Department of Psychology, The University of Tulsa, Tulsa, Oklahoma.
Department of Psychiatry & Behavioral Sciences, Division of Medical Psychology, Johns Hopkins University School of Medicine, Baltimore, Maryland.
J Clin Psychol. 2019 Dec;75(12):2095-2105. doi: 10.1002/jclp.22852. Epub 2019 Aug 30.
This study investigated whether a brief psychotherapy for post-trauma nightmares (exposure, relaxation, and rescripting therapy [ERRT]), reduced suicidal ideation (SI). We hypothesized that: (a) nightmare frequency and severity, post-traumatic stress disorder (PTSD), depression, and sleep quality would be related to SI at pretreatment; (b) SI would decrease from pre- to post-treatment; and (c) the decrease in SI would remain after controlling for change in PTSD and depression.
Seventy-five individuals exposed to a traumatic event and who experienced frequent nightmares (minimum one per week) participated in ERRT. Participants were not required to have a psychological diagnosis. Thirty percent endorsed SI at pretreatment.
Depression and PTSD were related to SI at pretreatment. SI decreased following treatment; however, the third hypothesis was not supported.
Results suggest brief psychotherapy targeting post-trauma nightmares may decrease SI. More research is necessary to determine what factors contribute to decreases in SI.
本研究旨在探讨创伤后噩梦的简短心理治疗（暴露、放松和重写疗法[ERRT]）是否可以减少自杀意念（SI）。我们假设：（a）在治疗前，噩梦频率和严重程度、创伤后应激障碍（PTSD）、抑郁和睡眠质量与 SI 相关；（b）SI 会从治疗前到治疗后降低；（c）在控制 PTSD 和抑郁变化后，SI 的降低仍然存在。
75 名经历过创伤事件且经常做噩梦（每周至少一次）的个体参加了 ERT。参与者不需要有心理诊断。30%的人在治疗前有 SI。
治疗前，抑郁和 PTSD 与 SI 有关。SI 在治疗后下降；然而，第三个假设没有得到支持。
结果表明，针对创伤后噩梦的简短心理治疗可能会降低 SI。需要进一步研究以确定哪些因素导致 SI 的降低。
