Reductions in Alexithymia and Emotion Dysregulation After Training Emotional Self-Awareness Following Traumatic Brain Injury: A Phase I Trial.
Reductions in Alexithymia and Emotion Dysregulation After Training Emotional Self-Awareness Following Traumatic Brain Injury: A Phase I Trial.
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DOI：
10.1097/htr.0000000000000277
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发表时间：
2017
期刊：
影响因子：
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通讯作者：
Hammond FM
中科院分区：
文献类型：
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作者：
Neumann D;Malec JF;Hammond FM
目的：研究情绪自我意识疗法在减少创伤性脑损伤(TBI)患者述情障碍和情绪失调方面的可接受性和初步疗效。门诊康复医院。17例患有中到重度脑外伤和述情障碍的成年人。伤后时间1~33年。在受试者设计内，有3个评估时间：基线、后测和2个月的随访。八节课包括心理教育信息和技能培养练习，教授情绪词汇，标记和区分自我情绪；互感意识；以及区分情绪与思想、行动和感觉。述情障碍(TAS-20)；情绪意识(LEAS)；特质焦虑(TAI)；抑郁(PHQ-9)；愤怒(STAXI)；情绪调节障碍(DES)；积极和消极情绪(PANAS)。13名参与者完成了治疗。重复测量方差分析显示，TAS-20(p=.003)、LEAS(p<；.001)、TAI(p=.014)、STAXI(p=.015)、DERS(p=.020)和积极影响(p<；.005)发生了变化。配对t检验表明，这些测量的测试后改善具有显著的基线。在TAS、LEAS和积极影响的随访中保持了收益。治疗满意度较高。这是关于治疗脑外伤后述情障碍的第一项研究。在情绪自我意识和情绪调节方面有积极的变化；一些变化在治疗几个月后保持不变。研究结果证明，这一新的干预措施进入了下一个研究阶段。
To examine the acceptability and initial efficacy of an emotional self-awareness treatment at reducing alexithymia and emotion dysregulation in participants with traumatic brain injury (TBI). Outpatient rehabilitation hospital. Seventeen adults with moderate to severe TBI and alexithymia. Time post-injury ranged 1–33 years. Within subject design, with 3 assessment times: baseline, posttest, and 2-month follow-up. Eight lessons incorporated psycho-educational information and skill-building exercises teaching emotional vocabulary, labeling and differentiating self-emotions; interoceptive awareness; and distinguishing emotions from thoughts, actions and sensations. Alexithymia (TAS-20); Emotional Awareness (LEAS); Trait Anxiety (TAI); Depression (PHQ-9); Anger (STAXI); Emotion Dysregulation (DERS); and Positive and Negative affect (PANAS). Thirteen participants completed the treatment. Repeated measures ANOVA revealed changes on the TAS-20 (p=.003), LEAS (p<.001), TAI (p=.014), STAXI (p=.015), DERS (p=.020) and Positive Affect (p<.005). Paired t-tests indicated significant baseline to posttest improvements on these measures. Gains were maintained at follow-up for the TAS, LEAS, and Positive Affect. Treatment satisfaction was high. This is the first study published on treating alexithymia post-TBI. Positive changes were identified for emotional self-awareness and emotion regulation; some changes were maintained several months post-treatment. Findings justify advancing to the next investigational phase for this novel intervention.