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首页> 外文期刊>Depression and anxiety >CHANGES IN REPORTED PHYSICAL HEALTH SYMPTOMS AND SOCIAL FUNCTION WITH PROLONGED EXPOSURE THERAPY FOR CHRONIC POSTTRAUMATIC STRESS DISORDER
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CHANGES IN REPORTED PHYSICAL HEALTH SYMPTOMS AND SOCIAL FUNCTION WITH PROLONGED EXPOSURE THERAPY FOR CHRONIC POSTTRAUMATIC STRESS DISORDER

机译：慢性创伤后应激障碍的长期暴露治疗导致报告的身体健康症状和社会功能的变化

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Background: Postraumatic stress disorder (PTSD) is associated with significant health risk, illness, and functional impairment, e.g., Green and Kimerling [2004: Physical Health Consequences of Exposure to Extreme Stress. Washington, DC. American Phychological Association] Kimerling et al. [2000: Trauma and Health: F Trauma Stress 13:115-128]. Methods: These analyses examined whether negative health perceptions and general social functioning change with treatment of chronic PTSD among women from a randomized controlled study comparing prolonged exposure (PE; n = 48) or PE combined with cognitive restructuring (PE/CR; n = 40) to waitlist (n = 19; Foa et al., 2005:,7 Consult Clin Psychol 73:953-964]. Results: Self-reported physical health difficulties were significantly reduced in the PE and PE/CR conditions compared to the waitlist condition. These reductions did not demonstrate significant change during the 12 month follow-up period. Self-reported discomfort associated with physical health difficulties did not demonstrate significant change over treatment. No difference was detected between the active treatment and waitlist conditions. Both the PE and PE/CR groups reported improved social functioning at post treatment compared to the waitlist. Additional improvement in general social functioning was found between 3 and 12 month follow-up assessments. Changes in PTSD and depressive symptoms over treatment accounted for 29% of the variance in reduction of reported health problems and 30% of the variance in improvement of general social functioning. Importantly, only changes in PTSD symptoms significantly contribute to the model predicting change in physical health problems with depression associated only at a trend level. However, collinearity between PTSD and depression makes interpretation difficult. Conclusions: Negative health perceptions and general social function improve with PE. Changes in depression and PTSD with treatment are related to these changes. Depression and Anxiety 26.732-738, 2009. (C) 2008 Wiley-Liss, Inc.
机译：背景：创伤后应激障碍（PTSD）与严重的健康风险，疾病和功能障碍相关，例如Green和Kimerling [2004：暴露于极端压力下的身体健康后果。华盛顿特区。美国植物学协会] Kimerling等。 [2000：创伤与健康：F创伤压力13：115-128]。方法：这些分析检查了通过比较长期暴露（PE; n = 48）或PE与认知重构（PE / CR; n = 40）的随机对照研究，妇女对慢性PTSD的治疗是否会产生负面的健康观念和总体社会功能变化）到候补名单（n = 19; Foa等，2005：，7咨询Clin Psychol 73：953-964]。结果：与候补名单相比，自我报告的身体健康困难在PE和PE / CR条件下显着减少在12个月的随访期内，这些减少并未显示出明显的变化;与身体健康困难相关的自我报告的不适并未显示出治疗后的显着变化;在积极治疗和等待治疗条件之间未发现差异。和PE / CR组报告说，与候补名单相比，治疗后的社交功能有所改善，在3到12个月之间，总体社交功能有了进一步的改善第n次随访评估。治疗后PTSD和抑郁症状的变化占报告的健康问题减少的差异的29％，占总体社会功能改善的差异的30％。重要的是，只有PTSD症状的变化才对预测身体健康问题变化的模型有重大贡献，而抑郁症仅在趋势水平上出现。但是，PTSD与抑郁症之间的共线性使解释变得困难。结论：PE改善了负面健康观念和一般社会功能。抑郁症和治疗后PTSD的变化与这些变化有关。抑郁和焦虑26.732-738，2009.（C）2008 Wiley-Liss，Inc.

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