Processes of Change in Trauma-Focused Cognitive Behavioral Therapy for Youth: An Emotional Processing Theory Informed Approach.

Processes of Change in Trauma-Focused Cognitive Behavioral Therapy for Youth: An Emotional Processing Theory Informed Approach.
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针对年轻人的以创伤为重点的认知行为疗法的变化过程:一种情感处理理论知情的方法。

DOI:
10.1177/2167702620957315
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发表时间:
2021-03-01
期刊:
Clinical psychological science : a journal of the Association for Psychological Science
影响因子:
--
通讯作者:
Deblinger E
Deblinger E
中科院分区:
其他
文献类型:
--
作者:
Alpert E;Hayes AM;Yasinski C;Webb C;Deblinger E

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这项研究考察了以创伤为中心的认知行为疗法(TF-CBT)在81名青年社区样本中的变化过程。情绪加工理论(EPT)被用作组织框架。EPT强调激活和改变病理创伤相关反应,并增加认知、情绪、行为和生理领域的适应性反应。我们在TF-CBT的创伤处理阶段对会议进行编码,以检查跨域激活与创伤相关的病理和适应性反应的程度。较高的分数表明,在中等到高强度的阈值下,激活了更多的域(0-4)。多模式负性反应得分的曲线变化(倒U形,先增加后减少)预示着治疗后内在化和创伤后应激障碍症状的改善。多模式阳性反应的线性增加预示着外在症状的改善。研究结果表明,激活和改变跨多个领域的病理和适应性创伤反应以及检查非线性变化模式是有价值的。
This study examines processes of change in trauma-focused cognitive behavioral therapy (TF-CBT) delivered to a community sample of 81 youth. Emotional processing theory (EPT) is used as an organizational framework. EPT highlights activating and changing pathological trauma-related responses and increasing adaptive responses across cognitive, emotional, behavioral, and physiological domains. We coded sessions during the trauma processing phase of TF-CBT to examine the extent to which pathological and adaptive trauma-related responses were activated across domains. Higher scores indicate that more domains (0–4) were activated at a threshold of moderate to high intensity. Curvilinear change (inverted U, increase then decrease) in multimodal negative response scores across sessions predicted improvement in internalizing and PTSD symptoms at posttreatment. Linear increases in multimodal positive responses predicted improvement in externalizing symptoms. Findings suggest value in activating and changing both pathological and adaptive trauma responses across multiple domains and examining nonlinear patterns of change.
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