scholarly journals Is only one cognitive technique also effective? Results from a randomized controlled trial of two different versions of an internet-based cognitive behavioural intervention for post-traumatic stress disorder in Arabic-speaking countries

2021 ◽  
Vol 12 (1) ◽  
pp. 1943870
Author(s):  
Maria Böttche ◽  
Birgit Wagner ◽  
Max Vöhringer ◽  
Manuel Heinrich ◽  
Jana Stein ◽  
...  
Keyword(s):  
Post Traumatic Stress Disorder ◽  
Traumatic Stress ◽  
Controlled Trial ◽  
Behavioural Intervention ◽  
Post Traumatic Stress ◽  
Randomized Controlled ◽  
Cognitive Behavioural ◽  
Cognitive Behavioural Intervention ◽  
Post Traumatic ◽  
Arabic Speaking

Randomized Controlled Trial of Group Cognitive Behavioural Therapy for Post-Traumatic Stress Disorder in Children and Adolescents Exposed to Tsunami in Thailand

2014 ◽  
Vol 43 (5) ◽  
pp. 549-561 ◽  
Author(s):  
Nuttorn Pityaratstian ◽  
Vinadda Piyasil ◽  
Panom Ketumarn ◽  
Nanthawat Sitdhiraksa ◽  
Sirirat Ularntinon ◽  
...  
Keyword(s):  
Children And Adolescents ◽  
Post Traumatic Stress Disorder ◽  
Traumatic Stress ◽  
Controlled Trial ◽  
Behavioural Therapy ◽  
Post Traumatic Stress ◽  
Self Monitoring ◽  
Randomized Controlled ◽  
Cognitive Behavioural ◽  
Post Traumatic

Background: Post-traumatic stress disorder (PTSD) is a common and debilitating consequence of natural disaster in children and adolescents. Accumulating data show that cognitive behavioural therapy (CBT) is an effective treatment for PTSD. However, application of CBT in a large-scale disaster in a setting with limited resources, such as when the tsunami hit several Asian countries in 2004, poses a major problem. Aims: This randomized controlled trial aimed to test for the efficacy of the modified version of CBT for children and adolescents with PSTD. Method: Thirty-six children (aged 10–15 years) who had been diagnosed with PSTD 4 years after the tsunami were randomly allocated to either CBT or wait list. CBT was delivered in 3-day, 2-hour-daily, group format followed by 1-month posttreatment self-monitoring and daily homework. Results: Compared to the wait list, participants who received CBT demonstrated significantly greater improvement in symptoms of PTSD at 1-month follow-up, although no significant improvement was observed when the measures were done immediately posttreatment. Conclusions: Brief, group CBT is an effective treatment for PTSD in children and adolescents when delivered in conjunction with posttreatment self-monitoring and daily homework.

scholarly journals Early cognitive–behavioural therapy for post-traumatic stress symptoms after physical injury

2004 ◽  
Vol 184 (1) ◽  
pp. 63-69 ◽  
Author(s):  
Jonathan I. Bisson ◽  
Jonathan P. Shepherd ◽  
Deborah Joy ◽  
Rachel Probert ◽  
Robert G. Newcombe
Keyword(s):  
Psychological Distress ◽  
Traumatic Stress ◽  
Behavioural Intervention ◽  
Psychological Interventions ◽  
Physical Injury ◽  
Post Traumatic Stress ◽  
Event Scale ◽  
Cognitive Behavioural ◽  
Cognitive Behavioural Intervention ◽  
Post Traumatic

BackgroundEarly single-session psychological interventions, including psychological debriefing following trauma, have not been shown to reduce psychological distress. Longer early psychological interventions have shown some promise.AimsTo examine the efficacy of a four-session cognitive–behavioural intervention following physical injury.MethodA total of 152 patients attending an accident and emergency department displaying psychological distress following physical injury were randomised 1–3 weeks post-injury to a four-session cognitive–behavioural intervention that started 5–10 weeks after the injury or to no intervention and then followed up for 13 months.ResultsAt 13 months, the total Impact of Event Scale score was significantly more reduced in the intervention group (adjusted mean difference=8.4, 95% CI 2.4–14.36). Other differences were not statistically significant.ConclusionsAbrief cognitive–behavioural intervention reduces symptoms of post-traumatic stress disorder in individuals with physical injury who display initial distress.

Resource activation for treating post-traumatic stress disorder, co-morbid symptoms and impaired functioning: a randomized controlled trial in Cambodia

2016 ◽  
Vol 47 (3) ◽  
pp. 553-564 ◽  
Author(s):  
C. Steinert ◽  
P. J. Bumke ◽  
R. L. Hollekamp ◽  
A. Larisch ◽  
F. Leichsenring ◽  
...  
Keyword(s):  
Mental Health ◽  
Post Traumatic Stress Disorder ◽  
Traumatic Stress ◽  
Stress Disorder ◽  
Controlled Trial ◽  
Post Traumatic Stress ◽  
Randomized Controlled ◽  
Post Conflict ◽  
Before And After ◽  
Post Traumatic

BackgroundMental health morbidity in post-conflict settings is high. Nevertheless, randomized controlled trials of psychotherapy on site are rare. Our aim was to integrate rigorous research procedures into a humanitarian programme and test the efficacy of resource activation (ROTATE) in treating post-traumatic stress disorder (PTSD), co-morbid symptoms and impaired functioning in Cambodia.MethodA total of 86 out-patients with PTSD were randomly assigned to five sessions of ROTATE (n= 53) or a 5-week waiting-list control (WLC) condition (n= 33). Treatment was provided by six Cambodian psychologists who had received extensive training in ROTATE. Masked assessments were made before and after therapy.ResultsPTSD remission rates according to the DSM-IV algorithm of the Harvard Trauma Questionnaire were 95.9% in ROTATE and 24.1% in the WLC condition. Thus, patients receiving ROTATE had a significantly higher likelihood of PTSD remission (odds ratio 0.012, 95% confidence interval 0.002–0.071,p< 0.00001). Additionally, levels of anxiety, depression and impaired functioning were significantly reduced compared with the WLC condition (p< 0.00001, between-group effect sizesd= 2.41, 2.26 and 2.54, respectively). No harms were reported.ConclusionsROTATE was efficacious in treating Cambodian patients with high symptom levels of PTSD, emotional distress and impaired functioning. ROTATE is a brief, culturally adaptable intervention focusing on stabilization and strengthening resources rather than trauma confrontation. It can be taught to local professionals and paraprofessionals and enhance access to mental health care for patients in need.

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