治疗前的关系特征可预测创伤后应激障碍强化、多夫妇小组治疗的非对照试验结果。

IF 2.3 2区 心理学 Q2 FAMILY STUDIES
Journal of Family Psychology Pub Date : 2024-04-01 Epub Date: 2024-02-08 DOI:10.1037/fam0001185
Steffany J Fredman, Yunying Le, Candice M Monson, Jacqueline A Mogle, Alexandra Macdonald, Tabatha H Blount, Brittany N Hall-Clark, Brooke A Fina, Katherine A Dondanville, Jim Mintz, Brett T Litz, Stacey Young-McCaughan, Jeffrey S Yarvis, Terence M Keane, Alan L Peterson
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引用次数: 0

摘要

创伤后应激障碍认知行为联合疗法(创伤后应激障碍 CBCT;Monson & Fredman,2012 年)可改善患者和伴侣的心理健康和关系满意度。一些治疗前的关系特征可以预测创伤后应激障碍 CBCT 对患者的治疗效果,但研究结果仅限于主要由女性患者和男性伴侣组成的单一社区样本。如果能更好地了解治疗前的关系特征是否能预测其他患者群体的治疗结果,以及是否有伴侣对创伤后应激障碍的夫妻治疗特别敏感,就能优化治疗匹配。本研究调查了在一项针对创伤后应激障碍的简短、强化、多配偶小组版 CBCT 非对照试验中,24 对现役军人或退伍军人夫妇(96% 为男性患者/女性伴侣)在治疗前的伴侣适应性和关系满意度是否能预测患者和伴侣的治疗结果。一般来说,患者的创伤后应激障碍和合并症状以及关系满意度的变化并不因治疗前伴侣的住宿条件或患者自己治疗前的关系满意度而异。与此相反,治疗前的关系特征却能预测伴侣的结果。治疗前迁就程度较高的伴侣和治疗前关系满意度较低的伴侣在治疗后的心理压力下降幅度更大。此外,在研究开始时处于关系困扰中的伴侣在治疗后的关系满意度有显著提高,而那些没有关系困扰的伴侣则没有。研究结果表明,患者在治疗前的关系特征一般不会对治疗效果产生影响,而开始治疗时关系风险因素较高的伴侣可能特别容易在各种结果上得到改善。(PsycInfo Database Record (c) 2024 APA, 版权所有)。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Pretreatment relationship characteristics predict outcomes from an uncontrolled trial of intensive, multicouple group PTSD treatment.

Cognitive behavioral conjoint therapy for posttraumatic stress disorder (CBCT for PTSD; Monson & Fredman, 2012) is associated with improvements in patients' and partners' mental health and relationship satisfaction. Some pretreatment relationship characteristics have predicted CBCT for PTSD outcomes for patients, but findings were limited to a single community sample consisting primarily of female patients with male partners. A better understanding of whether pretreatment relationship characteristics predict outcomes in other patient populations and whether there are partners who may be particularly responsive to couple therapy for PTSD could optimize treatment matching. This study investigated whether pretreatment partner accommodation and relationship satisfaction predicted patient and partner treatment outcomes from an uncontrolled trial of an abbreviated, intensive, multicouple group version of CBCT for PTSD conducted with 24 active-duty military or veteran couples (96% male patients/female partners). In general, changes in patients' PTSD and comorbid symptoms and relationship satisfaction did not vary by pretreatment partner accommodation or patients' own pretreatment relationship satisfaction. In contrast, pretreatment relationship characteristics predicted partner outcomes. Partners who engaged in higher levels of accommodation pretreatment and partners who reported lower levels of pretreatment relationship satisfaction experienced greater declines in psychological distress following treatment. Also, partners who began the study relationally distressed exhibited significant increases in relationship satisfaction following treatment, whereas those who were not relationally distressed did not. Findings suggest that improvements generally do not vary by pretreatment relationship characteristics for patients, whereas partners who begin treatment with elevated relationship risk factors may be especially likely to experience improvement across outcomes. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

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来源期刊
CiteScore
3.40
自引率
3.70%
发文量
200
期刊介绍: Journal of Family Psychology offers cutting-edge, groundbreaking, state-of-the-art, and innovative empirical research with real-world applicability in the field of family psychology. This premiere family research journal is devoted to the study of the family system, broadly defined, from multiple perspectives and to the application of psychological methods to advance knowledge related to family research, patterns and processes, and assessment and intervention, as well as to policies relevant to advancing the quality of life for families.
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