Effects of cognitive-behavioral conjoint therapy for PTSD on partners' psychological functioning.

Effects of cognitive-behavioral conjoint therapy for PTSD on partners' psychological functioning.
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PTSD 认知行为联合治疗对伴侣心理功能的影响。

DOI:
10.1002/jts.21893
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发表时间:
2014
影响因子:
3.3
通讯作者:
Monson,CandiceM
Monson,CandiceM
中科院分区:
医学3区
文献类型:
--
作者:
Shnaider,Philippe;Pukay-Martin,NicoleD;Fredman,SteffanyJ;Macdonald,Alexandra;Monson,CandiceM

文献摘要

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许多研究已经证明,“一个”伴侣的创伤后应激障碍(PTSD)症状与其亲密伴侣的心理功能呈负相关。本研究调查了亲密伴侣的心理健康结果(即,抑郁,焦虑和愤怒),在一个随机等待名单对照试验的PTSD认知-行为联合治疗中,40名PTSD患者的伴侣(Monson & Fredman,)。积极治疗组与等候治疗组在治疗后亲密伴侣心理功能方面无显著差异。然而,亚组分析显示,在治疗前的几个测量中,表现出临床痛苦水平的伴侣在治疗后的心理功能得到了可靠的临床显著改善,没有恶化的迹象。结果表明,PTSD的认知行为联合疗法可能对出现心理困扰的伴侣有额外的好处。
A number of studies have documented that posttraumatic stress disorder (PTSD) symptoms in “one” partner are negatively associated with their intimate partner's psychological functioning. The present study investigated intimate partners’ mental health outcomes (i.e., depression, anxiety, and anger) in a sample of 40 partners of individuals with PTSD within a randomized waitlist controlled trial of cognitive–behavioral conjoint therapy for PTSD (Monson & Fredman, ). There were no significant differences between active treatment and waitlist in intimate partners’ psychological functioning at posttreatment. Subgroup analyses, however, of partners exhibiting clinical levels of distress at pretreatment on several measures showed reliable and clinically significant improvements in their psychological functioning at posttreatment and no evidence of worsening. Results suggest that cognitive–behavioral conjoint therapy for PTSD may have additional benefits for partners presenting with psychological distress.