THE IMPACT OF FEAR ACTIVATION AND ANGER ON THE EFFICACY OF EXPOSURE TREATMENT FOR POSTTRAUMATIC-STRESS-DISORDER
THE IMPACT OF FEAR ACTIVATION AND ANGER ON THE EFFICACY OF EXPOSURE TREATMENT FOR POSTTRAUMATIC-STRESS-DISORDER
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DOI：
10.1016/s0005-7894(05)80096-6
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发表时间：
1995-06-01
期刊：
影响因子：
3.7
通讯作者：
YARCZOWER, M
中科院分区：
文献类型：
--
作者：
FOA, EB;RIGGS, DS;YARCZOWER, M
本文探讨了暴露治疗过程中恐惧激活促进改善的假设。12名被诊断为创伤后应激障碍（PTSD）的女性性侵受害者接受了治疗，其中包括在想象中长时间重复地重温性侵。使用了两种恐惧激活的测量方法：从第一次重温过程的录像带中编码的面部恐惧表情和客户在同一过程中报告的最高痛苦分数。结果表明，在治疗前表现出更严重创伤后应激障碍的来访者在第一次体验攻击时表现出更强烈的面部恐惧表情，并且从治疗中获益更多，而创伤后应激障碍较轻且表现出较少恐惧的来访者。相比之下，在治疗前报告更多愤怒的来访者在创伤的缓解过程中往往表现出较少的恐惧表达，并且从治疗中获益较少。创伤后应激障碍预处理和愤怒严重程度与改善的关系似乎是由恐惧面部表情介导的，而不是简单地向极端预处理得分的平均值回归的产物。研究结果在恐惧的情绪处理理论中进行了讨论。
This paper explores the hypothesis that fear activation during exposure treatment promotes improvement. Twelve female assault victims diagnosed with posttraumatic stress disorder (PTSD) received treatment that included prolonged repeated reliving of the assault in imagination. Two measures of fear activation were used: facial fear expression coded from videotapes of the first reliving session and the client's highest reported distress score during the same session. The results indicated that clients who evidenced more severe PTSD prior to treatment displayed more intense facial fear expressions during the first reliving of the assault and benefitted more from treatment than did clients who had less severe PTSD and displayed less fear. In contrast, clients who reported more anger prior to treatment tended to display less fear expression during reliving of the trauma and benefitted less from treatment than less angry clients. The relationship of pretreatment PTSD and anger severity to improvement seems to be mediated by fear facial expression and were not simply a product of regression toward the mean of extreme pretreatment scores. The results are discussed within an emotional processing theory of fear.