Mild Traumatic Brain Injury and Treatment Response in Prolonged Exposure for PTSD

Authors


Correspondence concerning this article should be addressed to Rebecca K. Sripada, Ph.D. VA Serious Mental Illness Treatment Resource and Evaluation Center (SMITREC) Ann Arbor, MI. E-mail: rekaufma@umich.edu

Abstract

A proportion of U.S. veterans returning from Iraq and Afghanistan have experienced mild traumatic brain injury (mTBI), which is associated with increased risk for developing posttraumatic stress disorder (PTSD). Prolonged Exposure (PE) has proven effectiveness in the treatment of PTSD; however, some clinicians have reservations about using PE with individuals with a history of mTBI. We examined the impact of PE for veterans with PTSD and with or without a history of mTBI in a naturalistic sample of 51 veterans who received PE at a Veterans Health Administration PTSD clinic. We also analyzed previously collected data from a controlled trial of 22 veterans randomly assigned to PE or present centered therapy. For both sets of data, we found that PE reduced symptom levels and we also did not detect an effect for mTBI, suggesting that PE may be helpful for individuals with PTSD and a history of mTBI.

Traditional and Simplified Chinese Abstracts by AsianSTSS

標題:輕微腦部受創(mTBI) 與PTSD 持續暴露治療的治療效果。

撮要:有一部份從伊拉克和阿富汗退役的美軍曾有輕微腦部受創(mTBI),而與患上創傷後壓力症(PTSD)的風險有關連。持續暴露治療(PE) 是一種認可而有療效的PTSD療法;但部分專家對向有mTBI 病史的患者施行PE有保留。本研究在一間VHA PTSD診所內抽取51名接受PE治療人士作自然樣本,然後分析PE對有mTBI 病史和沒有此病史的患有PTSD的退役軍人的具體影響。我們亦分析一個22名退役軍人的對照試驗(隨機分配接受PE或聚焦「現在」療法)。從兩個樣本數據中,PE減少症狀水平,但未對mTBI 有特別影響。因此,PE可能對有mTBI 病史的PTSD 患者有一定療效。

标题:轻微脑部受创(mTBI) 与PTSD 持续暴露治疗的治疗效果。

撮要:有一部份从伊拉克和阿富汗退役的美军曾有轻微脑部受创(mTBI),而与患上创伤后压力症(PTSD)的风险有关连。持续暴露治疗(PE) 是一种认可而有疗效的PTSD疗法;但部分专家对向有mTBI 病史的患者施行PE有保留。本研究在一间VHA PTSD诊所内抽取51名接受PE治疗人士作自然样本,然后分析PE对有mTBI 病史和没有此病史的患有PTSD的退役军人的具体影响。我们亦分析一个22名退役军人的对照试验(随机分配接受PE或聚焦「现在」疗法)。从两个样本数据中,PE减少症状水平,但未对mTBI 有特别影响。因此,PE可能对有mTBI 病史的PTSD 患者有一定疗效。

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