Lu Mary, Wagner Amy, Van Male Lynn, Whitehead Ashlee, Boehnlein James
Mental Health Division, Portland VA Medical Center, Portland, OR, USA.
J Trauma Stress. 2009 Jun;22(3):236-9. doi: 10.1002/jts.20407.
Imagery rehearsal therapy (IRT) may help reduce residual nightmares and posttraumatic stress disorder (PTSD) symptoms in veterans after trauma-focused PTSD treatment. Fifteen male U.S. veterans with PTSD and trauma-related nightmares, who had not previously completed trauma-focused PTSD treatment, attended 6 IRT group sessions. No benefits were observed immediately posttreatment. At 3- and 6-month follow-up, however, trauma-related nightmare frequency (nights/week) decreased (p < .01). The number of trauma-related nightmares/week (p < .01), number of total nightmares/week (p < .05), and PTSD symptoms (p < .05) also decreased at 3 months. The overall F test for time was significant (p < .05) for nightmare severity and fear of sleep. No effects were found on measures of the impact of nightmares, sleep quality, or depression. Clinical and research implications are discussed.
意象演练疗法（IRT）可能有助于减轻退伍军人在接受创伤聚焦性创伤后应激障碍（PTSD）治疗后残留的噩梦及创伤后应激障碍症状。15名患有创伤后应激障碍及与创伤相关噩梦的美国男性退伍军人，此前未完成创伤聚焦性创伤后应激障碍治疗，参加了6次意象演练疗法小组治疗课程。治疗后即刻未观察到益处。然而，在3个月和6个月随访时，与创伤相关的噩梦频率（每周次数）降低（p <.01）。与创伤相关的噩梦每周次数（p <.01）、总噩梦每周次数（p <.05）以及创伤后应激障碍症状（p <.05）在3个月时也有所下降。关于噩梦严重程度和睡眠恐惧的时间总体F检验具有显著性（p <.05）。在噩梦影响、睡眠质量或抑郁测量方面未发现效果。文中讨论了临床及研究意义。
