Cognitive changes during prolonged exposure versus prolonged exposure plus cognitive restructuring in female assault survivors with posttraumatic stress disorder
Cognitive changes during prolonged exposure versus prolonged exposure plus cognitive restructuring in female assault survivors with posttraumatic stress disorder
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DOI：
10.1037/0022-006x.72.5.879
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发表时间：
2004-10-01
影响因子：
5.9
通讯作者：
Rauch, SAM
中科院分区：
文献类型：
--
作者：
Foa, EB;Rauch, SAM
作者报告了与创伤后应激障碍（PTSD）相关的认知变化，其中54名患有慢性PTSD的性侵犯和非性侵犯的女性幸存者完成了单独或与认知重建相结合的长期暴露。治疗包括每周9-12次治疗，并在治疗前、治疗后和12个月模式随访时进行评估。正如假设的那样，包括长时间暴露在内的治疗导致了对自我、世界和自责的负面认知的临床显著、可靠和持久的减少，如创伤后认知量表所测量的。增加认知重建会增加认知变化的假设不被支持。这些负面认知的减少与PTSD症状的减少显著相关。认知重建的增加并没有显着增加认知变化。的结果的理论意义进行了讨论。
The authors report on changes in cognitions related to posttraumatic stress disorder (PTSD) among 54 female survivors of sexual and nonsexual assault with chronic PTSD who completed either prolonged exposure alone or in combination with cognitive restructuring. Treatment included 9-12 weekly sessions, and assessment was conducted at pretreatment, posttreatment, and a modal 12-month follow-up. As hypothesized, treatment that included prolonged exposure resulted in clinically significant, reliable, and lasting reductions in negative cognitions about self, world, and self-blame as measured by the Posttraumatic Cognitions Inventory. The hypothesis that the addition of cognitive restructuring would augment cognitive changes was not supported. Reductions in these negative cognitions were significantly related to reductions in PTSD symptoms. The addition of cognitive restructuring did not significantly augment the cognitive changes. Theoretical implications of the results are discussed.