Change in Trauma Narratives and Perceived Recall Ability over a Course of Cognitive Processing Therapy for PTSD.
Change in Trauma Narratives and Perceived Recall Ability over a Course of Cognitive Processing Therapy for PTSD.
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PTSD 认知加工治疗过程中创伤叙事和感知回忆能力的变化。
DOI：
10.1037/trm0000012
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发表时间：
2015
期刊：
影响因子：
3.2
通讯作者：
Elwood,LisaS
中科院分区：
文献类型：
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作者：
Mott,JulietteM;Galovski,TaraE;Walsh,RyanM;Elwood,LisaS
本研究旨在评估认知处理治疗 (CPT) 课程期间完成的书面创伤叙述的变化。参与者是 22 名人际侵犯女性幸存者，她们代表了 2 项大型 CPT 治疗试验参与者的子集。参与者在治疗过程中完成了 2 份书面创伤叙述。我们预测叙述的长度和创伤周围的细节会增加，并且参与者会感觉到他们对创伤重要方面的回忆能力有所增加。尽管从第一次叙述到最终叙述，叙述长度和创伤周围细节的数量没有显着变化，但参与者证明了创伤周围细节的内容发生了变化。参与者通常在他们的叙述之一中省略攻击行为。与人身攻击相比，性侵犯的报告波动更大，55% 的参与者在一种叙述中报告了强迫性行为，但在另一种叙述中则没有。参与者在完成叙述后并未报告对创伤事件的感知回忆能力发生显着变化，但确实报告了从治疗前到治疗后感知回忆能力的改善。总体而言，研究结果表明，客户在最终叙述中包含了不同的细节（但不是更多细节），并且当客户在以创伤为重点的治疗背景下完成书面叙述时，感知到的回忆能力的提高可能不是典型的经历。
This study sought to evaluate changes in written trauma narratives completed during a course of Cognitive Processing Therapy (CPT). Participants were 22 female survivors of interpersonal assault who represented a subset of participants from 2 larger CPT treatment trials. Participants completed 2 written trauma narratives over the course of treatment. We predicted that narratives would increase in length and peritraumatic detail, and that participants would perceive an increase in their recall ability for important aspects of the trauma. Although narrative length and amount of peritraumatic detail did not change significantly from first to final narrative, participants evidenced changes in the content of the peritraumatic details. Participants commonly omitted assaultive acts from 1 of their narratives. There was a greater degree of fluctuation within the reporting of sexual assaults, as compared with physical assaults, with 55% of participants reporting a forced sexual act in 1 narrative but not the other. Participants did not report significant changes in perceived recall ability for the traumatic event after completing the narratives, but did report improvements in perceived recall from pre-to posttreatment. Overall, findings indicate that clients included different details (but not more details) in their final narrative, and that perceived increases in recall ability may not be a typical experience for clients as they complete written narratives in the context of trauma-focused treatment.