Cognitive trauma therapy for battered women with PTSD: Preliminary findings

Cognitive trauma therapy for battered women with PTSD: Preliminary findings
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DOI:
10.1023/a:1022019629803
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发表时间:
2003-02-01
影响因子:
3.3
通讯作者:
Owens, JA
Owens, JA
中科院分区:
医学3区
文献类型:
--
作者:
Kubany, ES;Hill, EE;Owens, JA

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本文描述了一个治疗结果的研究认知创伤治疗受虐妇女(CTT-BW)与创伤后应激障碍。CTT-BW源自心理学学习原则,强调非理性信念和评价性语言在慢性PTSD中的作用。CTT-BW包括创伤史探索、创伤后应激障碍心理教育、压力管理、关于功能失调的自我对话和自我监控的心理教育、暴露于虐待提醒、创伤相关内疚的认知疗法(E。S. Kubany & F. P. Manke,1995年),以及关于自信、管理与前伙伴的联系、自我宣传战略和避免再次受害的模块。37名不同种族的妇女被分配到立即或延迟CTT-BW。完成CTT-BW的32名妇女中有30名PTSD缓解。在3个月随访时保持增益。CTT-BW在不同种族背景下均有效。讨论了CTT-BW的可传播性问题。
This paper describes a treatment-outcome study of Cognitive Trauma Therapy for Battered Women (CTT-BW) with PTSD. Derived from psychological learning principles, CTT-BW emphasizes the role of irrational beliefs and evaluative language in chronic PTSD. CTT-BW includes trauma history exploration, PTSD psychoeducation, stress management, psychoeducation about dysfunctional self-talk and self-monitoring of self-talk, exposure to abuse reminders, Cognitive Therapy for Trauma-Related Guilt (E. S. Kubany & F. P. Manke, 1995), and modules on assertiveness, managing contacts with former partners, self-advocacy strategies, and avoiding revictimization. Thirty-seven ethnically diverse women were assigned to Immediate or Delayed CTT-BW. PTSD remitted in 30 of 32 women who completed CTT-BW. Gains were maintained at 3-month follow-up. CTT-BW was efficacious across ethnic backgrounds. Issues related to disseminability of CTT-BW are discussed.