Imagery Rescripting as treatment for complicated PTSD in refugees: A multiple baseline case series study
Imagery Rescripting as treatment for complicated PTSD in refugees: A multiple baseline case series study
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DOI：
10.1016/j.brat.2013.02.009
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发表时间：
2013-06-01
影响因子：
4.1
通讯作者：
van Breukelen, Gerard
中科院分区：
文献类型：
--
作者：
Arntz, Arnoud;Sofi, Dana;van Breukelen, Gerard
本研究测试了意象重塑（ImRs）对难民复杂战争相关创伤后应激障碍的有效性。研究对象为10例初诊为战争相关创伤后应激障碍（PTSD），创伤后症状量表（PSS）评分为bbb20分的长期支持性护理成年患者。采用并行多基线设计，基线从6到10周不等，每周有支持会议。基线后，为期5周的探索阶段，随后是每周一次的治疗，在此期间，创伤被探索，没有以创伤为重点的治疗。然后进行10次每周一次的ImRs治疗，随后进行5周的无治疗随访。参与者被随机分配到基线长度，并每周填写PSS和BDI。数据采用混合回归分析。结果显示在ImRs期间（PSS和BDI评分降低）有显著的线性趋势，但在其他条件下没有。随访期间得分稳定且显著低于基线，具有非常高的效应量（Cohen’s d = 2.87 （PSS）和1.29 (BDI)）。一位病人显然没有积极回应，并透露他真正的问题是他无法接受的性身份。没有人中途退学。总之，结果表明，对于这一困难的患者群体，ImRs是一种高度可接受的有效治疗方法。(c) 2013 Elsevier Ltd.版权所有。
This study tested the effectiveness of Imagery Rescripting (ImRs) for complicated war-related PTSD in refugees. Ten adult patients in long-term supportive care with a primary diagnosis of war-related PTSD and Posttraumatic Symptom Scale (PSS) score > 20 participated. A concurrent multiple baseline design was used with baseline varying from 6 to 10 weeks, with weekly supportive sessions. After baseline, a 5-week exploration phase followed with weekly sessions during which traumas were explored, without trauma-focused treatment. Then 10 weekly ImRs sessions were given followed by 5-week follow-up without treatment. Participants were randomly assigned to baseline length, and filled out the PSS and the BDI on a weekly basis. Data were analyzed with mixed regression. Results revealed significant linear trends during ImRs (reductions of PSS and BDI scores), but not during the other conditions. The scores during follow-up were stable and significantly lower compared to baseline, with very high effect sizes (Cohen's d = 2.87 (PSS) and 1.29 (BDI)). One patient did clearly not respond positively, and revealed that his actual problem was his sexual identity that he couldn't accept. There were no dropouts. In conclusion, results indicate that ImRs is a highly acceptable and effective treatment for this difficult group of patients. (c) 2013 Elsevier Ltd. All rights reserved.