Qualitative examination of cognitive change during PTSD treatment for active duty service members
Qualitative examination of cognitive change during PTSD treatment for active duty service members
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DOI：
10.1016/j.brat.2016.01.003
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发表时间：
2016-04-01
影响因子：
4.1
通讯作者：
Peterson, Alan L.
中科院分区：
文献类型：
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作者：
Dondanville, Katherine A.;Blankenship, Abby E.;Peterson, Alan L.
本研究调查了军人在创伤后应激障碍（PTSD）认知加工治疗（CPT）过程中的认知变化。63名患有创伤后应激障碍的现役军人来自两项cpt -认知（CPT-C）随机对照试验。参与者在治疗开始时和治疗结束时都写了一份关于他们的指数创伤意义的影响陈述。每个影响声明中的条款被定性地编码为三类进行分析：同化、适应和过度适应。基线和治疗后分别使用创伤后应激障碍检查表、创伤后症状量表-访谈版和贝克抑郁量表- ii。重复测量分析证明，从治疗开始到结束，同化或过度容纳的陈述的百分比显著下降，而容纳的陈述的百分比有所增加。在治疗过程中，调节陈述的变化与PTSD和抑郁症状严重程度呈负相关，而过度调节陈述与PTSD和抑郁症状严重程度均呈正相关。治疗应答者有更少的过度适应和更适应的陈述。研究结果表明，CPT-C在治疗过程中改变了认知。方法的局限性和缺乏同化与创伤后应激障碍症状严重程度之间的联系进一步讨论。(C) 2016 Elsevier Ltd.版权所有。
The current study investigated changes in service members' cognitions over the course of Cognitive Processing Therapy (CPT) for posttraumatic stress disorder (PTSD). Sixty-three active duty service members with PTSD were drawn from 2 randomized controlled trials of CPT-Cognitive Only (CPT-C). Participants wrote an impact statement about the meaning of their index trauma at the beginning and again at the end of therapy. Clauses from each impact statement were qualitatively coded into three categories for analysis: assimilation, accommodation, and overaccommodation. The PTSD Checklist, Posttraumatic Symptom Scale-Interview Version, and the Beck Depression Inventory-II were administered at baseline and posttreatment. Repeated measures analyses documented a significant decrease in the percentage of assimilated or overaccommodated statements and an increase in the percentage of accommodated statements from the beginning to the end of treatment. Changes in accommodated statements over the course of treatment were negatively associated with PTSD and depression symptom severity, while statements indicative of overaccommodation were positively associated with both PTSD and depression symptom severity. Treatment responders had fewer overaccommodated and more accommodated statements. Findings suggest that CPT-C changes cognitions over the course of treatment. Methodological limitations and the lack of association between assimilation and PTSD symptom severity are further discussed. (C) 2016 Elsevier Ltd. All rights reserved.