Sudden gains in PTSD symptoms and social functioning in cognitive processing therapy for posttraumatic stress disorder.

IF 2.6 1区 心理学 Q2 PSYCHOLOGY, CLINICAL Psychotherapy Research Pub Date : 2024-11-01 Epub Date: 2023-10-17 DOI:10.1080/10503307.2023.2265046
Iris Antonopoulos, Alison E Carney, Shannon Wiltsey Stirman, Candice M Monson
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Abstract

Objective: Sudden gains (SGs) are rapid symptom improvements between two consecutive therapy sessions that predict treatment outcomes. This study investigated SGs in posttraumatic stress disorder (PTSD) symptoms, interpersonal relationship functioning, and social role functioning in Cognitive Processing Therapy (CPT).

Method: Participants were 121 patients and 81 therapists involved in a parent randomized controlled hybrid implementation-effectiveness trial of CPT. Descriptive analyses examined the frequency and timing of different forms of SGs. Multilevel modeling examined the impact of the three SGs on outcomes.

Results: PTSD SGs occurred more often and at different sessions than SGs in facets of social functioning. Most individuals experienced only one form of SG and there were no significant clinical or demographic differences in those who had PTSD only SGs, social functioning only SGs, or both SGs. PTSD SGs and interpersonal relationship functioning SGs both predicted changes in PTSD symptoms and interpersonal difficulties over time, but not changes in social role functioning. SGs in social role functioning predicted all three forms of outcomes.

Conclusions: The findings suggest that there are multiple forms of SGs in CPT beyond primary symptom changes that are predictive of patient outcomes. Clinicians should highlight various SGs that patients experience to further enhance outcomes.

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创伤后应激障碍认知处理治疗中PTSD症状和社会功能的突然改善。
目的:突增是指连续两次治疗之间症状的快速改善,可以预测治疗结果。本研究调查了创伤后应激障碍(PTSD)症状、人际关系功能和认知加工治疗(CPT)中社会角色功能的SGs。方法:参与者包括121名患者和81名治疗师,参与了CPT的父母随机对照混合实施有效性试验。描述性分析检查了不同形式的SG的频率和时间。多层次建模检验了三个SG对结果的影响。结果:在社会功能方面,PTSD SGs比SGs发生得更频繁,发生在不同的阶段。大多数人只经历过一种形式的SG,而那些只患有创伤后应激障碍的SG、只患有社交功能的SG或同时患有这两种SG的人没有显著的临床或人口统计学差异。PTSD SGs和人际关系功能SGs都预测了PTSD症状和人际困难随时间的变化,但没有预测社会角色功能的变化。社会角色功能的SG预测了所有三种形式的结果。结论:研究结果表明,CPT中除了可预测患者预后的主要症状变化外,还有多种形式的SG。临床医生应强调患者经历的各种SG,以进一步提高疗效。
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来源期刊
Psychotherapy Research
Psychotherapy Research PSYCHOLOGY, CLINICAL-
CiteScore
7.80
自引率
10.30%
发文量
68
期刊介绍: Psychotherapy Research seeks to enhance the development, scientific quality, and social relevance of psychotherapy research and to foster the use of research findings in practice, education, and policy formulation. The Journal publishes reports of original research on all aspects of psychotherapy, including its outcomes, its processes, education of practitioners, and delivery of services. It also publishes methodological, theoretical, and review articles of direct relevance to psychotherapy research. The Journal is addressed to an international, interdisciplinary audience and welcomes submissions dealing with diverse theoretical orientations, treatment modalities.
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