Alliance across group treatment for veterans with posttraumatic stress disorder: The role of interpersonal trauma and treatment type.

Alliance across group treatment for veterans with posttraumatic stress disorder: The role of interpersonal trauma and treatment type.
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患有创伤后应激障碍的退伍军人的跨群体治疗联盟:人际创伤和治疗类型的作用。

DOI:
10.1037/gdn0000077
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发表时间:
2018
期刊:
Group dynamics : theory, research, and practice : the official journal of Division 49, Group Psychology and Group Psychotherapy of the American Psychological Association
影响因子:
--
通讯作者:
Sloan,DeniseM
Sloan,DeniseM
中科院分区:
--
文献类型:
--
作者:
Thompson-Hollands,Johanna;Litwack,ScottD;Ryabchenko,KarenA;Niles,BarbaraL;Beck,JGayle;Unger,William;Sloan,DeniseM

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作者研究了退伍军人创伤后应激障碍(PTSD)群体治疗中联盟的初始水平和变化模式。178名患有创伤后应激障碍的男性退伍军人被招募参加这项研究。参与者被随机分配到组认知行为治疗(GCBT)或组以现在为中心治疗(GPCT)。与其他小组成员的联盟在整个小组中每隔一次会议进行评估(总共七次评估)。采用层次线性模型来确定治疗条件或指数创伤类型(人际或非人际)是否影响联盟的初始水平或随时间变化的联盟。在两种情况下的整个治疗过程中,联盟均显著增加。与非人际指数事件相比,人际指数事件的存在对联盟的初始水平或联盟随时间的变化都没有显著影响。与GPCT组相比,GCBT组的参与者随着时间的推移经历了更大的联盟增长(p < 0.05)。0.05),但初始联盟评分无显著差异。GCBT治疗的组成部分和重点可能促进了成员之间更快速的联系。人际创伤经历对群体联盟无负向影响。(PsycINFO数据库记录(c) 2019 APA,版权所有)
The authors examined initial levels and pattern of change of alliance in group treatment for posttraumatic stress disorder (PTSD) for veterans. One hundred and 78 male veterans with PTSD were recruited for this study. Participants were randomly assigned to either group cognitive–behavioral therapy (GCBT) or to group present-centered therapy (GPCT). Alliance with fellow group members was assessed every other session throughout the group (total of seven assessments). Hierarchical linear modeling was used to determine whether treatment condition or index trauma type (interpersonal or noninterpersonal) impacted initial levels of alliance or change in alliance over time. Alliance increased significantly throughout treatment in both conditions. The presence of an interpersonal index event, compared to a noninterpersonal index event, did not significantly impact either initial levels of alliance or change in alliance over time. Participants in the GCBT condition experienced significantly greater growth in alliance over time compared to those in the GPCT condition (p>. 05) but did not have significantly different initial alliance ratings. The components and focus of the GCBT treatment may have facilitated more rapid bonding among members. Interpersonal traumatic experience did not negatively impact group alliance.(PsycINFO Database Record (c) 2019 APA, all rights reserved)
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