Treatment of posttraumatic stress disorder in rape victims: a comparison between cognitive-behavioral procedures and counseling.
Treatment of posttraumatic stress disorder in rape victims: a comparison between cognitive-behavioral procedures and counseling.
复制标题
强奸受害者创伤后应激障碍的治疗：认知行为程序与咨询之间的比较。
DOI：
10.1037//0022-006x.59.5.715
复制
发表时间：
1991
影响因子：
5.9
通讯作者：
Murdock,TB
中科院分区：
文献类型：
--
作者：
Foa,EB;Rothbaum,BO;Riggs,DS;Murdock,TB
45名患有创伤后应激障碍(PTSD)的强奸受害者被随机分配到四种情况之一：应激接种训练(SIT)、长期暴露(PE)、支持性咨询(SC)或等待名单对照(WL)。治疗包括由一名女性治疗师进行的九次每周90分钟的单独治疗。在治疗前、治疗后和随访时(M=3.5个月)进行创伤后应激障碍症状、与强奸相关的痛苦、一般焦虑和抑郁的测量。所有情况下，所有措施都在治疗后和随访时立即得到改善。然而，SIT在治疗后立即对PTSD症状的改善明显多于SC和WL。在随访中，PE对创伤后应激障碍症状的改善效果更好。讨论了这些发现的含义和对治疗和未来研究的方向。
Rape victims with posttraumatic stress disorder (PTSD; N= 45) were randomly assigned to one of four conditions: stress inoculation training (SIT), prolonged exposure (PE), supportive counseling (SC), or wait-list control (WL). Treatments consisted of nine biweekly 90-min individual sessions conducted by a female therapist. Measures of PTSD symptoms, rape-related distress, general anxiety, and depression were administered at pretreatment, posttreatment, and follow-up (M= 3.5 months posttreatment). All conditions produced improvement on all measures immediately posttreatment and at follow-up. However, SIT produced significantly more improvement on PTSD symptoms than did SC and WL immediately following treatment. At follow-up, PE produced superior outcome on PTSD symptoms. The implications of these findings and direction for treatment and future research are discussed.