Raabe Sandra, Ehring Thomas, Marquenie Loes, Olff Miranda, Kindt Merel
University of Amsterdam, The Netherlands.
LMU, Munich, Germany.
J Behav Ther Exp Psychiatry. 2015 Sep;48:170-6. doi: 10.1016/j.jbtep.2015.03.013. Epub 2015 Apr 4.
This case series tested the feasibility and explored the efficacy of Imagery Rescripting (ImRs) as a stand-alone treatment for PTSD related to childhood physical and/or sexual abuse (CA).
Participants (6 women and 2 men) were patients with PTSD related to CA who entered an 8 week treatment program with 16 twice-weekly ImRs sessions. Blind assessments took place at pre- and post-treatment and at 3 month follow-up.
Participants showed improvement in both self-reported and clinician-rated PTSD symptoms. Gains were maintained at 3-month follow-up. At post-treatment, 50% of participants no longer met criteria for PTSD, and this number increased to 75% at 3 month follow-up.
The main limitation is the small sample size and the selective nature of the sample, which limits the generalizability of the findings.
This pilot study suggests that Imagery Rescripting as stand-alone treatment is feasible and effective without prior stabilization in an outpatient population with CA-related PTSD. Further replication is needed in form of a randomized controlled trial.
本病例系列研究检验了意象重编（ImRs）作为一种独立治疗方法用于治疗与童年期身体虐待和/或性虐待（CA）相关的创伤后应激障碍（PTSD）的可行性，并探讨了其疗效。
参与者（6名女性和2名男性）为与CA相关的PTSD患者，他们参加了一个为期8周的治疗项目，接受16次每周两次的ImRs治疗。在治疗前、治疗后以及3个月随访时进行盲法评估。
参与者在自我报告和临床医生评定的PTSD症状方面均有改善。这些改善在3个月随访时得以维持。治疗后，50%的参与者不再符合PTSD的标准，这一数字在3个月随访时增至75%。
主要局限性在于样本量小以及样本的选择性，这限制了研究结果的可推广性。
这项初步研究表明，意象重编作为一种独立治疗方法，在患有与CA相关的PTSD的门诊患者中，无需事先进行病情稳定化处理即可行且有效。需要通过随机对照试验的形式进行进一步的重复研究。
