The Role of Posttraumatic Growth in a Randomized Controlled Trial of Cognitive-Behavioral Conjoint Therapy for PTSD.
The Role of Posttraumatic Growth in a Randomized Controlled Trial of Cognitive-Behavioral Conjoint Therapy for PTSD.
复制标题
创伤后成长在认知行为联合治疗 PTSD 随机对照试验中的作用。
DOI：
10.1002/jts.22122
复制
发表时间：
2016
影响因子：
3.3
通讯作者：
Monson,CandiceM
中科院分区：
文献类型：
--
作者：
Wagner,AnneC;Torbit,Lindsey;Jenzer,Tiffany;Landy,MeredithSH;Pukay-Martin,NicoleD;Macdonald,Alexandra;Fredman,SteffanyJ;Monson,CandiceM
创伤后成长（PTG）被定义为创伤性生活事件后出现的积极心理变化。虽然在创伤个体的非干预性研究中有记录，但关于治疗诱导或改善PTG的可能性的数据很少。因此，本研究的主要目标是在创伤后应激障碍的认知行为联合治疗与等待治疗的对照试验中检查PTG的变化（CBCT for PTSD;蒙森& Fredman，2012）。我们还研究了治疗前关系满意度和PTSD病理学是否调节PTG的变化。有40对夫妇（75%的女性伴侣患有PTSD）被随机分配到立即CBCT治疗PTSD或3个月的等待名单（WL）。与WL相比，立即接受治疗的个体表现出PTG显著增加。组间差异为中等效应量（Hedge'sg= 0.45）。治疗前关系满意度对PTG轨迹的积极影响与中等效应量（Hedge'sg= 0.65）无显著关系，但治疗前PTSD症状无影响。结果表明，CBCT治疗PTSD促进PTG，即使在这种联合干预中对PTG的关注有限。未来的研究应将PTG作为治疗目标，并进一步研究亲密他人在促进PTG发展中的作用。
Posttraumatic growth (PTG) is defined as a positive psychological change that can emerge following a traumatic life event. Although documented in noninterventional studies of traumatized individuals, there are scant data on the potential for therapy to induce or improve PTG. Thus, the primary goal of this study was to examine changes in PTG in a controlled trial of cognitive–behavioral conjoint therapy for posttraumatic stress disorder versus waitlist (CBCT for PTSD; Monson & Fredman, 2012). We also examined whether pretreatment relationship satisfaction and PTSD symptomatology moderated change in PTG. There were 40 couples (75% with a female partner with PTSD) who were randomized to either immediate CBCT for PTSD or a 3‐month waitlist (WL). Compared to WL, individuals who received treatment immediately demonstrated a significant increase in PTG. There was a moderate effect size between‐group difference (Hedge'sg= 0.45). There was a nonsignificant relationship with a moderate effect size (Hedge'sg= 0.65) for the positive effect of pretreatment relationship satisfaction on the trajectory of PTG, but no effect of pretreatment PTSD symptoms. Results suggested that CBCT for PTSD facilitated PTG, even with a limited focus on PTG in this conjoint intervention. Future research should target PTG as a treatment goal and further examine the role of close others in facilitating development of PTG.