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An acceptance and commitment therapy intervention for combat veterans with posttraumatic stress disorder: Preliminary outcomes of a controlled group comparison.

机译：战伤后应激障碍退伍军人的接受和承诺治疗干预措施：对照组比较的初步结果。

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摘要

Numerous clinical and epidemiologic studies have demonstrated an association between combat exposure and the development of posttraumatic stress disorder (PTSD). Studies regarding the psychological sequelae of war show a clear dose-response relationship, in which higher levels of combat exposure lead to a greater prevalence of PTSD among veterans. Posttraumatic stress disorder is prevalent across combat veteran cohorts, making the disorder a treatment priority within the Department of Veterans Affairs. The present study examined the preliminary effects of an Acceptance and Commitment Therapy (ACT) group intervention for combat veterans diagnosed with PTSD. The "pilot" ACT group was evaluated utilizing a nonequivalent control group design. This 2 (treatment versus control group) X 2 (pre- versus post-test) factorial design included repeat measures at Baseline and 12-Week Assessment. ACT aims to address human suffering through the reduction of experiential avoidance and cognitive entanglement, while encouraging individuals to pursue valued life directions. In the present study experiential avoidance significantly increased among veteran ACT group participants. However, when the three statistical outliers were removed from the analysis the change over time was no longer significant. There was also a significant increase in automatic thoughts in participants comprising the ACT group. No significant changes were evidenced by veteran participants in PTSD symptomatology, depressive symptoms, the believability of automatic thoughts, and life satisfaction. The control group endorsed no significant change over the course of 12 weeks. It is noteworthy that veteran participants significantly differed from the community sample control group on all measures at Baseline and 12-Week Assessment.
机译：大量的临床和流行病学研究表明，战斗暴露与创伤后应激障碍（PTSD）的发展之间存在关联。有关战争心理后遗症的研究显示出明显的剂量反应关系，其中较高的战斗暴露水平导致退伍军人中PTSD的患病率更高。创伤后应激障碍在战斗退伍军人队列中普遍存在，使该疾病成为退伍军人事务部的治疗重点。本研究检查了接受和承诺治疗（ACT）小组干预对被诊断为PTSD的退伍军人的初步效果。利用非等效对照组设计评估“试验” ACT组。这个2（治疗组与对照组）X 2（测试前与测试后）的析因设计包括在基线和12周评估中的重复测量。 ACT旨在通过减少体验回避和认知纠缠来解决人类的痛苦，同时鼓励个人追求有价值的生活方向。在本研究中，经验丰富的ACT组参与者中的体验回避显着增加。但是，当从分析中除去三个统计异常值时，随着时间的变化不再显着。包括ACT组在内的参与者的自动思考能力也显着提高。 PTSD症状，抑郁症状，自动思考的可信度和生活满意度的资深参与者没有发现明显变化。对照组认可在12周内无明显变化。值得注意的是，在“基线”和“ 12周评估”中，所有参与者在所有指标上均与社区样本对照组存在显着差异。

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  • 作者

    Braekkan, Kathlyn Claire.;

  • 作者单位

    Spalding University.;

  • 授予单位 Spalding University.;
  • 学科 Psychology Behavioral.; Psychology Clinical.; Military Studies.
  • 学位 Psy.D.
  • 年度 2007
  • 页码 185 p.
  • 总页数 185
  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类 心理学;医学心理学、病理心理学;
  • 关键词

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