Predicting response to exposure treatment in PTSD: The role of mental defeat and alienation
Predicting response to exposure treatment in PTSD: The role of mental defeat and alienation
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DOI：
10.1023/a:1024448511504
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发表时间：
1998-07-01
影响因子：
3.3
通讯作者：
Foa, EB
中科院分区：
文献类型：
--
作者：
Ehlers, A;Clark, DM;Foa, EB
并非所有创伤后应激障碍患者都能从暴露治疗中受益。本文描述了与强奸受害者对暴露反应较差相关的两个认知维度。首先，在重温创伤过程中，他们的记忆反映出精神挫败或缺乏心理计划，但几乎没有改善。其次，较差的结果与创伤后的整体疏远感或永久性变化相关。这些结果基于对 10 名结果良好的女性和 10 名结果较差的女性的暴露治疗疗程记录的盲评。两组患者的初始症状严重程度相匹配，并且在攻击的许多方面具有可比性。经历过精神挫败、疏远或永久性改变的患者除了暴露之外可能还需要认知重建。
Not all patients with posttraumatic stress disorder benefit from exposure treatment. The present paper describes two cognitive dimensions that are related to inferior response to exposure in rape victims First individuals whose memories during reliving of the trauma reflected mental defeat or the absence of mental planning showed little improvement. Second, inferior outcome was correlated with an overall feeling of alienation or permanent change following the trauma. These results are based on blind ratings of transcripts of exposure treatment sessions from 10 women with good outcome and 10 women with inferior outcome. patients in the two groups were matched for initial symptom severity and were comparable in many aspects of the assault. patients who experienced mental defeat, alienation, or permanent change may require cognitive restructuring in addition to exposure.