Negative self-appraisals in treatment-seeking survivors of motor vehicle accidents
Negative self-appraisals in treatment-seeking survivors of motor vehicle accidents
复制标题
DOI：
10.1016/j.janxdis.2009.03.001
复制
发表时间：
2009-08-01
影响因子：
10.3
通讯作者：
Stopa, Lusia
中科院分区：
文献类型：
--
作者：
Karl, Anke;Rabe, Sirko;Stopa, Lusia
最近的认知模型强调负面评价对创伤后应激障碍（PTSD）维持的影响。本研究旨在探讨110例机动车事故幸存者创伤后负性认知的作用，并观察42例完全或亚症状型创伤后应激障碍患者的认知行为治疗对负性评价的影响。我们调查了创伤后负面认知是否能预测PTSD诊断和症状严重程度，以及治疗相关的负面评价改变是否与PTSD症状减轻有关。负性创伤后认知与PTSD诊断和严重程度显著相关，解释了54%的PTSD严重程度差异。此外，治疗相关的自我负面评价的减少与创伤后应激障碍症状的减少高度相关。我们的研究结果提出了一个问题：是否有一些因素使某些人的自我更脆弱，而另一些人则不然。2009爱思唯尔有限公司版权所有。
Recent cognitive models stress the impact that negative appraisals have on the maintenance of posttraumatic stress disorder (PTSD). The aim of this study was to investigate the role of posttraumatic negative cognitions in 110 survivors of motor vehicle accidents (MVAs) and to examine the effect of cognitive-behavioral treatment on negative appraisals in a sample of 42 patients with full or sub-syndromal PTSD. We investigated whether posttraumatic negative cognitions predicted PTSD diagnosis and symptom severity, and whether treatment-related changes in negative appraisals were associated with PTSD symptom reduction. Negative posttraumatic cognitions were significantly associated with PTSD diagnosis and severity, and explained 54% of the variance of the PTSD severity. Furthermore, treatment-related reductions in negative appraisals about the self were highly associated with PTSD-symptom-reduction. Our results raise question about whether there are factors that make the self more vulnerable in some people but not in others. (C) 2009 Elsevier Ltd. All rights reserved.