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The treatment of Gulf War Syndrome with cognitive behavioral therapy: A case comparison study.

机译：认知行为疗法治疗海湾战争综合症：病例比较研究。

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摘要

Since the late 1990s, researchers have been focused on finding effective treatments for military veterans with Gulf War Syndrome (GWS), a multisymptom (cognitive and physical) illness whose roots have still remained largely unexplained. With the possibility that such war-related syndromes may affect as many as 45-60% of returning soldiers, researchers have recommended that future research on GWS prioritize qualitative work, which has been scarce, to deepen the understanding of this illness in the veteran population -- including their attributions, fears, and concerns -- so that more refined, suitable treatments may be developed to meet their needs. The following paper examines a prior treatment study which evaluated the efficacy of manualized cognitive-behavioral therapy (CBT) to improve physical health and reduce psychological stress in military veterans with GWS. The current analysis is comprised of a cross-case comparison of two soldiers and considers the various factors that may have contributed to the success or failure of this particular CBT treatment for this population. In the original treatment trial, patients were given weekly individual outpatient therapy sessions over a three-month period and were monitored periodically for physical, cognitive, and emotional changes. Two cases were selected for analysis from the original study based on their opposing outcomes: Soldier 2 was successful in achieving a substantial increase in physical functioning, while Soldier 1 was not. Although the CBT treatment yielded positive changes in both patients' level of self-awareness, and significant improvements in GWS-related psychological and physical stress in Soldier 2's case, the results indicate that additional factors, such as individual personality traits, states of cognitive functioning, and comorbidity need to be more closely examined and considered when designing treatments for veterans with Gulf War Syndrome.
机译：自1990年代后期以来，研究人员一直致力于寻找针对军人退伍军人的有效方法，即海湾战争综合症（GWS），这是一种多症状（认知和物理）疾病，其根源仍在很大程度上无法解释。由于与战争有关的综合症有可能影响多达45-60％的回国士兵，研究人员建议，未来对GWS的研究应优先进行定性工作，而这种工作很少，以加深对退伍军人对这种疾病的了解。 -包括他们的归因，恐惧和担忧-以便开发出更精致，更合适的治疗方法以满足他们的需求。以下论文检查了一项先前的治疗研究，该研究评估了GWS在军事退伍军人中使用手动认知行为疗法（CBT）改善身体健康和减轻心理压力的功效。当前的分析包括对两名士兵的跨案例比较，并考虑了可能导致对该人群进行这种特殊CBT治疗成败的各种因素。在最初的治疗试验中，患者在三个月的时间内每周接受一次门诊治疗，并定期监测其身体，认知和情绪变化。根据原始研究的相反结果从原始研究中选择了两个案例进行分析：士兵2成功地实现了身体机能的大幅提高，而士兵1则没有。尽管CBT治疗在两位士兵的情况下均使患者的自我意识水平发生了积极变化，并显着改善了GWS相关的心理和身体压力，但结果表明，其他因素，例如个人人格特征，认知功能状态在设计针对海湾战争综合症的退伍军人的治疗方法时，需要更仔细地检查和考虑合并症。

著录项

  • 作者

    Labys, Charlotte Alexandra.;

  • 作者单位

    Rutgers The State University of New Jersey, Graduate School of Applied and Professional Psychology.;

  • 授予单位 Rutgers The State University of New Jersey, Graduate School of Applied and Professional Psychology.;
  • 学科 Clinical psychology.;Cognitive psychology.;Military studies.;Mental health.
  • 学位 Psy.D.
  • 年度 2010
  • 页码 115 p.
  • 总页数 115
  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类 化工过程（物理过程及物理化学过程）;
  • 关键词

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