Abstract：
UNASSIGNED: A promising approach to enhancing trauma-focused treatment is moral elevation-feeling inspired by witnessing a virtuous act. This study explored potential links between eliciting elevation and relevant outcomes in a series of case examples. Veterans with probable posttraumatic stress disorder completed experimental tasks including a written trauma narrative exercise and watching elevation-eliciting videos. Participants also completed baseline assessments, repeated measures of trauma-related cognitions, emotions, elevation, and saliva sample collection. Four cases were identified and reviewed: two positive responders (high elevation after videos) and two nonresponders (restricted elevation response). Positive responder cases reported decreased cognitions, emotions, and moral injury distress from after the trauma narrative to after elevation exercises, whereas nonresponders reported minimal to no changes. Positive responders also demonstrated decreases in cortisol, whereas nonresponders demonstrated increases in cortisol. Future work should examine whether elevation contributes to changes in biopsychosocial outcomes and identify individual factors that indicate who might benefit from elevation-based interventions.
摘要：
■加强以创伤为中心的治疗的一种有希望的方法是通过目睹良性行为而激发的道德提升感。本研究在一系列案例中探讨了引发抬高与相关结果之间的潜在联系。可能患有创伤后应激障碍的退伍军人完成了实验任务，包括书面创伤叙事练习和观看抬高视频。参与者还完成了基线评估，反复测量与创伤相关的认知，情感,高程,和唾液样本收集。确定并审查了4例：2例阳性反应者（录像后高度升高）和2例无反应者（限制性升高反应）。阳性反应者病例报告认知下降，情感,从创伤叙事到抬高练习后的道德伤害困扰，而无应答者报告变化最小至无变化。积极的反应者还表现出皮质醇的减少，而无反应者显示皮质醇增加。未来的工作应该检查海拔是否有助于生物心理社会结果的变化，并确定表明谁可能从海拔干预中受益的个体因素。
