探索情绪调节和特质复原力与认知加工疗法对创伤后应激障碍现役军人疗效的关系

IF 2.8 3区 心理学 Q2 PSYCHOLOGY, CLINICAL
Craig P. Polizzi, Jennifer Schuster Wachen, Casey L. Straud, Jim Mintz, Allison L. Baier, Katherine A. Dondanville, Stacey Young-McCaughan, Brett T. Litz, Jeffrey S. Yarvis, Alan L. Peterson, Patricia A. Resick
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引用次数: 0

摘要

背景完成认知加工疗法(CPT)的军人仍会出现创伤后应激障碍(PTSD)的残留症状。深入了解影响 CPT 反应的特征可能会增加治疗成功的可能性。情绪调节和特质复原力与创伤后应激障碍的严重程度有关,并可能影响患有创伤后应激障碍的现役军人的治疗反应。这项二次分析探讨了基线情绪调节报告(认知情绪调节问卷-简表)和特质复原力报告(对压力经历的反应量表)与创伤后应激障碍严重程度减轻之间的关系,这些现役军人(N = 268)参加了一项临床试验,比较了集体提供的 CPT 和个人提供的 CPT。结果特质复原力预测了创伤后应激障碍严重程度的变化,因此在基线时报告特质复原力较低的参与者在接受 CPT 后创伤后应激障碍严重程度的降低幅度更大。适应性情绪调节对创伤后应激障碍严重程度也有主效应。事后相关分析表明,基线适应性情绪调节与治疗前后的创伤后应激障碍严重程度呈正相关。特质复原力是否会调节 CPT 所特有的创伤后应激障碍结果,还需要进行一项试验,并采用另一种对比治疗方法:NCT02173561 (6/25/2014)
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Exploring the Associations of Emotion Regulation and Trait Resilience with the Efficacy of Cognitive Processing Therapy for Active Duty Military Personnel with PTSD

Exploring the Associations of Emotion Regulation and Trait Resilience with the Efficacy of Cognitive Processing Therapy for Active Duty Military Personnel with PTSD

Background

Military personnel who complete cognitive processing therapy (CPT) can still experience residual symptoms of posttraumatic stress disorder (PTSD). Gaining a deeper understanding of the characteristics that influence response to CPT may increase the likelihood of treatment success. Emotion regulation and trait resilience are associated with PTSD severity and may influence treatment response in active duty service members with PTSD.

Methods

This secondary analysis explored the association among reports of baseline emotion regulation (Cognitive Emotion Regulation Questionnaire-Short Form) and trait resilience (Response to Stressful Experiences Scale) with PTSD severity reductions in a sample of active duty service members (N = 268) who participated in a clinical trial that compared group-delivered and individual CPT. Population averaged models were utilized to examine if baseline predictors were related to change in PTSD severity from pre- to posttreatment.

Results

Trait resilience predicted PTSD severity changes such that participants who reported less trait resilience at baseline demonstrated greater PTSD severity reductions over a course of CPT. There was also a main effect of adaptive emotion regulation on PTSD severity. Post-hoc correlation analyses revealed that baseline adaptive emotion regulation was positively associated with PTSD severity at pre- and posttreatment.

Conclusions

Findings imply that service members with lower trait resilience may particularly benefit from CPT. Whether trait resilience moderates PTSD outcomes specific to CPT will require a trial with an alternative comparison treatment arm.

Clinical Trial Registration

ClinicalTrials.gov identifier: NCT02173561 (6/25/2014)

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来源期刊
Cognitive Therapy and Research
Cognitive Therapy and Research PSYCHOLOGY, CLINICAL-
CiteScore
5.30
自引率
0.00%
发文量
52
期刊介绍: Cognitive Therapy and Research (COTR) focuses on the investigation of cognitive processes in human adaptation and adjustment and cognitive behavioral therapy (CBT). It is an interdisciplinary journal welcoming submissions from diverse areas of psychology, including cognitive, clinical, developmental, experimental, personality, social, learning, affective neuroscience, emotion research, therapy mechanism, and pharmacotherapy.
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