Daniel F. Gros, Jeffrey M. Pavlacic, Evangelia Argyriou, Ron Acierno, Melba A. Hernandez-Tejada
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引用次数: 0
摘要
研究目的:关于创伤后应激障碍(PTSD)的长期暴露(PE)治疗内容对创伤后应激障碍和抑郁症状结果的预测相关性的研究十分有限。本研究的目的是调查参与者完成呼吸再训练、体内暴露和想象暴露练习与症状结果之间的关系:方法:共有 58 名参与者完成了 PE 试验,该试验是同伴参与和治疗依从性大型试验的一部分。在整个治疗过程中完成了诊断和自我报告测量。参与者还记录了每周完成呼吸再训练、体内暴露和想象暴露练习的情况。在控制相关变量的情况下,使用皮尔逊相关性和分层回归分析来研究平均每周治疗部分完成情况与治疗结果之间的关系:结果:尽管在相关性研究结果中,呼吸训练和体内暴露与创伤后应激障碍结果有关,但在回归分析中,当控制了其他变量后,呼吸训练、体内暴露和意象暴露的使用与创伤后应激障碍症状结果没有可靠的关联。然而,在调查合并抑郁症状的变化时,更多使用呼吸再训练与治疗后抑郁症状的减少有关:目前的研究结果表明,参与体育运动治疗的不同部分与治疗后的症状结果之间存在不同的关系。讨论了呼吸再训练在解决合并抑郁症状方面的重要性,并强调有可能更广泛地增加放松和积极活动,以鼓励进一步的治疗效果。
Differential relations between breathing retraining, in vivo exposure, and imaginal exposure homework completion and treatment outcomes in veterans receiving prolonged exposure for PTSD
Objectives
Limited research exists that outlines the predictive relevance of the treatment components of prolonged exposure (PE) for post-traumatic stress disorder (PTSD) on PTSD and depression symptom outcomes. The goal of the present study was to investigate relations between participant completion of breathing retraining, in vivo exposure, and imaginal exposure exercises and symptom outcomes.
Methods
A total of 58 participants completed a trial of PE as part of a larger trial on peer involvement and treatment adherence. Diagnostic and self-report measures were completed throughout treatment. Participants also recorded weekly completion of breathing retraining, in vivo exposure, and imaginal exposure exercises. Pearson correlations and hierarchical regression analyses were used to investigate relations between average weekly treatment component completion and treatment outcomes, controlling for relevant variables.
Results
Although breathing retraining and in vivo exposures were associated with PTSD outcomes in the correlational findings, use of breathing retraining, in vivo exposures, and imaginal exposures were not reliably associated with PTSD symptom outcomes when controlling for other variables in the regression analysis. However, when investigating changes in comorbid symptoms of depression, greater use of breathing retraining was associated with decreased symptoms of depression at posttreatment.
Conclusions
Present findings demonstrate the differential relations between participation in various PE treatment components and posttreatment symptom outcomes. The importance of breathing retraining in addressing comorbid depressive symptoms is discussed, with emphasis on potentially increasing relaxation and positive activities more broadly to encourage further treatment benefits.
期刊介绍:
Founded in 1945, the Journal of Clinical Psychology is a peer-reviewed forum devoted to research, assessment, and practice. Published eight times a year, the Journal includes research studies; articles on contemporary professional issues, single case research; brief reports (including dissertations in brief); notes from the field; and news and notes. In addition to papers on psychopathology, psychodiagnostics, and the psychotherapeutic process, the journal welcomes articles focusing on psychotherapy effectiveness research, psychological assessment and treatment matching, clinical outcomes, clinical health psychology, and behavioral medicine.