Castillo Diane T, C' de Baca Janet, Qualls Clifford, Bornovalova Marina A
New Mexico VA Health Care System, Behavioral Health Care Line (116), 1501 San Pedro SE, Albuquerque, NM 87108, USA.
Mil Med. 2012 Dec;177(12):1486-91. doi: 10.7205/milmed-d-12-00186.
The purpose of this study was to examine the application of a group exposure therapy model, the content of which consisted solely of repeated imaginal exposure during sessions, in a clinical sample of female veterans with post-traumatic stress disorder (PTSD). Establishing group delivery of exposure therapy will expand options, increase efficiency, and introduce group curative factors.
Eighty-eight female veterans with PTSD completed a six-session exposure group, three participants per group, as a component of a larger treatment program. The PTSD symptom checklist (PCL) was used as the outcome measure and administered in each session.
Pre/post-paired t-tests showed significant improvement in PTSD on the PCL, with 40% of completers showing at least a 10-point drop in the PCL scores. In addition, a repeated measures analysis of variance showed a significant main effect and a significant quadratic equation, with expected initial increases in the PCL followed by a decrease below baseline at session 6.
The group exposure treatment protocol showed positive outcomes on PTSD symptoms in a real-world clinical sample of female veterans. The implications include an expansion of exposure treatment choices for veterans with PTSD and increased options for therapists.
本研究旨在考察一种团体暴露疗法模型在患有创伤后应激障碍（PTSD）的女性退伍军人临床样本中的应用，该模型的内容仅包括在治疗过程中反复进行想象暴露。建立团体暴露疗法将扩大选择范围、提高效率并引入团体治疗因素。
88名患有PTSD的女性退伍军人完成了一个为期六节的暴露治疗小组，每组三名参与者，作为一个更大治疗项目的一部分。创伤后应激障碍症状清单（PCL）用作结果测量指标，并在每节治疗中进行施测。
配对t检验前后对比显示，PCL上的PTSD症状有显著改善，40%的完成治疗者PCL得分至少下降了10分。此外，重复测量方差分析显示有显著的主效应和显著的二次方程效应，预计PCL得分在开始时会升高，然后在第6节时降至基线以下。
团体暴露治疗方案在患有PTSD的女性退伍军人的真实临床样本中对PTSD症状显示出积极效果。其意义包括为患有PTSD的退伍军人扩大暴露治疗选择，以及为治疗师增加选择。
