Effectiveness of Cognitive Processing Therapy for PTSD in serious mental illness

IF 1.7 Q3 PSYCHIATRY

Journal of Behavioral and Cognitive Therapy Pub Date : 2024-01-27 DOI:10.1016/j.jbct.2024.100486

Pallavi Nishith, Gary Morse, Nathaniel A. Dell

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Abstract

Objective

The goal of the study was to conduct a pilot test of the effectiveness of Cognitive Processing Therapy (CPT) for the treatment of Posttraumatic Stress Disorder (PTSD) in Serious Mental Illness (SMI). Method: An open pilot trial was conducted at a certified community behavioral health center with 49 participants with major depressive, bipolar, or psychotic disorders to evaluate CPT which comprised of 12 individual weekly therapy sessions and included education about trauma and PTSD, emotional processing of the trauma, and cognitive restructuring of trauma-related stuck-point beliefs, with a specific focus on safety, trust, control, esteem, and intimacy. Results: The results demonstrated statistically significant changes in PTSD and depression symptoms and improvement in end-state functioning. Conclusion: Results demonstrate promising evidence of CPT in addressing PTSD and end-state functioning in the SMI population. Findings warrant rigorously designed trials with a focus on people with comorbid psychotic disorders and PTSD.

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认知加工疗法对重症精神病患者创伤后应激障碍的疗效

研究目的：本研究旨在对认知加工疗法（CPT）治疗严重精神疾病（SMI）患者创伤后应激障碍（PTSD）的有效性进行试点测试。研究方法：在一家经认证的社区行为健康中心开展了一项开放式试点试验，对 49 名患有重度抑郁症、躁郁症或精神病的参与者进行了评估。CPT 包括每周 12 节的个人治疗课程，内容包括有关创伤和创伤后应激障碍的教育、创伤的情绪处理、创伤相关的卡点信念的认知重组，特别关注安全、信任、控制、自尊和亲密关系。结果结果表明，创伤后应激障碍和抑郁症状发生了统计学意义上的显著变化，最终状态功能也有所改善。结论结果表明，CPT 在解决创伤后应激障碍和 SMI 群体的终末状态功能方面具有良好的效果。研究结果值得进行严格设计的试验，重点关注合并有精神病性障碍和创伤后应激障碍的人群。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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