Cobbina Marigold, Boynton Heather M
Faculty of Social Work, University of Calgary, Calgary, Alberta, Canada.
J Relig Health. 2025 Jul 18. doi: 10.1007/s10943-025-02391-7.
Traumatic events profoundly disrupt individuals' psychological, physical, social, and spiritual well-being; yet, they may also lead to posttraumatic growth (PTG). Spirituality has been shown to play a central role in how trauma survivors find meaning, cope, and rebuild their lives. However, most evidence-based interventions (EBIs) for posttraumatic stress disorder (PTSD), including cognitive processing therapy (CPT), often neglect spiritual and religious (RS) dimensions, limiting their relevance for spiritually oriented clients. The aim of this paper is to present a rationale for integrating spirituality into CPT. Specifically, the paper explores spiritually integrated cognitive processing therapy (SICPT), a modification of CPT that incorporates RS meaning making, belief reappraisal, and spirituality practices as coping strategies. There is support in literature for a more spiritually integrative approach to address trauma-related symptoms, reconstruct core beliefs, and foster conditions that can promote PTG in diverse populations impacted by interpersonal trauma. Therefore, this spiritually integrated model seeks to alleviate trauma symptoms while supporting survivors in rebuilding coherent worldviews that fosters PTG. Also, the paper discusses limitations in current research and calls for more rigorous studies on SICPT for PTSD and PTG and advocates for spiritually integrated trauma care that reflects clients' holistic needs and enhances both recovery and long-term growth.
创伤性事件会严重扰乱个人的心理、身体、社会和精神健康；然而，它们也可能导致创伤后成长（PTG）。研究表明，灵性在创伤幸存者如何寻找意义、应对和重建生活方面起着核心作用。然而，大多数针对创伤后应激障碍（PTSD）的循证干预措施（EBIs），包括认知加工疗法（CPT），往往忽视了精神和宗教（RS）层面，限制了它们对有灵性导向的来访者的适用性。本文的目的是阐述将灵性融入CPT的基本原理。具体而言，本文探讨了灵性整合认知加工疗法（SICPT），这是CPT的一种改良形式，它将RS意义建构、信念重新评估和灵性实践作为应对策略。文献支持采用更具灵性整合性的方法来解决创伤相关症状、重构核心信念，并为受人际创伤影响的不同人群创造能够促进PTG的条件。因此，这种灵性整合模型旨在减轻创伤症状，同时支持幸存者重建连贯的世界观，从而促进PTG。此外，本文还讨论了当前研究的局限性，并呼吁对PTSD和PTG的SICPT进行更严格的研究，倡导提供反映来访者整体需求、促进康复和长期成长的灵性整合创伤护理。
