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首页> 外文期刊>Journal of traumatic stress >Randomized Clinical Trial Investigating the Effects of an Anxiety Sensitivity Intervention on Posttraumatic Stress Symptoms: A Replication and Extension
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Randomized Clinical Trial Investigating the Effects of an Anxiety Sensitivity Intervention on Posttraumatic Stress Symptoms: A Replication and Extension

机译：随机临床试验调查焦虑敏感性干预对错误抑郁症状的影响：复制和延伸

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摘要

A growing body of research suggests the importance of anxiety sensitivity (AS) in the development and maintenance of posttraumatic stress symptoms (PTSS). Specifically, AS cognitive concerns (fears of cognitive dyscontrol) may be particularly relevant for those with elevated PTSS. Preliminary research has suggested that interventions targeting AS may be beneficial in decreasing PTSS, but to date there has been no randomized controlled trial testing the direct and indirect effects of an AS cognitive concerns intervention among a clinical sample of trauma-exposed individuals. The current study tested these effects among a sample 63 trauma-exposed participants who were randomized to either an AS cognitive concerns intervention or a repeated contact control. Results indicated a direct effect of the intervention on PTSS 1 month postintervention, and that this effect was mediated by changes in AS, specifically AS cognitive concerns, during the intervention period. Effect sizes were in the small-to-medium range (variance accounted forranged from .05 to .15; odds ratio for diagnostic change = .06). These findings provide further evidence that targeting AS may be beneficial in the treatment of PTSS, and expansion upon this area of research by demonstrating these effects may be specific to AS cognitive concerns and can be achieved within a mixed clinical sample.
机译：越来越多的研究体系表明焦虑敏感性（AS）在创伤敏感性症状（PTS）的开发和维持中的重要性。具体而言，作为认知问题（认知性能控制的恐惧）可能与具有升高的PTS的人特别相关。初步研究表明，靶向的干预措施可能是有益的，但到目前为止没有随机对照试验测试作为认知患者的临床样本的临床样本中的直接和间接影响。目前的研究在样品63创伤曝光参与者中测试了这些效果，该参与者被随机分配到作为认知疑虑的干预或重复的接触控制。结果表明，干预PTSS的直接效应1个月的临时治疗，并且这种效果是在干预期间由诸如认知问题的变化进行介导的。效果大小在中等范围内（方差占，从.05到.15到.15;诊断变化的赔率比= .06）。这些发现提供了进一步的证据，即靶向可能有益于治疗PTSS，并且通过证明这些效应来扩张该研究领域可能是具有认知问题的特异性，并且可以在混合临床样品中实现。

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