Collinge William, Kahn Janet, Soltysik Robert
Collinge and Associates, 3986 N Shasta Loop, Eugene, OR 97405, USA.
Mil Med. 2012 Dec;177(12):1477-85. doi: 10.7205/milmed-d-12-00121.
This article reports pilot data from phase I of a project to develop and evaluate a self-directed program of integrative therapies for National Guard personnel and significant relationship partners to support reintegration and resilience after return from Iraq or Afghanistan. Data are reported on 43 dyads. Intervention was an integrated multimedia package of guided meditative, contemplative, and relaxation exercises (CD) and instruction in simple massage techniques (DVD) to promote stress reduction and interpersonal connectedness. A repeated measures design with standardized instruments was used to establish stability of baseline levels of relevant mental health domains (day 1, day 30), followed by the intervention and assessments 4 and 8 weeks later. Significant improvements in standardized measures for post-traumatic stress disorder, depression, and self-compassion were seen in both veterans and partners; and in stress for partners. Weekly online reporting tracked utilization of guided exercises and massage. Veterans reported significant reductions in ratings of physical pain, physical tension, irritability, anxiety/worry, and depression after massage, and longitudinal analysis suggested declining baseline levels of tension and irritability. Qualitative data from focus groups and implications for continued development and a phase II trial are discussed.
本文报告了一个项目第一阶段的试验性数据，该项目旨在开发并评估一项针对国民警卫队人员及其重要关系伙伴的综合疗法自主项目，以支持他们从伊拉克或阿富汗回国后的重新融入及恢复适应能力。报告了43对研究对象的数据。干预措施是一个综合多媒体包，包括引导式冥想、沉思和放松练习（CD）以及简单按摩技巧的指导（DVD），以促进压力减轻和人际关系的联结。采用带有标准化工具的重复测量设计来确定相关心理健康领域基线水平（第1天、第30天）的稳定性，随后在4周和8周后进行干预及评估。退伍军人及其伴侣在创伤后应激障碍、抑郁和自我同情的标准化测量方面均有显著改善；伴侣的压力也有改善。每周的在线报告跟踪了引导练习和按摩的使用情况。退伍军人报告称，按摩后身体疼痛、身体紧张、易怒、焦虑/担忧和抑郁的评分显著降低，纵向分析表明紧张和易怒的基线水平呈下降趋势。讨论了焦点小组的定性数据以及对持续开发和二期试验的启示。
