scholarly journals Preliminary Evaluation of Outcomes of Transactional Analysis Psychotherapy for Armed Forces Veterans presenting with Post-Traumatic Stress Disorder

2013 ◽  
Vol 4 (2) ◽  
Author(s):  
David Harford
Keyword(s):  
Post Traumatic Stress Disorder ◽  
Traumatic Stress ◽  
Stress Disorder ◽  
Armed Forces ◽  
Pilot Project ◽  
Preliminary Evaluation ◽  
Transactional Analysis ◽  
Post Traumatic Stress ◽  
Client Group ◽  
Post Traumatic

This brief outline presents some initial findings from a pilot project conducted within a charity settingin the UK, examining clinical outcomes for a cohort of armed forces veterans presenting with post-traumatic stress disorder (PTSD). Outcomes were measuredusing CORE-OM (Evans et al 2000), PHQ-9 (Kroenke et al 2001) and GAD-7 (Spitzer et al 2006). Preliminary findings show that positive Reliable Change on global distress and anxiety had taken place within 16 sessions. These results suggest that transactional analysis psychotherapy has promise for treatment of PTSD with this client group and that further research is warranted.

scholarly journals Quantitative and Qualitative Outcomes of Transactional Analysis Psychotherapy with Male Armed Forces Veterans in the UK presenting with Post-Traumatic Stress Disorder

2014 ◽  
Vol 5 (2) ◽  
Author(s):  
David Harford ◽  
Mark Widdowson
Keyword(s):  
Post Traumatic Stress Disorder ◽  
Traumatic Stress ◽  
Stress Disorder ◽  
Armed Forces ◽  
Transactional Analysis ◽  
Post Traumatic Stress ◽  
Short Term ◽  
Post Traumatic ◽  
The Uk

This paper presents findings from a two-year research project conducted within a live-in residential charity setting in the UK, examining clinical outcomes of TA psychotherapy among 15 male armed forces veterans presenting with severe PTSD (post-traumatic stress disorder) and other comorbid disorders. Outcomes were measured for short-term (24 sessions) and long-term (52 sessions) transactional analysis (TA) treatment using the quantitative CORE-OM (Evans, Mellor-Clark, Margison, Barkham, McGrath, Connell & Audin, 2000), PHQ-9 (Kroenke, Spitzer & Williams, 2001) and GAD-7 (Spitzer, Kroenke, Williams & Löwe, 2006) questionnaires and the qualitative Change Interview (Elliott, Slatick, & Urman, 2001, as cited in Frommer & Rennie, 2001). Quantitative findings show that positive Reliable Change on global distress, depression and anxiety has taken place within both the short-term and long-term treatment groups with some clients achieving Clinically Significant Change on these measures. Qualitative findings arising from thematic analysis (Braun & Clarke, 2006) indicate that a broad spectrum of therapist factors and psychotherapy process factors within the TA therapy delivered were beneficial for this particular client group. The negative influence of a number of psychosocial factors on the veterans' well-being is also discussed based on numerical data and interview responses. Overall, these results suggest that TA psychotherapy can be effective in the treatment of PTSD among combat veterans.

The development of group CBT for the treatment of road-traffic-accident-related post-traumatic stress disorder: a pilot study

2010 ◽  
Vol 2 (1) ◽  
pp. 32-42 ◽  
Author(s):  
Andrew R. Thompson ◽  
Eamonn Wilde ◽  
Katherine Boon
Keyword(s):  
Post Traumatic Stress Disorder ◽  
Traumatic Stress ◽  
Road Traffic Accident ◽  
Traffic Accident ◽  
Stress Disorder ◽  
Road Traffic ◽  
Preliminary Evaluation ◽  
Post Traumatic Stress ◽  
Post Traumatic ◽  
Group Cbt

AbstractIndividually focused CBT for road traffic accident (RTA)-related post-traumatic stress disorder (PTSD) involving exposure and cognitive restructuring has been shown to be effective. Group CBT interventions provide an opportunity for treatment to be delivered in a cost-effective fashion and may also be ‘normalizing’ for patients, but few evaluations have been published. Many elements of CBT lend themselves well to group presentation, although implementing exposure presents a specific problem. The development and preliminary evaluation of a group (n = 6) targeting RTA-related PTSD is described here. Pre- and post-questionnaire evaluation is accompanied by assessment of patient satisfaction. Four of the group no longer met diagnostic criteria and the remaining two showed clinically significant change in both the number and severity of symptoms. In addition symptoms of depression decreased from the severe to the mild range within the group and there were high levels of participant satisfaction reported. Further research is required to evaluate this and similar packages before group treatment can be advocated as an alternative to individual CBT for PTSD.

scholarly journals Risk factors for post-traumatic stress disorder among UK Armed Forces personnel

2008 ◽  
Vol 38 (4) ◽  
pp. 511-522 ◽  
Author(s):  
A. C. Iversen ◽  
N. T. Fear ◽  
A. Ehlers ◽  
J. Hacker Hughes ◽  
L. Hull ◽  
...  
Keyword(s):  
Military Personnel ◽  
Post Traumatic Stress Disorder ◽  
Traumatic Stress ◽  
Stress Disorder ◽  
Childhood Adversity ◽  
Armed Forces ◽  
Post Traumatic Stress ◽  
Extreme Stress ◽  
Stress Symptoms ◽  
Post Traumatic

BackgroundThere is considerable interest in understanding further the factors that increase the risk of post-traumatic stress disorder (PTSD) for military personnel. This study aimed to investigate the relative contribution of demographic variables; childhood adversity; the nature of exposure to traumatic events during deployment; appraisal of these experiences; and home-coming experiences in relation to the prevalence of PTSD ‘caseness’ as measured by a score of ⩾50 on the PTSD Checklist (PCL) in UK Armed Forces personnel who have been deployed in Iraq since 2003.MethodData were drawn from the first stage of a retrospective cohort study comparing UK military personnel who were deployed to the 2003 Iraq War with personnel serving in the UK Armed Forces on 31 March 2003 but who were not deployed to the initial phase of war fighting. Participants were randomly selected and invited to participate. The response rate was 61%. We have limited these analyses to 4762 regular service individuals who responded to the survey and who have been deployed in Iraq since 2003.ResultsPost-traumatic stress symptoms were associated with lower rank, being unmarried, having low educational attainment and a history of childhood adversity. Exposure to potentially traumatizing events, in particular being deployed to a ‘forward’ area in close contact with the enemy, was associated with post-traumatic stress symptoms. Appraisals of the experience as involving threat to one's own life and a perception that work in theatre was above an individual's trade and experience were strongly associated with post-traumatic stress symptoms. Low morale and poor social support within the unit and non-receipt of a home-coming brief (psycho-education) were associated with greater risk of post-traumatic stress symptoms.ConclusionsPersonal appraisal of threat to life during the trauma emerged as the most important predictor of post-traumatic stress symptoms. These results also raise the possibility that there are important modifiable occupational factors such as unit morale, leadership, preparing combatants for their role in theatre which may influence an individual's risk of post-traumatic stress symptoms. Therefore interventions focused on systematic preparation of personnel for the extreme stress of combat may help to lessen the psychological impact of deployment.

scholarly journals Veterans’ experiences of successfully managing post-traumatic stress disorder

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Gemma Parry ◽  
Suzanne Margaret Hodge ◽  
Alan Barrett
Keyword(s):  
Post Traumatic Stress Disorder ◽  
Traumatic Stress ◽  
Stress Disorder ◽  
Armed Forces ◽  
Post Traumatic Stress ◽  
Structured Interviews ◽  
Civilian Life ◽  
Content Type ◽  
Post Traumatic ◽  
The Military

Purpose Prevalence of post-traumatic stress disorder (PTSD) among UK veterans is higher than in the general population. However, prevalence figures do not reflect the complexity of this phenomenon and ways in which it may be bound up with veterans’ experiences of adjusting to civilian life. The purpose of this study is to explore veterans’ experiences of successfully managing PTSD. Design/methodology/approach Semi-structured interviews were conducted with six veterans who had served in the UK armed forces and analysed using interpretative phenomenological analysis. Findings Three themes were developed: accepting the problem, taking responsibility and gaining control; talking to the right people; and strategies, antidotes and circling back around. Managing PTSD appeared to be bound up with veterans’ experience of renegotiating their identity, where positive aspects of identity lost on leaving the military were rebuilt and problematic aspects were challenged. Participants sought to speak about their difficulties with others who understood the military context. They felt that their experiences made them a valuable resource to others, and they connected this with a positive sense of identity and value. Practical implications The findings suggest the importance of wider provision of peer support and education for civilian health services on veterans’ needs. Originality/value This study adds to the understanding of what meaningful recovery from PTSD may involve for veterans, in particular its potential interconnectedness with the process of adjusting to civilian life.

scholarly journals Post-Traumatic Stress Disorder, Depression, and Binge Drinking in the Reserve Component of the U.S. Armed Forces

2016 ◽  
Vol 181 (10) ◽  
pp. 1287-1293 ◽  
Author(s):  
Robert J. Ursano ◽  
Jing Wang ◽  
Holly Ramsawh ◽  
Dale Russell ◽  
Natasha Benfer ◽  
...  
Keyword(s):  
Binge Drinking ◽  
Post Traumatic Stress Disorder ◽  
Traumatic Stress ◽  
Stress Disorder ◽  
Armed Forces ◽  
Post Traumatic Stress ◽  
Post Traumatic ◽  
Reserve Component ◽  
The U.S
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