Acceptability and mechanisms of change associated with group cognitive behavioural therapy using the Recovering from Childhood Abuse Programme among women with CPTSD: a qualitative analysis
Acceptability and mechanisms of change associated with group cognitive behavioural therapy using the Recovering from Childhood Abuse Programme among women with CPTSD: a qualitative analysis
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DOI：
10.1017/s1754470x2200037x
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发表时间：
2022-11-02
影响因子：
3.5
通讯作者：
Bloomfield, Michael
中科院分区：
文献类型：
--
作者：
Hegarty, Siobhan;Ehntholt, Kimberly;Bloomfield, Michael
儿童创伤的幸存者患复杂创伤后应激障碍（CPTSD）的风险增加。从虐待儿童中恢复方案是一个认知行为治疗小组，提倡适应性应对策略，这可能有助于克服童年创伤成年幸存者的CPTSD症状。我们试图探讨患者的经验，影响治疗的可接受性和潜在的机制，在一个样本的参与者在RCAP计划的治疗变化的因素。由于该小组是在COVID-19疫情期间交付的，需要过渡到远程治疗，我们进一步旨在收集该计划过渡到远程医疗交付的经验。一个自然的样本10名妇女CPTSD参加专科门诊心理创伤服务参加了这项研究。治疗会议记录，逐字转录和小组成员完成书面反馈表后，每个会议。自反性主题分析被用来分析书面反馈和成绩单。RCAP为小组成员所接受，并确定了与小组中的变更经验相关的几个主题。关键主题集中在团体团结;心理治疗过程中的安全;与自我、他人和未来有关的图式变化，这是由自责的转移催化的;增加情绪调节，使现在感到更安全;以及增加对未来的乐观。在向远程保健过渡后，治疗方面继续取得进展，但一般倾向于面对面提供服务。该方案是可以接受的，并导致认知变化，使目前的情绪调节和改善自我概念，从而解决CPTSD的主要症状。
Survivors of childhood trauma are at increased risk of complex post-traumatic stress disorder (CPTSD). The Recovering from Child Abuse Programme (RCAP) is a cognitive behavioural therapy (CBT) group promoting adaptive coping strategies which may help overcome CPTSD symptoms in adult survivors of childhood trauma. We sought to explore patient experiences of factors influencing treatment acceptability and potential mechanisms of therapeutic change in a sample of participants in the RCAP programme. As the group was delivered during the COVID-19 pandemic, necessitating a transition to remote therapy, we further aimed to capture experiences of the transition to telehealth delivery of the programme. A naturalistic sample of 10 women with CPTSD attending a specialist out-patient psychological trauma service participated in the study. Therapy sessions were recorded, transcribed verbatim and group members completed written feedback forms following each session. Reflexive thematic analysis was used to analyse the written feedback and transcripts. The RCAP was acceptable to group members and several themes were identified related to the experience of change in the group. Key themes centred on group solidarity; safety in the psychotherapeutic process; schema changes related to the self, others and future catalysed by the shifting of self-blame; increased emotional regulation to feel safer in the present; and increased future optimism. Therapeutic progress continued following the transition to telehealth, although face-to-face delivery was generally preferred. The programme was acceptable and led to cognitive change, enabling increased emotional regulation in the present and improved self-concept, thereby addressing key symptoms of CPTSD.