Pretreatment relationship characteristics predict outcomes from an uncontrolled trial of intensive, multicouple group PTSD treatment.
Pretreatment relationship characteristics predict outcomes from an uncontrolled trial of intensive, multicouple group PTSD treatment.
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治疗前的关系特征可以预测一项非对照强化、多对群体 PTSD 治疗试验的结果。
DOI：
10.1037/fam0001185
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发表时间：
2024
期刊：
影响因子：
--
通讯作者：
Kea
中科院分区：
文献类型：
--
作者：
Fredman,SteffanyJ;Le,Yunying;Monson,CandiceM;Mogle,JacquelineA;Macdonald,Alexandra;Blount,TabathaH;Hall-Clark,BrittanyN;Fina,BrookeA;Dondanville,KatherineA;Mintz,Jim;Litz,BrettT;Young-McCaughan,Stacey;Yarvis,JeffreyS;Kea
认知行为联合治疗创伤后应激障碍（CBCT for PTSD; Monson & Fredman, 2012）与患者和伴侣的心理健康和关系满意度的改善有关。一些预处理关系特征可以预测CBCT对PTSD患者预后的影响，但研究结果仅限于主要由男性伴侣的女性患者组成的单一社区样本。更好地了解预处理关系特征是否可以预测其他患者群体的结果，以及是否存在对PTSD夫妻治疗特别敏感的伴侣，可以优化治疗匹配。本研究通过对24对现役军人或退伍军人夫妇（96%为男性患者/女性伴侣）进行的一项简短、强化、多对夫妻组的创伤后应激障碍CBCT对照试验，调查了预处理伴侣适应和关系满意度是否能预测患者和伴侣的治疗结果。总体而言，患者PTSD及其共病症状和关系满意度的变化不受预处理伴侣迁就或患者自身预处理关系满意度的影响。相反，预处理关系特征预测伴侣结局。在治疗后，接受较高水平的适应预处理的伴侣和报告较低水平的预处理关系满意度的伴侣在心理困扰方面的下降幅度更大。此外，研究开始时关系紧张的伴侣在治疗后的关系满意度显著提高，而那些关系不紧张的伴侣则没有。研究结果表明，改善通常不会因患者的预处理关系特征而变化，而开始治疗时关系风险因素升高的伴侣可能特别有可能在结果上得到改善。（PsycInfo数据库记录(c) 2024 APA，版权所有）
Cognitive behavioral conjoint therapy for posttraumatic stress disorder (CBCT for PTSD; Monson & Fredman, 2012) is associated with improvements in patients’ and partners’ mental health and relationship satisfaction. Some pretreatment relationship characteristics have predicted CBCT for PTSD outcomes for patients, but findings were limited to a single community sample consisting primarily of female patients with male partners. A better understanding of whether pretreatment relationship characteristics predict outcomes in other patient populations and whether there are partners who may be particularly responsive to couple therapy for PTSD could optimize treatment matching. This study investigated whether pretreatment partner accommodation and relationship satisfaction predicted patient and partner treatment outcomes from an uncontrolled trial of an abbreviated, intensive, multicouple group version of CBCT for PTSD conducted with 24 active-duty military or veteran couples (96% male patients/female partners). In general, changes in patients’ PTSD and comorbid symptoms and relationship satisfaction did not vary by pretreatment partner accommodation or patients’ own pretreatment relationship satisfaction. In contrast, pretreatment relationship characteristics predicted partner outcomes. Partners who engaged in higher levels of accommodation pretreatment and partners who reported lower levels of pretreatment relationship satisfaction experienced greater declines in psychological distress following treatment. Also, partners who began the study relationally distressed exhibited significant increases in relationship satisfaction following treatment, whereas those who were not relationally distressed did not. Findings suggest that improvements generally do not vary by pretreatment relationship characteristics for patients, whereas partners who begin treatment with elevated relationship risk factors may be especially likely to experience improvement across outcomes.(PsycInfo Database Record (c) 2024 APA, all rights reserved)