Imaginal exposure alone and imaginal exposure with cognitive restructuring in treatment of posttraumatic stress disorder
Imaginal exposure alone and imaginal exposure with cognitive restructuring in treatment of posttraumatic stress disorder
复制标题
DOI：
10.1037/0022-006x.71.4.706
复制
发表时间：
2003-08-01
影响因子：
5.9
通讯作者：
Nixon, RDV
中科院分区：
文献类型：
--
作者：
Bryant, RA;Moulds, ML;Nixon, RDV
本研究调查了在何种程度上提供认知重建（CR）与延长想象曝光（IE）将导致更大的症状减轻比提供IE单独的参与者创伤后应激障碍（PTSD）。58名创伤后应激障碍的平民幸存者被随机分配到IE/CR，IE或支持性咨询（SC）。治疗涉及8个单独的每周一次的会议，大量的家庭作业。在治疗前、治疗后和6个月随访时进行独立评估。在治疗后和随访时，与SC相比，IE/CR和IE导致PTSD和抑郁减少。进一步.在随访中，IE/CR参与者的PTSD和适应不良认知方式比IE参与者减少得更多。这些发现表明，提供CR与IE相结合可能会提高治疗收益。
This study investigated the extent to which providing cognitive restructuring (CR) with prolonged imaginal exposure (IE) would lead to greater symptom reduction than providing IE alone for participants with posttraumatic stress disorder (PTSD). Fifty-eight civilian survivors of trauma with PTSD were randomly allocated to IE/CR, IE, or supportive counseling (SC). Treatment involved 8 individual weekly sessions with considerable homework. Independent assessments were conducted pretreatment, posttreatment, and at 6-month follow-up. IE/CR and IE resulted in reduced PTSD and depression compared with SC at posttreatment and follow-up. Further. IE/CR participants had greater reductions in PTSD and maladaptive cognitive styles than IE participants at follow-up. These findings suggest that providing CR in combination with IE may enhance treatment gains.