Imagery rehearsal in the treatment of posttraumatic nightmares in Australian veterans with chronic combat-related PTSD: 12-month follow-up data
Imagery rehearsal in the treatment of posttraumatic nightmares in Australian veterans with chronic combat-related PTSD: 12-month follow-up data
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DOI：
10.1023/a:1025718830026
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发表时间：
2003-10-01
影响因子：
3.3
通讯作者：
Creamer, M
中科院分区：
文献类型：
--
作者：
Forbes, D;Phelps, AJ;Creamer, M
对于患有慢性战斗相关创伤后应激障碍(PTSD)的退伍军人来说，噩梦往往是一种令人痛苦的症状。最近显示出相当有希望的一种心理治疗是表象排练疗法(IRT)。在目前作者的一项初步研究中，IRT被证明在治疗后3个月的一组退伍军人中治疗创伤后噩梦是有效的。这项研究报告了试点研究的12个月随访数据，检查了IRT治疗的长期结果。12名患有慢性战斗相关创伤后应激障碍的澳大利亚越战退伍军人接受了每周6次的想象排练，并在入院时、治疗后以及3个月和12个月的随访中使用噩梦频率和强度、创伤后应激障碍、抑郁、焦虑和更广泛的症状的标准化测量进行评估。治疗12个月后，靶向噩梦的频率和强度明显改善。同样，总体创伤后应激障碍、抑郁、焦虑和更广泛的症状学的改善也维持到12个月。这项研究提供了初步证据，表明IRT对创伤后噩梦、创伤后应激障碍以及患有慢性战斗相关创伤后应激障碍的男性更广泛的症状的积极治疗效果将在较长时间内保持。
Nightmares are often a distressing symptom for veterans with chronic combat-related posttraumatic stress disorder (PTSD). A psychological treatment that has recently shown considerable promise is Imagery Rehearsal Therapy (IRT). In a pilot study by the current authors, IRT was demonstrated to be effective in the treatment of posttraumatic nightmares in a group of combat veterans up to 3-month posttreatment. This study reports the 12-month follow-up data of the pilot study, examining the longer term outcome of the IRT treatment. Twelve Australian Vietnam veterans with chronic combat-related PTSD were treated with 6 once weekly sessions of imagery rehearsal and assessed using standardised measures of nightmare frequency and intensity, PTSD, depression, anxiety and broader symptomatology at intake, posttreatment, and 3- and 12-month follow-up. Significant improvements in targeted nightmare frequency and intensity were evident to 12-month posttreatment. Similarly, improvements in overall PTSD, depression, anxiety, and broader based symptomatology were also maintained to 12 months. This study provides preliminary evidence that the positive treatment effects of IRT on posttraumatic nightmares, PTSD, and broader symptomatology in males with chronic combat-related PTSD are maintained in the longer term.