'Undoing a knot': a qualitative study of massed 1-week Cognitive Processing Therapy.

'Undoing a knot': a qualitative study of massed 1-week Cognitive Processing Therapy.
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DOI:
10.1080/20008066.2023.2205126
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发表时间:
2023
影响因子:
5
通讯作者:
Held, Philip
Held, Philip
中科院分区:
医学2区
文献类型:
--
作者:
Kovacevic, Merdijana;Tharaud, Jessica B.;Montes, Mauricio;Mundle, Rhea S.;Splaine, Cailan C.;Silverberg, Jared;Pridgen, Sarah A.;Werner, Brianna;Held, Philip

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简介:对创伤后应激障碍(PTSD)进行强化或集中的认知加工治疗(CPT)已被发现可显著减轻PTSD症状。然而,迄今为止,很少有研究使用定性的方法来系统地评估客户对PTSD大规模治疗方法的反映。为了解决这一差距,本研究旨在提高我们的理解创伤幸存者的反思后,完成1周的CPT。方法:我们进行了半结构化的采访7创伤幸存者在3个月内完成1周的CPT。我们使用剪刀和排序技术,以确定定性数据的主题和次主题。结果:使用剪刀和排序技术,我们从数据中产生了五个主题和相关的子主题。主要主题是:(a)有形技能,(B)可行性,(c)治疗过程,(d)症状表现,(e)治疗预期。结论:总的来说,我们的研究结果表明,1周的CPT是可行的,并导致PTSD症状的变化,改善认知和情感应对技能。很少有研究调查了客户对创伤后应激障碍大规模治疗方法的看法。参与者完成了一个半结构化的采访,他们的经验与1周CPT的PTSD,我们产生了五个主题:(a)有形的技能,(B)可行性,(c)治疗过程,(d)症状表现,(e)治疗期望。总的来说,我们的研究结果表明,1周的CPT是可行的,并导致PTSD症状的变化,改善认知和情感应对技能。
Introduction: Intensive or massed Cognitive Processing Therapy (CPT) for posttraumatic stress disorder (PTSD) has been found to result in significant PTSD symptom reductions. However, few studies to date have used qualitative approaches to systematically evaluate client reflections about massed treatment approaches for PTSD. To address this gap, the present study aimed to improve our understanding of trauma survivors’ reflections following the completion of 1-week CPT. Method: We conducted semi-structured interviews with seven trauma survivors within 3-months of the completion of 1-week CPT. We used the scissor-and-sort technique to identify themes and subthemes in the qualitative data. Results: Using the scissor-and-sort technique, we generated five main themes and associated subthemes from the data. The main themes were: (a) tangible skills, (b) feasibility, (c) therapeutic process, (d) symptom presentation, and (e) treatment expectations. Conclusion: Collectively, our results suggested that 1-week CPT was feasible and led to changes in PTSD symptoms and improved cognitive and affective coping skills. Scant research has examined client reflections about massed treatment approaches for PTSD. Among participants who completed a semi-structured interview about their experiences with 1-week CPT for PTSD, we generated five themes: (a) tangible skills, (b) feasibility, (c) therapeutic process, (d) symptom presentation, and (e) treatment expectations. Collectively, our results suggested that 1-week CPT was feasible and led to changes in PTSD symptoms and improved cognitive and affective coping skills.
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