Trauma, resilience and saliostasis: effects of treatment in post-traumatic stress disorder
Trauma, resilience and saliostasis: effects of treatment in post-traumatic stress disorder
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DOI：
10.1097/00004850-200501000-00009
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发表时间：
2005-01-01
影响因子：
2.6
通讯作者：
Weisler, RH
中科院分区：
文献类型：
--
作者：
Davidson, JRT;Payne, VM;Weisler, RH
人们对恢复力的概念和精神药物或社会心理治疗是否有增强恢复力的作用的问题越来越感兴趣。本初步研究调查了创伤后应激障碍（PTSD）患者在治疗前后的恢复能力。采用康诺-戴维森心理弹性量表（CD-RISC）评估噻加滨、氟西汀、舍曲林单独治疗、舍曲林联合认知行为治疗对心理弹性的影响。测量治疗后恢复力的变化，并根据人口统计学、恢复力和基线残疾测量预测对治疗的反应。治疗后恢复力的变化有统计学意义。显示出最大变化的项目与信心、控制、应对、知道向哪里寻求帮助和适应能力有关。表现出最小变化的项目与宗教和存在方面的弹性、努力、凭直觉行事、决策和目标有关。在线性和逻辑回归模型中，性别、基线CD-RISC评分、基线Sheehan残疾量表评分和CD-RISC量表中的单项“幽默感”是对治疗反应的显著预测因子。创伤后应激障碍的治疗显著改善了该样本的恢复力并减轻了症状。需要进一步的对照研究。(C) 2005利平科特·威廉姆斯·威尔金斯。
There has been growing interest in the concept of resilience and the question as to whether psychotropic medications or psychosocial treatments might have resilience-enhancing effects. This pilot study investigates resilience in a sample of patients with post-traumatic stress disorder (PTSD) before and after treatment. of treatment with tiagabine, fluoxetine, sertraline alone, sertraline with cognitive behavioural therapy on resilience were assessed using the Connor-Davidson Resilience Scale (CD-RISC). Changes in resilience after treatment were measured and response to treatment was predicted from demographic, resilience and baseline disability measures. Changes in resilience following treatment were statistically significant. Items that showed the greatest change related to confidence, control, coping, knowing where to turn for help and adaptability. Items showing the least change related to religious and existential aspects of resiliency, effort, acting on a hunch, decision-making and goals. In linear and logistic regression models, gender, baseline CD-RISC score, baseline Sheehan Disability Scale score and an individual item from the CD-RISC scale,'Sense of Humor', were significant predictors of response to treatment. Treatment of PTSD significantly improved resilience and reduced symptoms in this sample. Further controlled studies are indicated. (C) 2005 Lippincott Williams Wilkins.