We’re in This Together: A Case Study of the Concurrent Delivery of Prolonged Exposure Therapy to Intimate Partners With PTSD

IF 2.9 3区 心理学 Q1 PSYCHOLOGY, CLINICAL
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Abstract

Research on the links between intimate relationships and PTSD and the treatments for PTSD tend to be limited to couples in which only one partner within the dyad has PTSD. No investigations, to our knowledge, have empirically examined the simultaneous provision of evidence-based PTSD treatment to both partners in an intimate relationship diagnosed with PTSD. The current case study describes two partners in a different-sex relationship, both diagnosed with current PTSD, who received individual Prolonged Exposure (PE) therapy at the same time as part of a larger randomized clinical trial. Each partner received ten, 90-minute individual sessions of PE therapy by two separate clinicians trained in PE followed by a 1-month follow-up. The findings demonstrated significant pre- to posttreatment reductions in PTSD symptoms as measured by the Clinician Administered PTSD Scale-5 (CAPS-5) for the male partner (Δ = 18) and the female partner (Δ = 24). Both partners achieved diagnostic remission of PTSD by end of treatment. In addition, both partners expressed enhancements in relationship functioning that they experienced while receiving PE therapy concurrently. Clinical considerations for the provision of concurrent PE to partners in an intimate relationship are discussed. The positive findings from this case study may inform future research in this much-needed area of treatment for couples where both partners are suffering from PTSD.
我们在一起:对患有创伤后应激障碍的亲密伴侣同时进行长期暴露治疗的案例研究
有关亲密关系与创伤后应激障碍之间的联系以及创伤后应激障碍治疗方法的研究,往往局限于只有一方患有创伤后应激障碍的情侣。据我们所知,还没有任何调查对亲密关系中被诊断出患有创伤后应激障碍的双方同时提供以证据为基础的创伤后应激障碍治疗进行过实证研究。本案例研究描述了异性关系中的两位伴侣,他们都被诊断出患有创伤后应激障碍,并同时接受了个体延长暴露(PE)疗法,这是一项大型随机临床试验的一部分。每对伴侣分别接受了由两名受过 PE 培训的临床医生进行的 10 次 90 分钟的个人 PE 治疗,然后进行为期 1 个月的随访。研究结果表明,从治疗前到治疗后,男性伴侣(Δ = 18)和女性伴侣(Δ = 24)的创伤后应激障碍症状均有明显减轻,这是由临床医师管理的创伤后应激障碍量表-5(CAPS-5)测量的结果。在治疗结束时,双方的创伤后应激障碍都得到了诊断性缓解。此外,双方都表示在同时接受创伤后应激障碍治疗的过程中,他们的人际关系功能得到了改善。本文讨论了为亲密关系中的伴侣同时提供 PE 治疗的临床注意事项。本病例研究的积极发现可能会为今后针对双方都患有创伤后应激障碍的情侣进行治疗这一急需领域的研究提供参考。
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来源期刊
Cognitive and Behavioral Practice
Cognitive and Behavioral Practice PSYCHOLOGY, CLINICAL-
CiteScore
4.80
自引率
3.40%
发文量
118
审稿时长
84 days
期刊介绍: Cognitive and Behavioral Practice is a quarterly international journal that serves an enduring resource for empirically informed methods of clinical practice. Its mission is to bridge the gap between published research and the actual clinical practice of cognitive behavior therapy. Cognitive and Behavioral Practice publishes clinically rich accounts of innovative assessment and diagnostic and therapeutic procedures that are clearly grounded in empirical research. A focus on application and implementation of procedures is maintained.
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