针对复杂悲伤反应的认知行为疗法:自然环境下的治疗方案和初步结果

IF 2.9 3区 心理学 Q1 PSYCHOLOGY, CLINICAL
Katrine B. Komischke-Konnerup, Maja O'Connor, Herbert Hoijtink, Paul A. Boelen
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引用次数: 0

摘要

在丧亲之痛中,有些人会出现复杂悲伤反应(CGR),包括长期悲伤障碍(PGD)、创伤后应激障碍(PTSD)和抑郁症状。PGD 的症状经常与其他复杂悲伤反应(如创伤后应激障碍和抑郁症)同时出现,这表明需要对 CGR 进行跨诊断理解,以便为治疗提供依据。本文解释了一种针对 CGR 的跨诊断认知行为疗法 "CBTgrief",包括其理论框架和治疗内容。CBTgrief 基于之前对创伤后应激障碍、创伤后应激障碍和抑郁症的认知行为概念,包括 12 个疗程,包括暴露、认知重组和行为激活。在一个自然的临床环境中,对 8 名因不同类型的 CGR 而接受治疗的老年丧亲者进行了抽样调查,从可行性、可接受性和治疗满意度等方面对 CBTgrief 的初步研究结果进行了评估。此外,还使用贝叶斯信息假设检验法评估了有关 CGR 变化和理论上提出的核心维持过程的理论驱动假设。本文讨论了初步研究结果、局限性、影响和未来发展方向。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Cognitive-Behavioral Therapy for Complicated Grief Reactions: Treatment Protocol and Preliminary Findings From a Naturalistic Setting

In bereavement, some individuals develop complicated grief reactions (CGR), including symptoms of prolonged grief disorder (PGD), posttraumatic stress disorder (PTSD), and depression. Symptoms of PGD often co-occur with other complicated grief reactions, e.g., PTSD and depression, pointing to the need for a transdiagnostic understanding of CGR to inform treatment. In this paper, a transdiagnostic cognitive-behavioral therapy for CGR called “CBTgrief” is explained, including its theoretical framework and treatment content. CBTgrief is based on previous cognitive-behavioral conceptualizations of PGD, PTSD, and depression and includes 12 sessions consisting of exposure, cognitive restructuring, and behavioral activation. Preliminary findings of CBTgrief are evaluated in terms of feasibility, acceptability, and treatment satisfaction in a sample of eight older bereaved individuals treated for different types of CGR in a naturalistic clinical setting. Additionally, theory-driven hypotheses about changes in CGR and theoretical proposed core maintaining processes are evaluated using Bayesian informative hypotheses testing. Preliminary findings, limitations, implications, and future directions are discussed.

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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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