Imagery Rehearsal for Posttraumatic Nightmares: A Randomized Controlled Trial
Imagery Rehearsal for Posttraumatic Nightmares: A Randomized Controlled Trial
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DOI：
10.1002/jts.20569
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发表时间：
2010-10-01
影响因子：
3.3
通讯作者：
Ross, Richard J.
中科院分区：
文献类型：
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作者：
Cook, Joan M.;Harb, Gerlinde C.;Ross, Richard J.
124名患有慢性严重创伤后应激障碍（PTSD）的男性越战老兵被随机分配到意象排练（n = 61）或可信的主动比较条件（n = 63）治疗与战斗有关的噩梦。两组的总体睡眠质量和PTSD症状有前后变化，但噩梦频率没有变化。意向治疗分析显示，接受意象排练的退伍军人在主要结局（噩梦频率和睡眠质量）或一些次要结局（包括创伤后应激障碍）的比较条件下并没有比退伍军人更明显的改善。六届会议的图像排练交付组的格式并没有产生实质性的改善，在越南战争退伍军人慢性，严重的创伤后应激障碍。可能的解释结果进行了讨论。
One hundred twenty-four male Vietnam War veterans with chronic, severe posttraumatic stress disorder (PTSD) were randomly assigned to imagery rehearsal (n = 61) or a credible active comparison condition (n = 63) for the treatment of combat-related nightmares. There was pre-post change in overall sleep quality and PTSD symptoms for both groups, but not in nightmare frequency. Intent-to-treat analyses showed that veterans who received imagery rehearsal had not improved significantly more than veterans in the comparison condition for the primary outcomes (nightmare frequency and sleep quality), or for a number of secondary outcomes, including PTSD. Six sessions of imagery rehearsal delivered in group format did not produce substantive improvement in Vietnam War veterans with chronic, severe PTSD. Possible explanations for findings are discussed.