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越南战争退伍军人创伤后应激障碍治疗中暴露与眼动脱敏再处理的单次团体研究:初步数据

A single session, group study of exposure and Eye Movement Desensitization and Reprocessing in treating Posttraumatic Stress Disorder among Vietnam War veterans: preliminary data.

作者信息

Rogers S, Silver S M, Goss J, Obenchain J, Willis A, Whitney R L

机构信息

PTSD Program, Department of Veterans Affairs Medical Center, Coatesville, Pennsylvania 19320, USA.

出版信息

J Anxiety Disord. 1999 Jan-Apr;13(1-2):119-30. doi: 10.1016/s0887-6185(98)00043-7.

Abstract

This report summarizes data gathered thus far from an ongoing study. Two groups (total N = 12) of Vietnam War veterans diagnosed with Posttraumatic Stress Disorder (PTSD) received a single session of exposure or Eye Movement Desensitization and Reprocessing (EMDR) focusing on the veterans' most distressing war experience. Group assignment was random, treatment providers were blind to assessment data, and the pre- and posttreatment assessor was blind to treatment assignment. Both groups showed improvement on the Impact of Event Scale. EMDR treatment resulted in greater positive changes in within-session Subjective Units of Discomfort levels and on self-monitored severity of intrusive recollection. A trend toward decreased heart rate reactivity was observed in both groups. Results must be considered carefully due to the small number of subjects used in the study.

摘要

本报告总结了迄今为止从一项正在进行的研究中收集到的数据。两组(共N = 12名)被诊断患有创伤后应激障碍(PTSD)的越战退伍军人接受了一次聚焦于退伍军人最痛苦战争经历的暴露疗法或眼动脱敏再处理疗法(EMDR)。分组是随机的,治疗提供者对评估数据不知情,治疗前后的评估者对治疗分组不知情。两组在事件影响量表上均有改善。EMDR治疗在治疗过程中的主观不适单位水平以及自我监测的侵入性回忆严重程度方面带来了更大的积极变化。两组均观察到心率反应性降低的趋势。由于该研究中使用的受试者数量较少,结果必须谨慎考虑。

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