Department of Psychiatry and Behavioral Sciences, Tokyo Metropolitan Institute of Medical Science, Tokyo, Japan.
J Trauma Stress. 2011 Aug;24(4):470-3. doi: 10.1002/jts.20662. Epub 2011 Jul 21.
This pilot study aimed to refine a treatment approach for traumatic grief due to violent loss. Our Traumatic Grief Treatment Program, a modification of Shear's complicated grief treatment (Shear et al., 2005), comprises psychoeducation, in vivo exposure, imaginal exposure, discussion of memories about and imaginal conversation with the deceased. Thirteen of 15 Japanese women suffering from posttraumatic stress disorder (PTSD) due to traumatic grief completed 12 to 16 weekly individual sessions based on their therapists' recommendations. Assessment scales included the Inventory of Complicated Grief, the Impact of Event Scale-Revised, and the Center for Epidemiologic Studies Depression Scale. There was significant reduction in symptom severity at treatment end, and symptom levels remained low throughout the 12-month follow-up period. Based on Jacobson's Reliable Change Index, 46% showed change on all 3 measures. These findings suggest that our treatment model may be feasible for treating traumatic grief with PTSD in non-Western settings.
本研究旨在改进针对因暴力丧失而导致的创伤后悲伤的治疗方法。我们的创伤后悲伤治疗方案是对谢尔复杂悲伤治疗（Shear 等人，2005）的修改，包括心理教育、现场暴露、想象暴露、对死者的记忆和想象对话的讨论。15 名因创伤后应激障碍（PTSD）而遭受创伤后悲伤的日本妇女中的 13 名根据治疗师的建议完成了 12 至 16 周的个人治疗。评估量表包括复杂悲伤量表、事件影响量表修订版和流行病学研究中心抑郁量表。在治疗结束时，症状严重程度显著降低，并且在 12 个月的随访期间症状水平保持较低。根据雅各布森的可靠变化指数，46%的人在所有 3 项测量指标上都有变化。这些发现表明，我们的治疗模式在非西方环境中治疗 PTSD 相关的创伤后悲伤可能是可行的。
