Suppr超能文献

我们同舟共济:为患有创伤后应激障碍的亲密伴侣同时提供延长暴露疗法的案例研究

We're in This Together: A Case Study of the Concurrent Delivery of Prolonged Exposure Therapy to Intimate Partners With PTSD.

作者信息

Saraiya Tanya C, Ana Elizabeth J Santa, Jarnecke Amber M, Feigl Hayley, Rothbaum Alex O, Back Sudie E

机构信息

Rutgers University and Medical University of South Carolina.

Medical University of South Carolina and Ralph H. Johnson VA Medical Center.

出版信息

Cogn Behav Pract. 2024 Nov;31(4):548-562. doi: 10.1016/j.cbpra.2023.03.002. Epub 2023 May 4.

Abstract

Research on the links between intimate relationships and PTSD and the treatments for PTSD tend to be limited to couples in which only one partner within the dyad has PTSD. No investigations, to our knowledge, have empirically examined the simultaneous provision of evidence-based PTSD treatment to both partners in an intimate relationship diagnosed with PTSD. The current case study describes two partners in a different-sex relationship, both diagnosed with current PTSD, who received individual Prolonged Exposure (PE) therapy at the same time as part of a larger randomized clinical trial. Each partner received ten, 90-minute individual sessions of PE therapy by two separate clinicians trained in PE followed by a 1-month follow-up. The findings demonstrated significant pre- to posttreatment reductions in PTSD symptoms as measured by the Clinician Administered PTSD Scale-5 (CAPS-5) for the male partner (Δ = 18) and the female partner (Δ = 24). Both partners achieved diagnostic remission of PTSD by end of treatment. In addition, both partners expressed enhancements in relationship functioning that they experienced while receiving PE therapy concurrently. Clinical considerations for the provision of concurrent PE to partners in an intimate relationship are discussed. The positive findings from this case study may inform future research in this much-needed area of treatment for couples where both partners are suffering from PTSD.

摘要

关于亲密关系与创伤后应激障碍(PTSD)之间的联系以及PTSD治疗方法的研究,往往局限于二元组中只有一方患有PTSD的伴侣关系。据我们所知,尚无研究实证检验过在亲密关系中,同时为双方患有PTSD的伴侣提供循证PTSD治疗的情况。本案例研究描述了一对异性伴侣,双方均被诊断为患有当前PTSD,作为一项更大规模随机临床试验的一部分,他们同时接受了个体延长暴露(PE)疗法。每位伴侣由两名接受过PE培训的不同临床医生进行了十次、每次90分钟的个体PE治疗,随后进行了1个月的随访。结果显示,通过临床医生管理的PTSD量表-5(CAPS-5)测量,男性伴侣(Δ = 18)和女性伴侣(Δ = 24)的PTSD症状在治疗前后均有显著减轻。双方伴侣在治疗结束时均实现了PTSD的诊断缓解。此外,双方伴侣都表示在同时接受PE治疗期间,他们的关系功能得到了改善。文中讨论了在亲密关系中为伴侣同时提供PE治疗的临床考量。该案例研究的积极结果可能为这一急需的伴侣治疗领域的未来研究提供参考,即双方伴侣均患有PTSD的情况。

相似文献

本文引用的文献

7
Why do we pick similar mates, or do we?我们为什么会选择相似的伴侣,还是说我们会这样做?
Biol Lett. 2021 Nov;17(11):20210463. doi: 10.1098/rsbl.2021.0463. Epub 2021 Nov 24.
10
Collective Trauma and the Social Construction of Meaning.集体创伤与意义的社会建构
Front Psychol. 2018 Aug 10;9:1441. doi: 10.3389/fpsyg.2018.01441. eCollection 2018.

文献AI研究员

20分钟写一篇综述,助力文献阅读效率提升50倍。

立即体验

用中文搜PubMed

大模型驱动的PubMed中文搜索引擎

马上搜索

文档翻译

学术文献翻译模型,支持多种主流文档格式。

立即体验