对患有创伤后应激障碍的退伍军人及其伴侣进行慈悲心训练

IF 3.2 3区 心理学 Q1 PSYCHOLOGY, CLINICAL Clinical psychology & psychotherapy Pub Date : 2023-01-14 DOI:10.1002/cpp.2825
Madeline Romaniuk, Sarah Hampton, Kelly Brown, Gina Fisher, Stanley R. Steindl, Chloe Kidd, James N. Kirby
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引用次数: 0

摘要

创伤后应激障碍(PTSD)对相当比例的澳大利亚退役人员来说是一个重大问题。除了对个人的功能影响外,创伤后应激障碍还会对亲密伴侣关系产生重大影响。研究表明,练习同情和自我同情可能是创伤幸存者心理治疗的重要组成部分,同时也证明了对亲密关系的好处。本研究旨在探讨慈悲心训练对创伤后应激障碍退伍军人及其伴侣的干预效果。在干预前、干预后和3个月的随访中,采用不受控制的受试者内部纵向设计进行评估。24名参与者参加了12次每两周一次的小组会议。在每个时间点进行同情心、生活质量和心理症状的自我报告测量。研究结果表明,在3个月的随访中,对退役人员的同情恐惧和创伤后应激障碍症状显著减少,干预后抑郁症状减少,生活质量和社会安全增加。此外,在3个月的随访中发现,焦虑、压力、外部羞耻感和自我批评显著减少,夫妻们报告的关系满意度显著提高。这项初步研究的结果显示出令人鼓舞的结果,值得在对退役人员及其伴侣进行慈悲心训练的更大规模随机对照试验中进一步调查。
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Compassionate mind training for ex-service personnel with PTSD and their partners

Posttraumatic stress disorder (PTSD) is a significant issue for a substantial proportion of Australian ex-service personnel. In addition to the functional impact on individuals, PTSD can have a significant impact on intimate partner relationships. Research has demonstrated that practicing compassion and self-compassion may be an important component of psychological therapy for survivors of trauma, while also demonstrating benefits to intimate relationships. This pilot study aimed to investigate the utility of a Compassionate Mind Training intervention for ex-service personnel with PTSD and their partners. An uncontrolled, within-subjects, longitudinal design was utilized with assessment at pre-intervention, post-intervention and 3-month follow-up. Twenty-four participants attended 12 biweekly group sessions. Self-report measures of compassion, quality of life and psychological symptoms were administered at each time point. Findings demonstrated a significant reduction in fears of compassion and PTSD symptoms for ex-service personnel at 3-month follow-up and a reduction in depressive symptoms and increase in quality-of-life and social safeness at post-intervention. Additionally, significant reductions in anxiety, stress, external shame and self-criticism at 3-month follow-up were found, and couples reported significant increases in relationship satisfaction. Findings from this pilot study demonstrate promising outcomes, warranting further investigation in a larger randomized controlled trial of Compassionate Mind Training for ex-service personnel and their partners.

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来源期刊
Clinical psychology & psychotherapy
Clinical psychology & psychotherapy PSYCHOLOGY, CLINICAL-
CiteScore
6.30
自引率
5.60%
发文量
106
期刊介绍: Clinical Psychology & Psychotherapy aims to keep clinical psychologists and psychotherapists up to date with new developments in their fields. The Journal will provide an integrative impetus both between theory and practice and between different orientations within clinical psychology and psychotherapy. Clinical Psychology & Psychotherapy will be a forum in which practitioners can present their wealth of expertise and innovations in order to make these available to a wider audience. Equally, the Journal will contain reports from researchers who want to address a larger clinical audience with clinically relevant issues and clinically valid research.
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