Price Cynthia J, McBride Brittney, Hyerle Lynne, Kivlahan Daniel R
Biobehavioral Nursing and Health Systems, University of Washington, Seattle, USA.
Altern Ther Health Med. 2007 Nov-Dec;13(6):32-40.
Preliminary studies of body therapy for women in trauma recovery suggest positive results but are not specific to women with post-traumatic stress disorder (PTSD) and chronic pain.
To examine the feasibility and acceptability of body-oriented therapy for female veterans with PTSD and chronic pain taking prescription analgesics.
A 2-group, randomized, repeated-measures design was employed. Female veterans (N=14) were recruited from a Veterans Affairs (VA) healthcare system in the Northwest United States (VA Puget Sound Health Care System, Seattle, Washington). Participants were assigned to either treatment as usual (TAU) or treatment as usual and 8 weekly individual body-oriented therapy sessions (mindful awareness in body-oriented therapy group).
Written questionnaires and interviews were used to assess intervention acceptability; reliable and valid measures were administered at 3 time points to evaluate measurement acceptability and performance; and within-treatment process measures and a participant post-intervention questionnaire assessed treatment fidelity.
A body-oriented therapy protocol, "Mindful Awareness in Body-oriented Therapy" (MABT) was used. This is a mind-body approach that incorporates massage, mindfulness, and the emotional processing of psychotherapy.
Over 10 weeks of recruitment, 31 women expressed interest in study participation. The primary reason for exclusion was the lack of prescription analgesic use for chronic pain. Study participants adhered to study procedures, and 100% attended at least 7 of 8 sessions; all completed in-person post-treatment assessment. Written questionnaires about intervention experience suggest increased tools for pain relief/relaxation, increased body/mind connection, and increased trust/safety. Ten of 14 responded to mailed 3-month follow-up. The response-to-process measures indicated the feasibility of implementing the manualized protocol and point to the need for longer sessions and a longer intervention period with this population.
对处于创伤恢复中的女性进行身体疗法的初步研究显示出积极结果，但并非专门针对患有创伤后应激障碍（PTSD）和慢性疼痛的女性。
研究以身体为导向的疗法对患有PTSD和慢性疼痛且正在服用处方镇痛药的女性退伍军人的可行性和可接受性。
采用两组随机重复测量设计。从美国西北部的退伍军人事务（VA）医疗系统（华盛顿州西雅图市的VA普吉特海湾医疗保健系统）招募女性退伍军人（N = 14）。参与者被分配到常规治疗组（TAU）或常规治疗加8次每周一次的个体身体导向治疗组（以身体为导向的疗法中的正念觉知组）。
使用书面问卷和访谈来评估干预的可接受性；在3个时间点采用可靠有效的测量方法来评估测量的可接受性和表现；治疗过程中的测量方法和参与者干预后问卷评估治疗的保真度。
采用一种以身体为导向的治疗方案，即“以身体为导向的疗法中的正念觉知”（MABT）。这是一种身心疗法，融合了按摩、正念和心理治疗中的情绪处理。
在10周的招募期内，31名女性表示有兴趣参与研究。排除的主要原因是缺乏用于慢性疼痛的处方镇痛药使用情况。研究参与者遵守研究程序，100%参加了8次疗程中的至少7次；所有人都完成了治疗后现场评估。关于干预体验的书面问卷显示，缓解疼痛/放松的工具增加、身心联系增强以及信任/安全感增加。14名参与者中有10名回复了3个月的邮寄随访。对过程测量的回复表明实施标准化方案的可行性，并指出针对该人群需要更长的疗程和更长的干预期。
