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Short-Term Music Therapy Attention and Arousal Regulation Treatment (SMAART) for Prisoners with Posttraumatic Stress Disorder: A Feasibility Study
Journal of Forensic Psychology Practice Pub Date : 2019-09-25 , DOI: 10.1080/24732850.2019.1670023
Clare Macfarlane 1 , Erik Masthoff 2 , Laurien Hakvoort 3
Affiliation  

Hyperarousal and attention problems as a result of posttraumatic stress disorder (PTSD) are being recognized as a risk for offense recidivism. Short-term Music therapy Attention and Arousal Regulation Treatment (SMAART) was designed as a first step intervention to address responsivity and treatment needs of prisoners who were not eligible for or unwilling to undergo eye movement desensitization and reprocessing (EMDR) therapy. This article describes a pilot study of the manualized SMAART protocol in a Penitentiary Psychiatric Center (PPC) and whether there is an increase of focused and sustained attention and a decline of arousal symptoms in prisoners suffering from PTSD, attributable to SMAART. A single case baseline-treatment-design with pre- and post-assessment (N = 13) was used. PTSD prevalence and severity were assessed using the Primary Care-PTSD screen and the PTSD Symptom Scale Interview. Selective and sustained attention was assessed using the Bourdon–Wiersma dot cancellation test. The results show a promising decline of arousal symptoms as well as improved selective and sustained attention levels in the subjects. Also, after the SMAART intervention, five participants no longer met the threshold for a PTSD diagnosis. The results show that the SMAART protocol could be implemented in the PPC-setting. Although the clinical results of the manualized SMAART protocol suggest improvement, this is a small feasibility study so the results must be interpreted with care. Suggestions for future research are offered.



中文翻译:

创伤后应激障碍囚犯的短期音乐治疗注意和听觉调节治疗(SMAART):可行性研究

创伤后应激障碍(PTSD)引起的过度兴奋和注意力问题被认为是犯罪再犯的风险。短期音乐疗法注意和唤醒规则治疗(SMAART)旨在作为第一步干预措施,旨在解决不适合或不愿接受眼动脱敏和再加工(EMDR)治疗的囚犯的反应能力和治疗需求。本文介绍了在监狱精神病学中心(PPC)中对手动SMAART协议进行的一项初步研究,以及在归因于SMAART的PTSD囚犯中,是否有持续不断的集中注意力和唤醒症状的减轻。使用单例基线治疗设计,并进行前后评估(N = 13)。PTSD患病率和严重程度使用初级保健-PTSD屏幕和PTSD症状量表访谈。使用Bourdon-Wiersma点消除测试评估了选择性和持续注意力。结果显示,唤醒症状有望缓解,受试者的选择性和持续注意力水平也得到改善。同样,在SMAART干预后,五名参与者不再达到PTSD诊断的阈值。结果表明,可以在PPC设置中实施SMAART协议。尽管手动SMAART方案的临床结果表明有所改善,但这是一项很小的可行性研究,因此必须谨慎解释结果。提供了未来研究的建议。

更新日期:2019-09-25
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