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Effects of Cognitive–Behavioral Conjoint Therapy for PTSD on Partners’ Psychological Functioning


  • Steffany J. Fredman is now at the Department of Human Development and Family Studies, The Pennsylvania State University. Nicole D. Pukay-Martin is now a staff psychologist in the Trauma Recovery Center at the Cincinnati VAMC.

  • This research was supported in part by a grant from the National Institute of Mental Health to Candice M. Monson (R34 MH076813), scholarships from the Canadian Institutes of Health Research and the Ontario Graduate Scholarship to Philippe Shnaider, and resources of the Women's Health Sciences Division, VA National Center for PTSD.


A number of studies have documented that posttraumatic stress disorder (PTSD) symptoms in “one” partner are negatively associated with their intimate partner's psychological functioning. The present study investigated intimate partners’ mental health outcomes (i.e., depression, anxiety, and anger) in a sample of 40 partners of individuals with PTSD within a randomized waitlist controlled trial of cognitive–behavioral conjoint therapy for PTSD (Monson & Fredman, 2012). There were no significant differences between active treatment and waitlist in intimate partners’ psychological functioning at posttreatment. Subgroup analyses, however, of partners exhibiting clinical levels of distress at pretreatment on several measures showed reliable and clinically significant improvements in their psychological functioning at posttreatment and no evidence of worsening. Results suggest that cognitive–behavioral conjoint therapy for PTSD may have additional benefits for partners presenting with psychological distress.

Traditional and Simplified Chinese Abstracts by AsianSTSS

標題:PTSD 認知行為聯合治療對伴侶心理功能的影響

撮要:很多研究發現病人的創傷後壓力症(PTSD)症狀與他們親密伴侶的心理功能呈負關連。本研究調查親密伴侶精神健康結果(即抑鬱、焦慮和憤怒),而樣本是一個(PTSD認知行為聯合治療)隨機候補對照試驗內患有PTSD的四十名病者的伴侶 (Mansion & Fredman, 2012)。治療後親密伴侶的心理功能在治療及候補組別之間未有明顯差別。小組分析卻見治療前有臨床多項量度有明顯困擾的伴侶,在治療後有可能及臨床顯著心理功能的改進,而未見惡化跡象。結論是PTSD認知行為聯合治療可能對有心理困擾的伴侶有益。

标题:PTSD 认知行为联合治疗对伴侣心理功能的影响

撮要:很多研究发现病人的创伤后压力症(PTSD)症状与他们亲密伴侣的心理功能呈负关连。本研究调查亲密伴侣精神健康结果(即忧郁、焦虑和愤怒),而样本是一个(PTSD认知行为联合治疗)随机候补对照试验内患有PTSD的四十名病者的伴侣 (Mansion & Fredman, 2012)。治疗后亲密伴侣的心理功能在治疗及候补组别之间未有明显差别。小组分析却见治疗前有临床多项量度有明显困扰的伴侣,在治疗后有可能及临床显着心理功能的改进,而未见恶化情况。结论是PTSD认知行为联合治疗可能对有心理困扰的伴侣有益。