Meditation-Based Mantram Intervention for Veterans With Posttraumatic Stress Disorder: A Randomized Trial
Meditation-Based Mantram Intervention for Veterans With Posttraumatic Stress Disorder: A Randomized Trial
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DOI：
10.1037/a0027522
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发表时间：
2013-05-01
影响因子：
6.3
通讯作者：
Lang, Ariel J.
中科院分区：
文献类型：
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作者：
Bormann, Jill E.;Thorp, Steven R.;Lang, Ariel J.
创伤后应激障碍（PTSD）的补充疗法很少有经验性的测试。本研究探讨了一种便携式，私人冥想为基础的曼特拉姆（神圣的词）干预与慢性创伤后应激障碍的退伍军人的疗效。一项前瞻性、单盲随机临床试验对146名被诊断为军事相关PTSD的门诊退伍军人进行了研究。受试者被随机分配到（a）单独的药物和病例管理（即，常规治疗[TAU]），或（B）通过6周组间重复程序增强的TAU（MRP + TAU）。共有136名退伍军人（66名在MRP + TAU; 70名在TAU）完成了治疗后评估。一项意向性治疗分析表明，与单独使用TAU相比，MRP + TAU组自我报告和临床医生评定的PTSD症状明显减少。在治疗后，24%的MRP + TAU受试者与12%的TAU受试者相比，PTSD症状严重程度有临床意义的改善。与TAU受试者相比，MRP + TAU受试者还报告了抑郁症，心理健康状况和存在主义精神幸福感的显着改善。两种治疗条件下的脱落率均为7%。一种基于冥想的曼特拉姆重复干预显示出作为TAU的辅助手段来减轻退伍军人慢性PTSD症状的潜力。退伍军人可能会寻求这种类型的治疗，因为它是非药物，不集中在创伤。它也有潜力作为一个促进者的基于安全的治疗或提高精神福祉。需要更多的研究使用纵向有效性设计与积极的比较对照组。
Few complementary therapies for posttraumatic stress disorder (PTSD) have been empirically tested. This study explored the efficacy of a portable, private meditation-based mantram (sacred word) intervention for veterans with chronic posttraumatic stress disorder. A prospective, single-blind randomized clinical trial was conducted with 146 outpatient veterans diagnosed with military-related PTSD. Subjects were randomly assigned to either (a) medication and case management alone (i.e., treatment-as-usual [TAU]), or (b) TAU augmented by a 6-week group mantram repetition program (MRP + TAU). A total of 136 veterans (66 in MRP + TAU; 70 in TAU) completed posttreatment assessments. An intent-to-treat analysis indicated significantly greater symptom reductions in self-reported and clinician-rated PTSD symptoms in the MRP + TAU compared with TAU alone. At posttreatment, 24% of MRP + TAU subjects, compared with 12% TAU subjects, had clinically meaningful improvements in PTSD symptom severity. MRP + TAU subjects also reported significant improvements in depression, mental health status, and existential spiritual well-being compared with TAU subjects. There was a 7% dropout rate in both treatment conditions. A meditation-based mantram repetition intervention shows potential when used as an adjunct to TAU for mitigating chronic PTSD symptoms in veterans. Veterans may seek this type of treatment because it is nonpharmacological and does not focus on trauma. It also has potential as a facilitator of exposure-based therapy or to enhance spiritual well-being. More research is needed using a longitudinal effectiveness design with an active comparison control group.