scholarly journals Intensive cognitive therapy for post-traumatic stress disorder in routine clinical practice: A matched comparison audit

2017 ◽  
Vol 56 (4) ◽  
pp. 474-478 ◽  
Author(s):  
Hannah Murray ◽  
Sharif El-Leithy ◽  
Jo Billings
Keyword(s):  
Clinical Practice ◽  
Cognitive Therapy ◽  
Post Traumatic Stress Disorder ◽  
Traumatic Stress ◽  
Stress Disorder ◽  
Routine Clinical Practice ◽  
Post Traumatic Stress ◽  
Post Traumatic ◽  
Matched Comparison

scholarly journals Implementing Narrative Exposure Therapy for unaccompanied asylum-seeking minors with post-traumatic stress disorder: A pilot feasibility report

2019 ◽  
Vol 25 (1) ◽  
pp. 213-226 ◽  
Author(s):  
Glorianne Said ◽  
Dorothy King
Keyword(s):  
Clinical Practice ◽  
Post Traumatic Stress Disorder ◽  
Traumatic Stress ◽  
Functional Outcomes ◽  
Stress Disorder ◽  
Exposure Therapy ◽  
Routine Clinical Practice ◽  
Post Traumatic Stress ◽  
Narrative Exposure Therapy ◽  
Post Traumatic

There are high rates of post-traumatic stress disorder (PTSD) in unaccompanied asylum-seeking minors (UAM) and there is a requirement for feasible, acceptable and evidence-based treatments. Narrative Exposure Therapy (NET) is a short-term treatment for PTSD following multiple traumatic events. This article aims to examine the applicability of NET for UAM in routine clinical practice and to provide preliminary feasibility, acceptability and effectiveness data. The participants were four UAM receiving NET within a dedicated child and adolescent mental health service for refugee children. Semi-structured interviews were conducted to understand the acceptability of this approach and standardised measures of PTSD were used to provide preliminary data regarding the effectiveness of NET for these clients. The clients attended NET consistently with few missed appointments. At post-treatment, two clients’ symptom scores were below the clinical cut-off for PTSD and all three clients who completed NET met reliable improvement criteria. The clients reported improvements in functional outcomes and mentioned that they would encourage other young people with similar difficulties to engage in NET. This study was limited by the small sample size and naturalistic time limitations in clinicians’ contracts. This article highlights that it is possible to implement NET within routine clinical practice and observed improvements in PTSD symptoms and functional outcomes for UAM.

A randomized clinical trial to assess the efficacy of trial-based cognitive therapy compared to prolonged exposure for post-traumatic stress disorder: preliminary findings

CNS Spectrums ◽  
2020 ◽  
pp. 1-8
Author(s):  
Érica Panzani Duran ◽  
Felipe Corchs ◽  
Andrea Vianna ◽  
Álvaro Cabral Araújo ◽  
Natália Del Real ◽  
...  
Keyword(s):  
Cognitive Therapy ◽  
Post Traumatic Stress Disorder ◽  
Traumatic Stress ◽  
Stress Disorder ◽  
Prolonged Exposure ◽  
Dropout Rate ◽  
Dysfunctional Attitudes ◽  
Post Traumatic Stress ◽  
Post Traumatic ◽  
Secondary Outcomes

Abstract Background. Post-traumatic stress disorder (PTSD) is a prevalent mental health condition that is often associated with psychiatric comorbidities and changes in quality of life. Prolonged exposure therapy (PE) is considered the gold standard psychological treatment for PTSD, but treatment resistance and relapse rates are high. Trial-based cognitive therapy (TBCT) is an effective treatment for depression and social anxiety disorder, and its structure seems particularly promising for PTSD. Therefore, we evaluated the efficacy of TBCT compared to PE in patients with PTSD. Methods. Ninety-five patients (77.6% females) who met Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, Text Revision, criteria for PTSD were randomly assigned to receive either TBCT (n = 44) or PE (n = 51). Patients were evaluated before and after treatment, and at follow-up 3 months after treatment. The primary outcome was improvement in PTSD symptoms as assessed by the Davidson Trauma Scale (DTS). Secondary outcomes were depression, anxiety, and dysfunctional attitudes assessed by the Beck Depression/Anxiety Inventories and Dysfunctional Attitudes Scale, as well as the dropout rate. Results. A significant reduction in DTS scores was observed in both arms, but no significant difference between treatments. Regarding the secondary outcomes, we found significant differences in depressive symptoms in favor of TBCT, and the dropout rate was lower in the TBCT group than the PE group. Conclusion. Our preliminary results suggest that TBCT may be an effective alternative for treating PTSD. Further research is needed to better understand its role and the mechanisms of change in the treatment of this disorder.

scholarly journals Cognitive therapy for post-traumatic stress disorder following critical illness and intensive care unit admission

2020 ◽  
Vol 13 ◽  
Author(s):  
Hannah Murray ◽  
Nick Grey ◽  
Jennifer Wild ◽  
Emma Warnock-Parkes ◽  
Alice Kerr ◽  
...  
Keyword(s):  
Intensive Care ◽  
Cognitive Therapy ◽  
Intensive Care Units ◽  
Post Traumatic Stress Disorder ◽  
Traumatic Stress ◽  
Stress Disorder ◽  
List Type ◽  
Post Traumatic Stress ◽  
Case Examples ◽  
Post Traumatic

Abstract Around a quarter of patients treated in intensive care units (ICUs) will develop symptoms of post-traumatic stress disorder (PTSD). Given the dramatic increase in ICU admissions during the COVID-19 pandemic, clinicians are likely to see a rise in post-ICU PTSD cases in the coming months. Post-ICU PTSD can present various challenges to clinicians, and no clinical guidelines have been published for delivering trauma-focused cognitive behavioural therapy with this population. In this article, we describe how to use cognitive therapy for PTSD (CT-PTSD), a first line treatment for PTSD recommended by the National Institute for Health and Care Excellence. Using clinical case examples, we outline the key techniques involved in CT-PTSD, and describe their application to treating patients with PTSD following ICU. Key learning aims (1) To recognise PTSD following admissions to intensive care units (ICUs). (2) To understand how the ICU experience can lead to PTSD development. (3) To understand how Ehlers and Clark’s (2000) cognitive model of PTSD can be applied to post-ICU PTSD. (4) To be able to apply cognitive therapy for PTSD to patients with post-ICU PTSD.

scholarly journals Problems with the post-traumatic stress disorder diagnosis and its future in DSM-V

2008 ◽  
Vol 192 (1) ◽  
pp. 3-4 ◽  
Author(s):  
Gerald M. Rosen ◽  
Robert L. Spitzer ◽  
Paul R. McHugh
Keyword(s):  
Clinical Practice ◽  
Post Traumatic Stress Disorder ◽  
Traumatic Stress ◽  
Stress Disorder ◽  
Post Traumatic Stress ◽  
Dsm V ◽  
Post Traumatic ◽  
Diverse Cultures

SummarySignificant issues challenge the diagnosis of post-traumatic stress disorder (PTSD). Yet, applications of the PTSD ‘model’ have been extended to an increasing array of events and human reactions across diverse cultures. These issues have implications for clinical practice and for those who revise criteria in the DSM-V.

PENERAPAN TERAPI KOGNITIF UNTUK MENGATASI GANGGUAN STRES PASCA TRAUMATIK PADA PEKERJA SEKS KOMERSIAL

2017 ◽  
Vol 2 (1) ◽  
Author(s):  
Laila Uthomah
Keyword(s):  
Cognitive Therapy ◽  
Pattern Matching ◽  
Post Traumatic Stress Disorder ◽  
Traumatic Stress ◽  
Sex Workers ◽  
Stress Disorder ◽  
Social Institutions ◽  
Post Traumatic Stress ◽  
Post Traumatic ◽  
The Individual

 This study aims to determine whether the application of cognitive therapy can overcome post-traumatic stress disorder in commercial sex workers in social institutions Bina Karya Wanita Harapan Mulya Kedoya. This study uses a qualitative approach, with a single research subject. The results of the study are based on pattern matching data on CSW who have post traumatic stress disorder, all behaviors in theory are owned by the case. It shows that the case has a post traumatic stress disorder with behavior: it has a series of events that traumatize the individual, immediately accepts every man who pays little attention then is ignored, lives in a CSW environment and has a daughter who is his dependent. Based on the results of the intervention analysis, the informant feels that the current condition is more confident, feels excited about the next life, and can be grateful by accepting his current situation.   Keywords: Comersil Sex Workers, Post Traumatic Stress Disorder, Cognitive Therapy    Penelitian ini bertujuan untuk mengetahui apakah penerapan terapi kognitif dapat mengatasi gangguan stres pasca traumatik pada pekerja seks komersial di panti sosial Bina Karya Wanita Harapan Mulya Kedoya. Penelitian ini menggunakan pendekatan kualitatif, dengan subjek penelitian tunggal. Hasil penelitian berdasarkan data pattern matching pada PSK yang memiliki gangguan stres pasca traumatik, semua perilaku yang ada pada teori dimiliki oleh kasus. Hal itu menunjukkan bahwa kasus memiliki kondisi gangguan stres pasca traumatik dengan perilaku: memiliki sederetan kejadian-kejadian yang membuat individu trauma, langsung menerima setiap laki-laki yang memberikan perhatian sedikit kemudian diabaikan, tinggal di lingkungan PSK dan memiliki anak perempuan yang menjadi tanggungannya. Berdasarkan hasil analisa intervensi adalah informan merasa kondisi saat ini lebih percaya diri, merasa semangat dengan kehidupan selanjutnya, dan dapat bersyukur dengan menerima keadaannya dirinya saat ini.                                                                                                                          Kata Kunci: Pekerja Seks Komersial, Gangguan Stres Pasca Traumatik, Terapi Kognitif.

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