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首页> 外文期刊>The Journal of Nervous and Mental Disease >Attachment style in the prediction of recovery following group treatment of combat veterans with post-traumatic stress disorder.
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Attachment style in the prediction of recovery following group treatment of combat veterans with post-traumatic stress disorder.

机译：依恋风格在战斗后退伍军人症与创伤后应激障碍的集体治疗后的恢复预测中。

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摘要

Post-traumatic stress disorder (PTSD) can be difficult to treat, with gains often particularly modest in combat veterans. Although group-based treatments are commonly delivered for veterans, little is known about factors influencing their outcomes. Attachment style is known to be associated with psychopathology after trauma and is critical to group-based interventions, but has not yet been investigated in relation to treatment outcome. A better understanding of factors that influence outcome is critical in optimizing the effectiveness of such interventions. This study investigated attachment style as a predictor of outcome for 103 veterans attending group-based treatment for combat-related PTSD. Measures included the Clinician Administered PTSD Scale, PTSD Checklist, and Relationship Styles Questionnaire. Path analyses indicated preoccupied attachment style strongly negatively predicted outcome following treatment. The preoccupied attachment style impedes recovery in group-based treatment for veterans with PTSD. Potential mechanisms underlying this finding are discussed. The results suggest that greater attention should be paid at initial assessment to attachment style of veterans before entering PTSD treatment, particularly group-based interventions.
机译：创伤后应激障碍（PTSD）可能很难治疗，在战斗退伍军人中往往没有那么明显的收获。尽管通常为退伍军人提供基于小组的治疗，但是对于影响其结局的因素知之甚少。依恋方式已知与创伤后的精神病理学有关，对基于小组的干预至关重要，但尚未就治疗效果进行调查。更好地了解影响结果的因素对于优化此类干预措施的有效性至关重要。这项研究调查了依恋风格作为103名退伍军人参加与战斗有关的PTSD的小组治疗的结果的预测指标。措施包括临床医生管理的PTSD量表，PTSD检查表和关系风格问卷。路径分析表明，忙碌的依恋风格强烈地预测了治疗后的结果。偏执的依恋风格阻碍了PTSD退伍军人基于小组的治疗的恢复。讨论了这一发现的潜在机制。结果表明，在进入创伤后应激障碍治疗之前，应特别重视对退伍军人的依恋方式进行初步评估，尤其是基于群体的干预措施。

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