Sleep-directed hypnosis as a complement to CPT in treating PTSD

睡眠导向催眠作为 CPT 的补充治疗 PTSD

• 批准号: 7816859
• 负责人: TARA E GALOVSKI
• 金额: $ 18.69万
• 依托单位: UNIVERSITY OF MISSOURI-ST. LOUIS
• 依托单位国家: 美国
• 财政年份: 2008
• 资助国家: 美国
• 起止时间: 2008-05-01 至 2012-04-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7816859
• 关键词: Accounting; Aftercare; Arousal; Auditory; Beck depression inventory; Behavior Therapy; Chronic; Clinical; Cognitive; Cognitive Therapy; Complement; Control Groups; Cues; DSM-IV; Development; Diagnostic; Disease; Elements; Emotional; Equipment and supply inventories; Face; Female; Frequencies; Galvanic Skin Response; General Population; Genetic Crossing Over; Health Surveys; Heart Rate; Hypnosis; Hypnotherapy; Image; Imagery; Impairment; Interpersonal Violence; Intervention; Interview; Lead; Learning; Life; Literature; Maintenance; Major Depressive Disorder; Measures; Methods; Modification; Monitor; Nightmare; Noise; Outcome; Parasomnias; Participant; Patient Self-Report; Pattern; Perception; Physiological; Population; Population Control; Post-Traumatic Stress Disorders; Process; Protocols documentation; Psychopathology; Psychophysiology; Psychosocial Assessment and Care; Quality of life; Randomized; Reaction Time; Refractory; Relaxation; Reporting; SF-36; Sampling; Severities; Sleep; Sleep Deprivation; Sleep disturbances; Sleeplessness; Social Adjustment; Stimulus; Structure; Suggestion; Survivors; Symptoms; Testing; Therapeutic; Therapeutic Effect; Time; Trauma; Trauma Research; conditioning; diaries; efficacy testing; falls; follow-up; hypnotic; indexing; novel strategies; physical assault; psychologic; psychosocial; response; skill acquisition; sleep onset; stressor; tool; vigilance

DESCRIPTION (provided by applicant): This proposal seeks to test the efficacy of sleep-directed hypnosis as a complement to an existing empirically supported psychosocial intervention, Cognitive Processing Therapy (CPT) in sample of female survivors of interpersonal violence suffering from PTSD. Further, this proposal seeks to identify mechanisms of action in the therapy that lead to symptom modification, improvement in larger domains of functioning, and health-related concerns. Towards this end, a multi-method, multimodal assessment will be administered including daily and intermittent monitoring across psychiatric, psychological, and psychophysiological domains. Specifically, forty subjects will be randomly assigned to either a hypnosis + CPT (hypCPT) condition or to a symptom monitoring (3 weeks of monitoring to control for the passage of time and any potential effects of symptom monitoring) plus CPTactive control group (CPTac). Participants in this study will be administered a battery of interviews and self-report measures including the 1.) Clinician Administered PTSD Scale, 2.) Structured Clinical Interview for DSM-IV Axis I Disorders, 3.) Standardized Trauma Interview, 4.) PTSD Diagnostic Scale, 5) Beck Depression Inventory - II, 6.) Pennebaker Inventory of Limbic Landuigness, 7.) The SF-36 Health Survey, 8.) Quality of Life Inventory, 9.) Social Adjustment Scale, 10) Pittsburgh Sleep Quality Index, and the 11) Insomnia Severity Index. In addition, physiological indices will be used to assess the relationship between sleep impairment and hyperarousal as well as changes over time in physiological reactivity. A Psychomotor Vigilance Task will also be administered to test for the presence of sleep deprivation (i.e. "sleepiness" as measured by reaction time) as well as related changes over time. Subjects will monitor symptoms and daily stressors through the use of daily diaries as well as undergo formal assessments at pre-treatment, post- treatment and three month follow-up points. Conducting the proposed study will have important implications on remediating sleep impairment (the most often reported symptom of PTSD and one of the most refractory to treatment) utilizing a novel approach, the addition of hypnosis, within a traumatized population. Concurrently this proposal aims to illuminate the mechanisms of action in hypnosis, an understudied complementary treatment element with virtually no empirical support in the trauma literature.

描述（由申请人提供）：该提案旨在测试睡眠指导的催眠的功效，以补充现有的经验支持的心理社会干预，认知加工疗法（CPT）对遭受PTSD的人际暴力的女性幸存者样本的样本。此外，该建议旨在确定疗法中的作用机制，从而导致症状改变，较大的功能领域的改善以及与健康相关的问题。为此，将进行多种模式评估，包括跨精神病，心理学和心理生理学领域的日常和间歇性监测。具体而言，四十个受试者将被随机分配给催眠 + CPT（炒作）状况或症状监测（监测3周以控制时间的流逝和症状监测的任何潜在影响）以及CPTACTIVE对照组（CPTAC）（CPTAC）（CPTAC） 。这项研究的参与者将管理一系列访谈和自我报告措施，包括1.）临床医生管理PTSD量表，2。）DSM-IV轴I疾病的结构化临床访谈，3。）。 PTSD诊断量表，5）贝克抑郁量清单-II，6。）pennebaker边缘Landuigness的清单，7。）SF -36健康调查，8。）8。）生活质量清单，9。）社会调整量表，10）匹兹堡睡眠质量指数和11）失眠严重程度指数。此外，生理指标将用于评估睡眠障碍与高伴侣之间的关系以及生理反应性的随着时间的变化。还将执行精神运动警惕任务，以测试是否存在睡眠剥夺（即按反应时间衡量的“嗜睡”）以及随时间的变化。受试者将通过每日日记来监测症状和日常压力源，并在治疗前，治疗后和三个月的随访点进行正式评估。进行拟议的研究将对治疗睡眠障碍（经常报道的PTSD症状，也是治疗最难治性的症状之一）具有重要意义，该方法是在受创伤的人群中加入催眠的方法。同时，该提案旨在阐明催眠中的作用机理，这是一个研究的互补治疗元素，几乎没有创伤文献中的经验支持。

项目成果

The effects of cognitive processing therapy + hypnosis on objective sleep quality in women with posttraumatic stress disorder.

• DOI: 10.1037/tra0000970
• 发表时间: 2021-09
• 期刊: Psychological trauma : theory, research, practice and policy
• 作者: Arditte Hall KA;Werner KB;Griffin MG;Galovski TE
• 通讯作者: Galovski TE

Predicting Attentional Impairment in Women With Posttraumatic Stress Disorder Using Self-Reported and Objective Measures of Sleep.

使用自我报告和客观的睡眠测量来预测患有创伤后应激障碍的女性的注意力障碍。

• DOI: 10.5664/jcsm.7930
• 发表时间: 2019
• 期刊: Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine
• 作者: Werner,KimberlyB;ArditteHall,KimberlyA;Griffin,MichaelG;Galovski,TaraE
• 通讯作者: Galovski,TaraE