD. Changing coping styles may need a longer or different type of treatment.
虽然难民创伤后应激障碍（PTSD）的治疗总体有效，但许多难民在治疗后仍有症状。应对方式可能与PTSD治疗反应相关，因此可能是PTSD治疗的一个潜在重点。
本研究旨在检验：1）基线应对方式是否与眼动脱敏再处理疗法（EMDR）或稳定化治疗后的治疗反应相关；2）在这些治疗过程中应对方式是否发生变化。
72名患有PTSD的难民被随机分配接受12小时的EMDR治疗或稳定化治疗。在治疗前后以及三个月随访时，分别进行应对问卷（简易应对方式问卷）和PTSD临床访谈（临床定式检查 PTSD 量表第四版）。使用回归分析和t检验来检验基线应对方式与PTSD症状变化之间的关联。采用混合设计方差分析来分析应对方式的变化。
未发现基线应对方式水平与PTSD症状变化之间存在显著关系。此外，两种治疗后应对方式水平均未发生显著变化。
与假设相反，我们没有发现任何证据表明治疗与应对方式（的变化）有关。对于接受短期治疗的难民，减少PTSD可能不需要关注治疗前的应对方式。改变应对方式可能需要更长时间或不同类型的治疗。
