Treatment Development Report of an Intensive Group Treatment for Posttraumatic Stress, Insomnia, and Nightmares Adapted to Firefighter Culture

IF 3.2 3区心理学 Q1 PSYCHOLOGY, CLINICAL

Cognitive and Behavioral Practice Pub Date : 2026-08-01 Epub Date: 2025-10-10 DOI:10.1016/j.cbpra.2025.10.003

Kristi E. Pruiksma, Daniel J. Taylor, Denise M. Sloan, Steffany J. Fredman, Samantha Nagy, Sara A. Jahnke, Christopher K. Haddock, Kristin Koetting O’Byrne, Heather Rasmussen, Carrie Sutherland, Maria D.H. Koeppel, Diane Morgan, Jessica R. Dietch, Julia Russell, Garrett Baber, Alan L. Peterson, Carmen P. McLean

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引用次数: 0

Abstract

Insomnia, nightmares, and posttraumatic stress disorder (PTSD) are prevalent co-occurring problems among fire service members and associated with significant distress and dysfunction. This report describes an accelerated treatment program targeting symptoms of PTSD, insomnia, and nightmares by combining Written Exposure Therapy (WET) for PTSD, Cognitive Behavioral Therapy for Insomnia (CBTi), and Cognitive Behavioral Therapy for Nightmares (CBTn) and the iterative procedures used to develop the intervention.

In Phase 1, we developed a treatment program outline and solicited feedback from stakeholders (firefighters, fire service leaders, and behavioral health specialists; N = 45). After integrating feedback, we conducted open pilot testing of the treatment protocol with two groups of fire service members with PTSD symptoms, insomnia, and nightmares (N = 5).

The intervention includes an individual virtual preparatory session, a group workshop conducted over 4 consecutive days, and an individual virtual booster session. Open pilot evaluation suggests that participants experienced reductions in PTSD symptoms, insomnia, and nightmares, and were satisfied with the treatment program.

WET, CBTi, and CBTn are compatible interventions that can be integrated into an accelerated group treatment format. Initial evaluation supports the feasibility and helpfulness of this model with firefighters. Additional controlled evaluation of the program is warranted.

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适应消防员文化的创伤后应激、失眠和噩梦强化小组治疗发展报告

失眠、噩梦和创伤后应激障碍（PTSD）是消防人员普遍存在的共同问题，并与严重的痛苦和功能障碍有关。本报告描述了一种针对PTSD、失眠和噩梦症状的加速治疗方案，通过结合PTSD的书面暴露疗法（WET）、失眠的认知行为疗法（CBTi）和噩梦的认知行为疗法（CBTn）以及用于开发干预的迭代程序。在第一阶段，我们制定了一个治疗方案大纲，并征求利益相关者（消防员、消防服务负责人和行为健康专家；N = 45）的反馈。在整合反馈后，我们对两组有创伤后应激障碍症状、失眠和噩梦的消防队员（N = 5）进行了治疗方案的开放试点测试。干预包括个人虚拟预备会议、连续4天的小组研讨会和个人虚拟助推器会议。公开试点评估表明，参与者经历了PTSD症状、失眠和噩梦的减少，并且对治疗方案感到满意。WET、CBTi和CBTn是兼容的干预措施，可以整合到加速组治疗格式中。初步评估支持了该模型对消防员的可行性和实用性。对程序进行额外的控制评估是必要的。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Cognitive and Behavioral Practice PSYCHOLOGY, CLINICAL-

CiteScore

4.80

自引率

3.40%

发文量

118

审稿时长

84 days

期刊介绍： Cognitive and Behavioral Practice is a quarterly international journal that serves an enduring resource for empirically informed methods of clinical practice. Its mission is to bridge the gap between published research and the actual clinical practice of cognitive behavior therapy. Cognitive and Behavioral Practice publishes clinically rich accounts of innovative assessment and diagnostic and therapeutic procedures that are clearly grounded in empirical research. A focus on application and implementation of procedures is maintained.