You can do that?!: Feasibility of virtual reality exposure therapy in the treatment of PTSD due to military sexual trauma
You can do that?!: Feasibility of virtual reality exposure therapy in the treatment of PTSD due to military sexual trauma
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DOI：
10.1016/j.janxdis.2018.06.004
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发表时间：
2019-01-01
影响因子：
10.3
通讯作者：
Rothbaum, Barbara O.
中科院分区：
文献类型：
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作者：
Loucks, Laura;Yasinski, Carly;Rothbaum, Barbara O.
这项初步的可行性研究探讨了虚拟现实暴露疗法（VRE）在MST相关PTSD治疗中的应用，并为MST量身定制了新开发的内容。参与者包括15名患有MST相关PTSD的退伍军人（26%为男性）。在治疗前、治疗后和3个月随访时评估创伤后应激障碍、抑郁和精神生理指标。治疗包括6-12个VRE疗程。治疗前后PTSD（CAPS严重程度：t（10）= 3.69，p = 0.004; PCL-5：t（10）= 3.79，p = 0.004）和抑郁症状（PHQ-9：t（8）= 2.83，p = 0.022）显著减少，并在随访时保持不变。治疗前至治疗后，对创伤提示的心率反应也显著降低。Cohen的d效应量很大（CAPS：d = 1.11; PCL-5：d = 1.14，PHQ-9：d = 0.94），符合PTSD标准的参与者比例从治疗后（53%）到随访（33%）持续下降。研究结果表明，VRE可以安全地提供，是一个有前途的治疗MST相关的PTSD。
This initial feasibility study examined the use of virtual reality exposure therapy (VRE) in the treatment of MST related PTSD, with newly developed content tailored to MST. Participants included 15 veterans (26% male) with MST-related PTSD. Assessment of PTSD, depression, and psychophysiological indicators of distress occurred at pre-treatment, post-treatment, and 3-month follow-up. Treatment included 6-12 VRE sessions. There were significant reductions in pre- to post-treatment PTSD (CAPS severity: t(10) = 3.69, p =.004; PCL-5: t (10) = 3.79, p =.004) and depressive symptoms, (PHQ-9: t(8) = 2.83, p =.022), which were maintained at follow-up. There also was a significant pre- to post-treatment reduction in heart rate response to a trauma cue. Cohen's d effect sizes were large (CAPS: d = 1.11; PCL-5: d = 1.14, PHQ-9: d =.94), and the percentage of participants meeting PTSD criteria continued to decline from post-treatment (53%) to follow-up (33%). Findings indicate VRE can be safely delivered and is a promising treatment for MST-related PTSD.