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神经反馈作为辅助疗法治疗与难民创伤和酷刑经历相关的慢性创伤后应激障碍:两个案例研究

Neurofeedback as an adjunct therapy for treatment of chronic posttraumatic stress disorder related to refugee trauma and torture experiences: two case studies.

作者信息

Askovic Mirjana, Watters Anna J, Aroche Jorge, Harris Anthony W F

机构信息

Senior Psychologist and Team Leader of the Neurofeedback/Biofeedback Program at NSW Service for the Treatment and Rehabilitation of Torture and Trauma Survivors; Discipline of Psychiatry, Sydney Medical School, University of Sydney, NSW, and; Brain Dynamics Centre, Westmead Institute for Medical Research, University of Sydney, Sydney, NSW, Australia.

Psychologist, Neurofeedback Research Officer, NSW Service for the Treatment and Rehabilitation of Torture and Trauma Survivors; Honorary Postdoctoral Researcher, Discipline of Psychiatry, Sydney Medical School, University of Sydney, Sydney, NSW, Australia.

出版信息

Australas Psychiatry. 2017 Aug;25(4):358-363. doi: 10.1177/1039856217715988. Epub 2017 Jul 12.

Abstract

OBJECTIVE

The objective of this study was to describe the use of neurofeedback for refugee-related chronic posttraumatic stress disorder (PTSD) in two case studies.

METHODS

We describe the assessment and application of neurofeedback integrated into the treatment of two clients with chronic PTSD. We include details of our treatment schedule, symptoms and quantitative electrophysiological data for each case. Results All clients achieved significant reduction in symptoms of PTSD and improvement in daily functioning post-neurofeedback therapy. Quantitative electroencephalogric (EEG) measures indicate a normalisation of EEG markers relating to trauma, including overarousal at rest and working memory function. Conclusions Neurofeedback as an adjunct to trauma-informed therapy may help to remediate chronic PTSD relating to refugee experiences. If replicated then improvements demonstrated in this population would be generalisable to all chronic PTSD.

摘要

目的

本研究的目的是在两个案例研究中描述神经反馈在与难民相关的慢性创伤后应激障碍(PTSD)中的应用。

方法

我们描述了将神经反馈整合到两名慢性PTSD患者治疗中的评估和应用。我们包括每个案例的治疗计划、症状和定量电生理数据的详细信息。结果:所有患者在接受神经反馈治疗后,PTSD症状均显著减轻,日常功能得到改善。定量脑电图(EEG)测量表明,与创伤相关的EEG指标正常化,包括静息时的过度觉醒和工作记忆功能。结论:神经反馈作为创伤知情疗法的辅助手段,可能有助于治疗与难民经历相关的慢性PTSD。如果得到重复验证,那么在这一人群中所显示的改善将适用于所有慢性PTSD患者。

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