Fear Activation and Habituation Patterns as Early Process Predictors of Response to Prolonged Exposure Treatment in PTSD

Fear Activation and Habituation Patterns as Early Process Predictors of Response to Prolonged Exposure Treatment in PTSD
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恐惧激活和习惯模式作为 PTSD 长期暴露治疗反应的早期过程预测因子

DOI:
10.1023/a:1020177023209
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发表时间:
2002
影响因子:
3.3
通讯作者:
M. Hagenaars
M. Hagenaars
中科院分区:
医学3区
文献类型:
--
作者:
A. van Minnen;M. Hagenaars

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改善(n=21)和不改善(n=13)PTSD患者(混合创伤人群)在第一次和第二次延长暴露期间和之间的恐惧激活和习惯化模式进行了比较。同时对11例失访患者进行了评估。在第一次接触治疗开始时,没有改善的患者有明显更高的焦虑评级。改善的患者在家庭自我暴露时表现出更多的会话内习惯化和更多的会话间习惯化。即使在控制了最初的创伤后应激障碍和抑郁症状严重程度后,第一次和第二次暴露之间的习惯与治疗结果显著相关。研究发现,在第一次接触期间,退出治疗的患者在恐惧激活和会话中的习惯化方面与完成者没有区别。
Improved (n = 21) and nonimproved (n = 13) PTSD patients (a mixed trauma population) were compared for fear activation and habituation patterns during and between the 1st and 2nd prolonged exposure sessions. Drop-outs (n = 11) were also evaluated. Nonimproved patients had significantly higher ratings of anxiety at the start of the first exposure session. Improved patients showed more within-session habituation during the self-exposures at home and more between-session habituation. Even after controlling for initial PTSD and depression symptom severity, habituation between the first and second exposure sessions was significantly related to treatment outcome. Patients who dropped out of the treatment were found not to differ from completers on fear activation and within-session habituation during the first exposure session.
情绪投入和习惯对 PTSD 暴露疗法的影响。
DOI: 10.1037//0022-006x.66.1.185
发表时间: 1998
影响因子: 5.9
作者:
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