Forbes D, Phelps A, McHugh T
PTSD Program, Austin and Repatriation Medical Centre, Melbourne, Australia.
J Trauma Stress. 2001 Apr;14(2):433-42. doi: 10.1023/A:1011133422340.
Posttraumatic nightmares are a hallmark of PTSD and distinct from general nightmares as they are often repetitive and faithful representations of the traumatic event. This paper presents data from a pilot study that examined the use of Imagery Rehearsal in treating combat-related nightmares of 12 Vietnam veterans with PTSD. Three treatment groups, comprising 4 veterans in each, completed standardised treatment across 6 sessions. Treatment effects were investigated using nightmare diaries and established instruments, including the IES-R, BDI, BAI, and SCL-90-R. The data demonstrate significant reductions in nightmares targeted, and improvements in PTSD and comorbid symptomatology. The paper recommends that, on the basis of the promising preliminary data, a randomised control trial be established to assess imagery ability and attitude toward nightmares.
创伤后噩梦是创伤后应激障碍的一个标志，与一般噩梦不同，因为它们往往是创伤事件的重复且忠实的呈现。本文展示了一项试点研究的数据，该研究考察了意象演练在治疗12名患有创伤后应激障碍的越南退伍军人与战斗相关噩梦方面的应用。三个治疗组，每组由4名退伍军人组成，在6个疗程中完成了标准化治疗。使用噩梦日记和既定工具（包括IES-R、BDI、BAI和SCL-90-R）对治疗效果进行了调查。数据表明，目标噩梦显著减少，创伤后应激障碍及共病症状有所改善。本文建议，基于这些有前景的初步数据，开展一项随机对照试验，以评估意象能力和对噩梦的态度。
