scholarly journals Integrated Trauma-Focused Cognitive-Behavioural Therapy for Post-traumatic Stress and Psychotic Symptoms: A Case-Series Study Using Imaginal Reprocessing Strategies

2017 ◽  
Vol 8 ◽  
Author(s):  
Nadine Keen ◽  
Elaine C. M. Hunter ◽  
Emmanuelle Peters
Keyword(s):  
Cognitive Behavioural Therapy ◽  
Traumatic Stress ◽  
Case Series ◽  
Behavioural Therapy ◽  
Psychotic Symptoms ◽  
Post Traumatic Stress ◽  
Cognitive Behavioural ◽  
Case Series Study ◽  
Post Traumatic ◽  
Series Study

scholarly journals Equine Assisted Therapy for Patients with Post Traumatic Stress Disorder: A Case Series Study

2019 ◽  
Vol 184 (9-10) ◽  
pp. 394-399 ◽  
Author(s):  
Assaf Shelef ◽  
Dorit Brafman ◽  
Thom Rosing ◽  
Abraham Weizman ◽  
Rafael Stryjer ◽  
...  
Keyword(s):  
Post Traumatic Stress Disorder ◽  
Traumatic Stress ◽  
Stress Disorder ◽  
Case Series ◽  
Post Traumatic Stress ◽  
Case Series Study ◽  
Open Case ◽  
Post Traumatic ◽  
Equine Assisted ◽  
Series Study

Abstract Introduction Equine assisted therapy (EAT) which includes therapeutic horseback riding (THR), grooming, horsemanship and ground level work with horses, has been studied as treatment for children with special needs and/or autistic spectrum disorder. Preliminary evidence indicates that EAT is also effective for improving self-efficacy and self-esteem in adults with psychiatric disorders. Empowerment, bonding and building trust with the horses, may promote functioning of patients struggling with post traumatic stress disorder (PTSD). The authors performed a prospective, pilot open case series study to assess the effect of EAT on patients with PTSD in terms of symptoms and functioning in work, family and social interaction. Methods Patients with PTSD received EAT once a week for 3 consecutive hours for 6 months. The Short Post Traumatic Stress Disorder Rating Interview (SPRINT) and the Sheehan Disability Scale (SDS) were assessed at baseline, the SDS after 1 and 6 months, and the SPRINT after 6 months. Results Thirteen of 23 participants completed the study. Ten participants withdrew from the study for various reasons including discomfort from horses. Total SPRINT scores showed a statistically significant improvement in PTSD symptoms (baseline vs. 6 months: 24.38 ± 6.4 vs. 21.54 ± 7.94 points; p < 0.05). SPRINT scores indicated improvement in the ability to work and perform daily tasks (p < 0.05). A statistically significant improvement in the total SDS score was revealed following 1 month (p < 0.03) and after 6 months (p < 0.02) of EAT. There was also a significant decline in the days of inefficiency (baseline vs. 6 months: 4.15 ± 2.73 vs, 1.88 ± 2.18 days per week, p < 0.02). Conclusion This preliminary pilot open case series study suggests that EAT may be a beneficial treatment for patients suffering from PTSD. The study demonstrated improved ability to work and perform daily tasks and reduction in the number of days of inefficiency. Further large-scale long-term studies are warranted to substantiate our observation.

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