VA San Diego Center of Excellence for Stress and Mental Health, San Diego, California, USA.
Department of Psychiatry, University of California San Diego, La Jolla, California, USA.
J Trauma Stress. 2019 Apr;32(2):299-309. doi: 10.1002/jts.22397. Epub 2019 Mar 31.
There is considerable interest in developing complementary and integrative approaches for ameliorating posttraumatic stress disorder (PTSD). Compassion meditation (CM) and loving-kindness meditation appear to offer benefits to individuals with PTSD, including symptom reduction. The present study was a pilot randomized controlled trial of CM for PTSD in veterans. The CM condition, an adaptation of Cognitively-Based Compassion Training (CBCT®), consists of exercises to stabilize attention, develop present-moment awareness, and foster compassion. We compared CM to Veteran.calm (VC), which consists of psychoeducation about PTSD, rationale for relaxation, relaxation training, and sleep hygiene. Both conditions consist of 10 weekly 90-min group sessions with between-session practice assignments. A total of 28 veterans attended at least one session of the group intervention and completed pre- and posttreatment measures of PTSD severity and secondary outcomes as well as weekly measures of PTSD, depressive symptoms, and positive and negative emotions. Measures of treatment credibility, attendance, practice compliance, and satisfaction were administered to assess feasibility. A repeated measures analysis of variance revealed a more substantive reduction in PTSD symptoms in the CM condition than in the VC condition, between-group d = -0.85. Credibility, attendance, and satisfaction were similar across CM and VC conditions thus demonstrating the feasibility of CM and the appropriateness of VC as a comparison condition. The findings of this initial randomized pilot study provide rationale for future studies examining the efficacy and effectiveness of CM for veterans with PTSD.
人们对于开发补充和整合的方法来改善创伤后应激障碍（PTSD）有着浓厚的兴趣。慈悲冥想（CM）和仁爱冥想似乎对 PTSD 患者有益，包括减轻症状。本研究是一项针对退伍军人 PTSD 的 CM 初步随机对照试验。CM 条件是认知为基础的慈悲训练（CBCT®）的一种适应，包括稳定注意力、发展当下意识和培养慈悲的练习。我们将 CM 与退伍军人平静（VC）进行了比较，后者包括 PTSD 的心理教育、放松的基本原理、放松训练和睡眠卫生。两种条件都包括每周 10 次 90 分钟的小组会议，每次会议之间都有实践作业。共有 28 名退伍军人参加了小组干预的至少一次会议，并完成了 PTSD 严重程度和次要结果的治疗前和治疗后测量，以及每周的 PTSD、抑郁症状和积极与消极情绪测量。还进行了治疗可信度、出勤率、实践依从性和满意度的测量，以评估可行性。重复测量方差分析显示，CM 组 PTSD 症状的减轻程度明显大于 VC 组，组间差异为 -0.85。CM 和 VC 条件下的可信度、出勤率和满意度相似，因此证明了 CM 的可行性以及 VC 作为对照条件的适当性。这项初步随机试点研究的结果为未来研究提供了依据，以检验 CM 对 PTSD 退伍军人的疗效和有效性。
