分娩相关创伤后应激障碍的认知处理疗法:病例研究与治疗注意事项

IF 2.9 3区 心理学 Q1 PSYCHOLOGY, CLINICAL Cognitive and Behavioral Practice Pub Date : 2024-07-02 DOI:10.1016/j.cbpra.2024.04.007
Kimberley Johnson, Feea R. Leifker
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引用次数: 0

摘要

与将新生儿的诞生描绘成欢乐时光的社会叙事形成鲜明对比的是,与分娩有关的创伤相对常见,并可能导致产后创伤后应激障碍。研究表明,产后创伤后应激障碍会对围产期造成严重的社会心理影响,而围产期是众所周知的影响儿童和产妇一生健康的关键发育窗口期。然而,针对分娩相关创伤的特定治疗方法的有效性的实证研究仍然有限。鉴于产后创伤后应激障碍的广泛影响和发病率,确定有效的治疗方案是当务之急。认知加工疗法(CPT)是一种治疗创伤后应激障碍的黄金标准循证心理疗法,但尚未在产后创伤后应激障碍的背景下进行过评估,它可能特别适合治疗分娩创伤。在本案例研究中,我们介绍了使用 CPT 对分娩相关创伤后应激障碍进行评估和治疗的情况。在为期 14 个疗程的治疗结束后,患者的症状(城市分娩创伤量表评分从 38 分降至 14 分)、相关痛苦和功能障碍均有所减轻。本案例研究表明,CPT 是治疗产后创伤后应激障碍的有效方法。最后,我们提出了指导未来研究和治疗工作的注意事项。
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Cognitive Processing Therapy for Childbirth-Related PTSD: A Case Study and Considerations for Treatment
In sharp contrast to societal narratives framing the birth of a new baby as a time of unequivocal joy, childbirth-related trauma is relatively common and can result in postpartum PTSD. Research indicates that postpartum PTSD can have serious psychosocial implications during the perinatal period, a known critical developmental window shaping child and maternal heath across the lifespan. However, empirical research on the effectiveness of specific treatment approaches for childbirth-related trauma remains limited. Given the extensive effects and prevalence of postpartum PTSD, determining effective treatment options is a high priority. Cognitive Processing Therapy (CPT) is a gold-standard evidence-based psychotherapy for PTSD that has not been evaluated in the context of postpartum PTSD, and may be particularly well-suited for treating birth trauma. In the current case study, we describe the assessment and treatment of childbirth-related PTSD using CPT. By the end of the 14-session therapy course, the patient experienced a reduction in symptoms (City Birth Trauma Scale score dropped from 38 to 14), associated distress, and functional impairment. This case study suggests that CPT is an effective treatment for postpartum PTSD. We conclude with considerations to guide future research and treatment efforts.
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来源期刊
Cognitive and Behavioral Practice
Cognitive and Behavioral Practice PSYCHOLOGY, CLINICAL-
CiteScore
4.80
自引率
3.40%
发文量
118
审稿时长
84 days
期刊介绍: Cognitive and Behavioral Practice is a quarterly international journal that serves an enduring resource for empirically informed methods of clinical practice. Its mission is to bridge the gap between published research and the actual clinical practice of cognitive behavior therapy. Cognitive and Behavioral Practice publishes clinically rich accounts of innovative assessment and diagnostic and therapeutic procedures that are clearly grounded in empirical research. A focus on application and implementation of procedures is maintained.
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