Steele Emily, Wood David S, J Usadi Eva, Applegarth D Michael
School of Social Work, Brigham Young University, 2190 JFSB, Provo, UT 84602.
Utah Army National Guard, 17800 Camp Williams Road, Bluffdale, UT 84065.
Mil Med. 2018 Mar 1;183(suppl_1):403-407. doi: 10.1093/milmed/usx153.
Effective treatments for combat trauma in military service members exist, but barriers to care abound, including poor access, stigma, and dropout. Although the effects of post-traumatic stress disorder (PTSD) can be severe, recovery is possible when proper treatment is implemented. Trauma and Resiliency Resources, Inc.'s Warrior Camp (WC) program is designed to address the effects of combat trauma in military service members and veterans. This intensive, 7-d treatment incorporates eye movement desensitization and reprocessing therapy, equine-assisted psychotherapy, yoga, and narrative writing in context of community. This single-group pretest-posttest design included paired t-tests and effect size analyses for 85 participants of WC. Outcome measures included the Mississippi Scale for Combat-related PTSD, the Patient Health Questionnaire, the Revised Adult Attachment Scales, and the Moral Injury Events Scale. Clinician-administered measures included the Davidson Trauma Scale and the Dissociative Experiences Scale. All measures showed statistically significant reductions in distress. The effect sizes ranged from small to large. Results suggest that WC participants experienced significant improvement in PTSD, depression, moral injury, dissociation and adult attachment. Clinicians should consider the potential benefits of this short-term, intensive treatment when addressing combat-related PTSD among military service members and veterans.
针对现役军人战斗创伤有有效的治疗方法，但护理障碍众多，包括难以获得治疗、耻辱感和退出治疗。尽管创伤后应激障碍（PTSD）的影响可能很严重，但实施适当治疗后恢复是有可能的。创伤与复原力资源公司的勇士营（WC）项目旨在解决现役军人和退伍军人战斗创伤的影响。这种为期7天的强化治疗结合了眼动脱敏再处理疗法、马术辅助心理治疗、瑜伽以及在社区背景下的叙事写作。这个单组前测-后测设计包括对85名WC参与者的配对t检验和效应量分析。结果测量包括与战斗相关的PTSD的密西西比量表、患者健康问卷、修订后的成人依恋量表和道德伤害事件量表。临床医生实施的测量包括戴维森创伤量表和分离体验量表。所有测量结果均显示痛苦程度有统计学意义的降低。效应量从小到大都有。结果表明，WC参与者在PTSD、抑郁、道德伤害、分离和成人依恋方面有显著改善。临床医生在处理现役军人和退伍军人中与战斗相关的PTSD时应考虑这种短期强化治疗的潜在益处。
