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CAM 和能量心理学技术可改善退伍军人和配偶的 PTSD 症状。

CAM and energy psychology techniques remediate PTSD symptoms in veterans and spouses.

机构信息

National Institute for Integrative Healthcare, Fulton, CA.

Arizona Center for Integrative Medicine, University of Arizona, Tucson, AZ.

出版信息

Explore (NY). 2014 Jan-Feb;10(1):24-33. doi: 10.1016/j.explore.2013.10.006. Epub 2013 Oct 17.

Abstract

Male veterans and their spouses (N = 218) attending one of six-week-long retreats were assessed for posttraumatic stress disorder (PTSD) symptoms pre- and postintervention. Participants were evaluated using the PTSD checklist (PCL), on which, a score of >49 indicates clinical symptom levels. The mean pretest score was 61.1 (SD ± 12.5) for veterans and 42.6 (SD ± 16.5) for spouses; 83% of veterans and 29% of spouses met clinical criteria. The multimodal intervention used Emotional Freedom Techniques and other energy psychology (EP) methods to address PTSD symptoms and a variety of complementary and alternative medicine (CAM) modalities for stress reduction and resource building. Interventions were delivered in group format as well as individual counseling sessions. Data were analyzed for each retreat, as well as for the six retreats as a whole. Mean post-test PCL scores decreased to 41.8 (SE ± 1.2; p < .001) for veterans, with 28% still clinical. Spouses demonstrated substantial symptom reductions (M = 28.7, SE ± 1.0; p < .001), with 4% still clinical. A follow-up assessment (n = 63) found PTSD symptom levels dropping even further for spouses (p < .003), whereas gains were maintained for veterans. The significant reduction in PTSD symptoms is consistent with other published reports of EP treatment, though counter to the usual long-term course of the condition. The results indicate that a multimodal CAM intervention incorporating EP may offer benefits to family members as well as veterans suffering from PTSD symptoms. Recommendations are made for further research to answer the questions posed by this study.

摘要

男性退伍军人及其配偶(N=218)参加了为期六周的疗养之一,在干预前后评估创伤后应激障碍(PTSD)症状。参与者使用 PTSD 检查表(PCL)进行评估,得分>49 表示临床症状水平。退伍军人的平均前测得分为 61.1(SD±12.5),配偶的平均前测得分为 42.6(SD±16.5);83%的退伍军人和 29%的配偶符合临床标准。该多模式干预使用情感自由技术和其他能量心理学(EP)方法来解决 PTSD 症状,以及各种补充和替代医学(CAM)方式来减轻压力和建立资源。干预措施以小组形式和个别咨询会议的形式提供。对每次疗养会进行数据分析,以及对六次疗养会进行整体数据分析。退伍军人的平均后测 PCL 得分降至 41.8(SE±1.2;p<.001),仍有 28%符合临床标准。配偶的症状明显减轻(M=28.7,SE±1.0;p<.001),仍有 4%符合临床标准。一项随访评估(n=63)发现配偶的 PTSD 症状水平进一步下降(p<.003),而退伍军人的收益得到维持。PTSD 症状的显著减少与其他已发表的 EP 治疗报告一致,尽管与该病症的通常长期病程相反。这些结果表明,包含 EP 的多模式 CAM 干预可能为患有 PTSD 症状的退伍军人及其家属带来益处。为进一步研究提出了建议,以回答本研究提出的问题。

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