Influence of emotional engagement and habituation on exposure therapy for PTSD.

Influence of emotional engagement and habituation on exposure therapy for PTSD.
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情绪投入和习惯对 PTSD 暴露疗法的影响。

DOI:
10.1037//0022-006x.66.1.185
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发表时间:
1998
影响因子:
5.9
通讯作者:
Morral,AR
Morral,AR
中科院分区:
心理学1区
文献类型:
--
作者:
Jaycox,LH;Foa,EB;Morral,AR

文献摘要

被引文献

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本研究考察了两个过程变量,情感投入和习惯化,以及创伤后应激障碍暴露治疗的结果。37名女性性侵受害者接受了治疗,包括反复想象她们的创伤,并每隔10分钟对她们的痛苦进行评估。6次暴露期间的平均痛苦水平被提交给聚类分析。我们发现了三组具有不同痛苦模式的不同客户:高初始投入和会话之间的逐渐习惯,高初始投入而不习惯,中等初始投入而不习惯。第一种痛苦模式的病人比其他病人在治疗上改善更多。研究结果在情绪加工理论的框架内进行了讨论,强调了情绪投入和习惯化在暴露治疗中的重要作用。
This study examined 2 process variables, emotional engagement and habituation, and outcome of exposure therapy for posttraumatic stress disorder. Thirty-seven female assault victims received treatment that involved repeated imaginal reliving of their trauma, and rated their distress at 10-min intervals. The average distress levels during each of 6 exposure sessions were submitted to a cluster analysis. Three distinct groups of clients with different patterns of distress were found: high initial engagement and gradual habituation between sessions, high initial engagement without habituation, and moderate initial engagement without habituation. Clients with the 1st distress pattern improved more in treatment than the other clients. The results are discussed within the framework of emotional processing theory, emphasizing the crucial role of emotional engagement and habituation in exposure therapy.