Influence of emotional engagement and habituation on exposure therapy for PTSD
Influence of emotional engagement and habituation on exposure therapy for PTSD
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DOI：
10.1037/0022-006x.66.1.185
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发表时间：
1998-02-01
影响因子：
5.9
通讯作者：
Morral, AR
中科院分区：
文献类型：
--
作者：
Jaycox, LH;Foa, EB;Morral, AR
本研究探讨了创伤后应激障碍暴露治疗的两个过程变量，情绪投入和习惯化，以及结果。37名女性袭击受害者接受了治疗，包括反复想象他们的创伤，并以10分钟的间隔评定他们的痛苦。在6次暴露会议期间的平均痛苦水平被提交给聚类分析。发现了三组具有不同痛苦模式的不同客户群体：初始参与度高且在会话之间逐渐习惯化、初始参与度高但不习惯化以及初始参与度中等但不习惯化。与第一苦恼模式的客户改善更多的治疗比其他客户。在情绪处理理论的框架内讨论了结果，强调了情绪参与和习惯化在暴露疗法中的关键作用。
This study examined 2 process variables, emotional engagement and habituation, and outcome of exposure therapy for posttraumatic stress disorder. Thirty-seven female assault victims received treatment that involved repeated imaginal reliving of their trauma, and rated their distress at 10-min intervals. The average distress levels during each of 6 exposure sessions were submitted to a cluster analysis. Three distinct groups of clients with different patterns of distress were found: high initial engagement and gradual habituation between sessions, high initial engagement without habituation, and moderate initial engagement without habituation. Clients with the Ist distress pattern improved more in treatment than the other clients. The results are discussed within the framework of emotional processing theory, emphasizing the crucial role of emotional engagement and habituation in exposure therapy.