Echeburúa E, de Corral P, Zubizarreta I, Sarasua B
Facultad de Psicología, Universidad del País Vasco, San Sebastián, Spain.
Behav Modif. 1997 Oct;21(4):433-56. doi: 10.1177/01454455970214003.
The aim of this research was to test the comparative effectiveness of two therapeutic modalities in the treatment of chronic posttraumatic stress disorder in victims of sexual aggression: (a) self-exposure and cognitive restructuring and (b) progressive relaxation training. The sample consisted of 20 patients (victims of rape in adulthood or adult victims of childhood sexual abuse) selected according to DSM-III-R criteria. A multigroup experimental design with repeated measures (pretreatment, posttreatment, and 1-, 3-, 6-, and 12-month follow-up) was used. Most treated patients improved, but the success rate was higher in all measures in the exposure and cognitive restructuring group immediately on posttreatment and at follow-up. Implications of this study for clinical practice and future research in this field are commented on.
(a) 自我暴露与认知重构，以及 (b) 渐进性放松训练。样本包括根据《精神疾病诊断与统计手册第三版修订本》（DSM-III-R）标准选取的20名患者（成年强奸受害者或童年性虐待成年受害者）。采用了重复测量的多组实验设计（治疗前、治疗后以及1个月、3个月、6个月和12个月随访）。大多数接受治疗的患者病情有所改善，但在治疗后即刻及随访时，暴露与认知重构组在所有测量指标上的成功率更高。本文对该研究在该领域临床实践和未来研究中的意义进行了评论。
