Rape survivors' trauma-related beliefs before and after Cognitive processing therapy: Associations with PTSD and depression symptoms
Rape survivors' trauma-related beliefs before and after Cognitive processing therapy: Associations with PTSD and depression symptoms
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DOI：
10.1016/j.brat.2015.01.002
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发表时间：
2015-03-01
影响因子：
4.1
通讯作者：
Resick, Patricia A.
中科院分区：
文献类型：
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作者：
Iverson, Katherine. M.;King, Matthew W.;Resick, Patricia A.
这项研究检查了认知扭曲（即同化和过度适应的想法）和现实（即适应的）想法是否根据完成认知加工治疗（CPT）后5-10年所写的影响陈述准确预测了治疗后的维持或同期治疗效果的下降。样本包括50名被诊断患有继发于强奸的创伤后应激障碍（PTSD）的女性，她们参加了针对PTSD的CPT随机临床试验。通过对参与者在三个时间点的书面影响陈述进行编码和分析来评估认知：治疗开始、治疗结束和 5-10 年随访。主要心理健康结果是 PTSD（临床医生管理的 PTSD 量表）和抑郁症（贝克抑郁量表）的症状。治疗结束和长期随访之间创伤相关信念的变化与 PTSD 和抑郁症状的伴随变化相关（效应大小范围为 r = 0.35-0.54）。适应思维的下降和过度适应思维的增加与症状的升高有关。同一时期，适应思维的改善和过度适应思维的下降与较低的 PTSD 和抑郁症状相关。研究结果支持了参加 CPT 多年后，适应思维和过度适应思维的变化与 PTSD 和抑郁水平相关。由爱思唯尔有限公司出版
This study examined whether cognitive distortions (i.e., assimilated and overaccommodated thoughts) and realistic (i.e., accommodated) thoughts assessed from impact statements written 5-10 years after completing cognitive processing therapy (CPT) accurately predicted posttreatment maintenance or decline in treatment gains during the same period.The sample included 50 women diagnosed with posttraumatic stress disorder (PTSD) secondary to rape who participated in a randomized clinical trial of CPT for PTSD. Cognitions were assessed via coding and analyses of participants' written impact statements at three time points: beginning of treatment, end of treatment, and at 5-10 years follow-up. Primary mental health outcomes were symptoms of PTSD (Clinician-Administered PTSD Scale) and depression (Beck Depression Inventory).Changes in trauma-related beliefs between the end of treatment and long-term follow-up were associated with concomitant changes in PTSD and depression symptoms (effect sizes ranging from r = .35-.54). Declines in accommodated thinking and increases in overaccommodated thinking were associated with elevations in symptomatology. Improvement in accommodated thinking and declines in overaccommodated thinking were associated with lower PTSD and depression symptoms during this same time period.Findings provided support for the role of changes in accommodated and overaccommodated thinking being associated with level of PTSD and depression many years after participating in CPT. Published by Elsevier Ltd.