复杂创伤幸存者试点虚拟群体治疗的疗效研究

IF 1.9 Q3 PSYCHIATRY
Jacqueline L. Kinley , Sandra M. Reyno
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引用次数: 0

摘要

背景:复杂的创伤经历可导致一系列慢性和损害性的复杂创伤后应激障碍症状和共病精神疾病。目的本研究旨在评估一种试验性虚拟群体治疗方案对复杂PTSD伴抑郁和焦虑症状个体的疗效。方法采用组内、岗前设计,随访3个月。参与者完成了复杂创伤后应激障碍症状、分离症状、对自我和他人的消极信念、情绪调节、心理症状(焦虑、抑郁、压力)、恢复力和心理治疗进展的自我报告测量。结果治疗后,受试者在心理症状、情绪调节、自我和他人信念、恢复力、解离症状以及PTSD、自组织障碍(DSO)和复杂PTSD症状的严重程度上均出现了显著的积极变化。除分离症状外,这些改善在随访中保持不变。受试者在治疗后符合PTSD、DSO和复杂PTSD诊断标准的可能性显著低于随访时符合DSO和复杂PTSD诊断标准的可能性(但不符合PTSD)。结论,研究结果表明,以依恋为中心的动态关系治疗(DaRT)是一种对复杂创伤后应激障碍和共病精神疾病个体的有效干预。治疗可能有显著的影响,以提高服务能力的个人与慢性和普遍的残余影响的复杂创伤。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Examining the Efficacy of a Pilot Virtual Group Treatment for Survivors of Complex Trauma

Background

Complex trauma experiences can result in a range of chronic and impairing Complex PTSD symptoms and co-morbid mental illness.

Aim

This study aimed to evaluate the efficacy of a pilot virtual, group treatment program for individuals with Complex PTSD and comorbid depression and anxiety symptoms.

Method

The study employed a within group, pre-post design with 3-month follow-up. Participants completed self-report measures of Complex PTSD symptoms, dissociative symptoms, negative beliefs about self and others, emotion regulation, psychological symptoms (anxiety, depression, stress), resilience, and progress in psychotherapy.

Results

Participants reported significant positive changes in severity of psychological symptoms, emotion regulation, beliefs about self and others, resilience, dissociative symptoms, as well as PTSD, DSO (disturbances in self-organization) and Complex PTSD symptoms at post-treatment. These gains were maintained at follow-up except for dissociative symptoms. Participants were significantly less likely to meet diagnostic criteria for PTSD, DSO, and Complex PTSD at post-treatment and for DSO and Complex PTSD (but not PTSD) at follow-up.

Conclusion & Implications

Findings suggest that the Dynamic attachment-focused Relational Treatment (DaRT) program is an effective intervention for individuals with Complex-PTSD and comorbid mental illness. The treatment may have significant implications for enhancing service capacity for individuals struggling with the chronic and pervasive residual impacts of complex trauma.
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来源期刊
CiteScore
2.40
自引率
4.80%
发文量
60
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