Avoidant coping and treatment outcome in rape-related posttraumatic stress disorder.
Avoidant coping and treatment outcome in rape-related posttraumatic stress disorder.
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DOI：
10.1037/a0026814
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发表时间：
2012-04
影响因子：
5.9
通讯作者：
Rothbaum, Barbara O.
中科院分区：
文献类型：
--
作者：
Leiner, Amy S.;Kearns, Megan C.;Jackson, Joan L.;Astin, Millie C.;Rothbaum, Barbara O.
本研究探讨回避性应对对强奸相关创伤后应激障碍患者治疗结果的影响。患有与强奸相关的创伤后应激障碍(PTSD；N=62)的成年女性接受了9个疗程的长期暴露(PE)或眼动脱敏和再处理(EMDR)。样本的平均年龄为34.7岁，种族或民族报告为67.7%的高加索人，25.8%的非裔美国人，3.2%的拉美人和3.2%的其他人。采用创伤后应激障碍症状自评量表(PTSD症状自评量表)评定创伤后应激障碍，采用应对策略问卷(CSI-D)中的脱离子量表评定回避性应对。治疗前的回避应对与治疗后的创伤后应激障碍症状严重程度呈负相关，即使控制了创伤后应激障碍症状的初始严重程度，并将创伤后应激障碍回避症状从分析中剔除(ΔR2=0.08，b*=−0.31，95%CI[−0.17，−0.01]，t(60)=−2.27，p=0.028)。CSI-D平均得分100分预测在治疗期间经历临床显著变化(CSC)的可能性为96%。CSI-D平均分为61分与经历CSC的可能性为40%相关。PE和EMDR似乎有益于经常在强奸后做出回避性应对反应的妇女。一小部分最初回避性应对水平较低的女性不太可能经历PE或EMDR的治疗反应。
This study investigated the impact of avoidant coping on treatment outcome in rape-related PTSD. Adult women with rape-related Posttraumatic Stress Disorder (PTSD; N = 62) received nine sessions of prolonged exposure (PE) or eye movement desensitization and reprocessing (EMDR). Mean age for sample was 34.7 years old, and race or ethnicity was reported as 67.7% Caucasian, 25.8% African American, 3.2% Latina, and 3.2% Other. PTSD was assessed with the PTSD Symptom Scale-Self Report and avoidant coping was assessed using the Disengagement Subscale of the Coping Strategies Inventory (CSI-D). Pretreatment avoidant coping was negatively associated with posttreatment PTSD symptom severity even when controlling for initial severity of total PTSD symptoms and when removing PTSD avoidance symptoms from the analysis to account for potential overlap between avoidant coping and PTSD avoidance symptoms (ΔR2 = .08, b* = −0.31, 95% CI [−0.17, −0.01], t (60) = −2.27, p = .028). The CSI-D mean score of 100 predicted a 96% likelihood of experiencing clinically significant change (CSC) during treatment. A CSI-D mean score of 61 was associated with a 40% likelihood of experiencing CSC. PE and EMDR appear to be beneficial for women who frequently engage in avoidant coping responses following rape. A small subset of women with initially low levels of avoidant coping are unlikely to experience a therapeutic response from PE or EMDR.
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影响因子：
5.9
作者：
FOA, EB;ROTHBAUM, BO;MURDOCK, TB
通讯作者：
MURDOCK, TB
影响因子：
--
作者：
KESSLER, RC;SONNEGA, A;NELSON, CB
通讯作者：
NELSON, CB
影响因子：
5.9
作者：
JACOBSON, NS;TRUAX, P
通讯作者：
TRUAX, P
影响因子：
16.4
作者：
ROTH, S;COHEN, LJ
通讯作者：
COHEN, LJ
影响因子：
3.3
作者：
Rothbaum, BO;Astin, MC;Marsteller, F
通讯作者：
Marsteller, F