Sleep-directed hypnosis as a complement to CPT in treating PTSD

睡眠导向催眠作为 CPT 的补充治疗 PTSD

• 批准号: 7816859
• 负责人: TARA E GALOVSKI
• 金额: $ 18.69万
• 依托单位: UNIVERSITY OF MISSOURI-ST. LOUIS
• 依托单位国家: 美国
• 财政年份: 2008
• 资助国家: 美国
• 起止时间: 2008-05-01 至 2012-04-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7816859
• 关键词: Accounting; Aftercare; Arousal; Auditory; Beck depression inventory; Behavior Therapy; Chronic; Clinical; Cognitive; Cognitive Therapy; Complement; Control Groups; Cues; DSM-IV; Development; Diagnostic; Disease; Elements; Emotional; Equipment and supply inventories; Face; Female; Frequencies; Galvanic Skin Response; General Population; Genetic Crossing Over; Health Surveys; Heart Rate; Hypnosis; Hypnotherapy; Image; Imagery; Impairment; Interpersonal Violence; Intervention; Interview; Lead; Learning; Life; Literature; Maintenance; Major Depressive Disorder; Measures; Methods; Modification; Monitor; Nightmare; Noise; Outcome; Parasomnias; Participant; Patient Self-Report; Pattern; Perception; Physiological; Population; Population Control; Post-Traumatic Stress Disorders; Process; Protocols documentation; Psychopathology; Psychophysiology; Psychosocial Assessment and Care; Quality of life; Randomized; Reaction Time; Refractory; Relaxation; Reporting; SF-36; Sampling; Severities; Sleep; Sleep Deprivation; Sleep disturbances; Sleeplessness; Social Adjustment; Stimulus; Structure; Suggestion; Survivors; Symptoms; Testing; Therapeutic; Therapeutic Effect; Time; Trauma; Trauma Research; conditioning; diaries; efficacy testing; falls; follow-up; hypnotic; indexing; novel strategies; physical assault; psychologic; psychosocial; response; skill acquisition; sleep onset; stressor; tool; vigilance

DESCRIPTION (provided by applicant): This proposal seeks to test the efficacy of sleep-directed hypnosis as a complement to an existing empirically supported psychosocial intervention, Cognitive Processing Therapy (CPT) in sample of female survivors of interpersonal violence suffering from PTSD. Further, this proposal seeks to identify mechanisms of action in the therapy that lead to symptom modification, improvement in larger domains of functioning, and health-related concerns. Towards this end, a multi-method, multimodal assessment will be administered including daily and intermittent monitoring across psychiatric, psychological, and psychophysiological domains. Specifically, forty subjects will be randomly assigned to either a hypnosis + CPT (hypCPT) condition or to a symptom monitoring (3 weeks of monitoring to control for the passage of time and any potential effects of symptom monitoring) plus CPTactive control group (CPTac). Participants in this study will be administered a battery of interviews and self-report measures including the 1.) Clinician Administered PTSD Scale, 2.) Structured Clinical Interview for DSM-IV Axis I Disorders, 3.) Standardized Trauma Interview, 4.) PTSD Diagnostic Scale, 5) Beck Depression Inventory - II, 6.) Pennebaker Inventory of Limbic Landuigness, 7.) The SF-36 Health Survey, 8.) Quality of Life Inventory, 9.) Social Adjustment Scale, 10) Pittsburgh Sleep Quality Index, and the 11) Insomnia Severity Index. In addition, physiological indices will be used to assess the relationship between sleep impairment and hyperarousal as well as changes over time in physiological reactivity. A Psychomotor Vigilance Task will also be administered to test for the presence of sleep deprivation (i.e. "sleepiness" as measured by reaction time) as well as related changes over time. Subjects will monitor symptoms and daily stressors through the use of daily diaries as well as undergo formal assessments at pre-treatment, post- treatment and three month follow-up points. Conducting the proposed study will have important implications on remediating sleep impairment (the most often reported symptom of PTSD and one of the most refractory to treatment) utilizing a novel approach, the addition of hypnosis, within a traumatized population. Concurrently this proposal aims to illuminate the mechanisms of action in hypnosis, an understudied complementary treatment element with virtually no empirical support in the trauma literature.

描述(由申请人提供)：这项提案旨在测试睡眠指导催眠的有效性，以补充现有的经验支持的心理社会干预，认知处理疗法(CPT)，在患有创伤后应激障碍的人际暴力幸存者的样本中。此外，这项建议寻求确定治疗中导致症状改善、更大功能领域的改善以及与健康相关的问题的作用机制。为此，将进行多方法、多模式的评估，包括对精神病学、心理学和心理生理学领域的日常和间歇性监测。具体地说，40名受试者将被随机分配到催眠+CPT(ThetCPT)条件或症状监测(3周监测以控制时间的推移和任何症状监测的潜在影响)+CPTactive对照组(CPTac)。这项研究的参与者将接受一系列访谈和自我报告措施，包括1。)临床医生使用创伤后应激障碍量表，2。)DSM-IV轴I障碍的结构化临床访谈，3。)标准化创伤面谈，4)创伤后应激障碍诊断量表，5)贝克抑郁量表-II，6。Pennebaker Limbic Landuigness清单，7)SF-36健康调查，8。)生活质量问卷，9。)社会适应量表、匹兹堡睡眠质量指数和失眠严重程度指数。此外，生理指标将被用来评估睡眠障碍和过度觉醒之间的关系，以及随着时间的推移生理反应的变化。还将进行精神运动警戒任务，以测试是否存在睡眠剥夺(即以反应时间衡量的“困倦”)以及相关的时间变化。受试者将通过使用每日日记监测症状和日常压力源，并在治疗前、治疗后和三个月随访点接受正式评估。进行这项拟议的研究将对在遭受创伤的人群中使用一种新的方法--增加催眠--来补救睡眠障碍(PTSD最常见的症状，也是最难治疗的症状之一)具有重要的意义。同时，这项建议旨在阐明催眠的作用机制，催眠是一种研究较少的补充治疗元素，在创伤文献中几乎没有经验支持。

项目成果

The effects of cognitive processing therapy + hypnosis on objective sleep quality in women with posttraumatic stress disorder.

• DOI: 10.1037/tra0000970
• 发表时间: 2021-09
• 期刊: Psychological trauma : theory, research, practice and policy
• 作者: Arditte Hall KA;Werner KB;Griffin MG;Galovski TE
• 通讯作者: Galovski TE

Predicting Attentional Impairment in Women With Posttraumatic Stress Disorder Using Self-Reported and Objective Measures of Sleep.

使用自我报告和客观的睡眠测量来预测患有创伤后应激障碍的女性的注意力障碍。

• DOI: 10.5664/jcsm.7930
• 发表时间: 2019
• 期刊: Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine
• 作者: Werner,KimberlyB;ArditteHall,KimberlyA;Griffin,MichaelG;Galovski,TaraE
• 通讯作者: Galovski,TaraE