Michael E. DeBakey Veterans Affairs Medical Center, Houston, TX, USA.
J Anxiety Disord. 2011 May;25(4):531-5. doi: 10.1016/j.janxdis.2010.12.007. Epub 2011 Jan 13.
This study details results of an open trial of a group psychological treatment for Veterans with posttraumatic stress disorder (PTSD) and chronic posttraumatic nightmares called "Imagery Rescripting and Exposure Therapy" (IRET). IRET is a variant of a successful imagery rescripting treatment for civilian trauma-related nightmares that was modified to address the needs of the Veteran population. Thirty-seven male U.S. Veterans with PTSD and nightmares attended 6 multicomponent group sessions. Findings indicated that the intervention significantly reduced frequency of nightmares and PTSD severity, as well as increased hours of sleep. Unlike the few open trials examining treatment of nightmares in Veterans, effect sizes in this study were similar to those that have been found in the civilian randomized controlled trial. These preliminary findings suggest that a nightmares treatment can be adapted to successfully reduce distress associated with combat Veterans' chronic nightmares. Clinical and research implications are discussed.
本研究详细介绍了一项针对创伤后应激障碍（PTSD）和慢性创伤后梦魇的退伍军人的团体心理治疗的开放试验结果，该治疗称为“意象重述和暴露疗法”（IRET）。IRET 是一种针对与平民创伤相关的噩梦的成功意象重述治疗的变体，经过修改以满足退伍军人人群的需求。37 名患有 PTSD 和梦魇的美国男性退伍军人参加了 6 次多成分小组会议。研究结果表明，该干预措施显著降低了梦魇和 PTSD 严重程度的频率，同时增加了睡眠时间。与少数针对退伍军人治疗梦魇的开放试验不同，本研究中的效果大小与在平民随机对照试验中发现的效果大小相似。这些初步研究结果表明，一种可以成功减少与慢性创伤后应激障碍相关的创伤后应激障碍患者的治疗方法可以适应治疗慢性创伤后应激障碍患者的方法。讨论了临床和研究意义。
