The effect of childhood sexual assault history on outpatient cognitive processing therapy for military sexual trauma-related posttraumatic stress disorder: A preliminary investigation
The effect of childhood sexual assault history on outpatient cognitive processing therapy for military sexual trauma-related posttraumatic stress disorder: A preliminary investigation
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DOI：
10.1002/smi.2838
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发表时间：
2019-02-01
影响因子：
4.1
通讯作者：
Suris, Alina
中科院分区：
文献类型：
--
作者：
Holder, Nicholas;Holliday, Ryan;Suris, Alina
儿童期性侵犯史（CSA）可能导致情绪调节和人际功能较差，可能影响创伤后应激障碍（PTSD）循证治疗（EBT）的耐受性和有效性。军事性创伤（MST）的幸存者有CSA的发病率增加，然而，研究CSA在EBT与MST相关的PTSD退伍军人的作用是有限的。来自32名（9名男性; 23名女性）患有MST相关PTSD的退伍军人的数据来自先前进行的随机临床试验，该试验检查了门诊PTSD EBT（即，认知加工疗法（cognitive processing therapy，CPT）。在治疗前、治疗期间和治疗完成后6个月内评估自我评定的PTSD症状严重程度。还检查了参加CPT疗程的次数和治疗完成情况。使用分层线性建模方法，结果表明，有和没有CSA病史的退伍军人都从CPT中获益，CSA病史并不能显著预测治疗反应。此外，根据CSA病史，参加的会议次数和治疗完成情况没有显著差异。这些初步研究结果为门诊CPT在患有MST相关PTSD的退伍军人中的耐受性和有效性提供了支持，无论CSA历史如何。
History of childhood sexual assault (CSA) may result in poorer emotion regulation and interpersonal functioning, potentially affecting the tolerability and effectiveness of evidence-based treatments (EBTs) for posttraumatic stress disorder (PTSD). Survivors of military sexual trauma (MST) have an increased incidence of CSA; however, research examining the role of CSA in EBTs for veterans with MST-related PTSD is limited. Data from 32 (9 male; 23 female) veterans with MST-related PTSD were used from a previously conducted randomized clinical trial examining the efficacy of an outpatient PTSD EBT (i.e., cognitive processing therapy [CPT]). Self-rated PTSD symptom severity was assessed at pretreatment, during treatment, and up to 6 months following treatment completion. Number of CPT sessions attended and treatment completion were also examined. Using a hierarchical linear modelling approach, results indicated both veterans with and without a history of CSA were found to benefit from CPT, and history of CSA did not significantly predict treatment response. Additionally, number of sessions attended and treatment completion did not significantly vary based on history of CSA. These preliminary findings provide support for the tolerability and efficacy of outpatient CPT in veterans with MST-related PTSD regardless of CSA history.