A-144 Impairment of Attention in Persons with Post Traumatic Stress Disorder by Neuropsychology Assessments and Rehabilitation Training Course

2021 ◽  
Vol 36 (6) ◽  
pp. 1197-1198
Author(s):  
Oroub Almoula ◽  
Ahmad Almutairi ◽  
Abdullah Alozairi ◽  
Rudi Coetzer ◽  
Martyn Bracewell

Abstract Objective Scholars consider Mindfulness to develop a person’s capacity for awareness of self and others. This approach can also be used in Neuropsychological counselling. Recent research studies have shown that mindfulness has a positive impact on cognitive performance, attention and emotion regulation. This study aimed to examining a possible difference in attention trained between twenty PTSD Syrian’s refugees who were using the mindfulness programme for two weeks and those who trained Cognitive behavioural therapy course. This study was also intended to translate some widely used tests in neuropsychological assessments, and determining the potential efficiency of Mindfulness-based cognitive therapy as a rehabilitation course for these clinical populations. Two separate three-way mixed ANOVA models (Within-Within-Between) were performed to assess if the Stroop effect and Stroop R effect differ between the three Stroop scenarios (within-Subjects effect: Control – Practice – Main test) and Conditions (within-Subjects effect: Congruent – Incongruent) when two different separate treatments were applied to twenty Syrian’s refugees participants (Between-Subjects main effect: Mindfulness vs Cognitive behavioural therapy, there were also applied other attention measures such as; Trail Making test, Coding and Symbol search from WIAS-IV. For Stroop R model 2 we identified a significant within-subjects main effect of Stroop (F (2, 36) = 8.248, p = 0.002, partial-eta = 0.295). There was a significant within-subjects main effect of Conditions indicating a significant difference between congruent and incongruent treatment. Also, there was a significant two-way interaction effect of Stroop and Condition. Refugees participants reveal significantly differences for Coding, Trail numbers and Trail Numbers and Letters.

2020 ◽  
Vol 20 (3) ◽  
pp. 109-118
Author(s):  
Agnieszka Pawełczyk ◽  
◽  
Maciej Błaszczyk ◽  
Tomasz Pawełczyk ◽  
Maciej Radek ◽  
...  

Numerous studies have shown the effectiveness of cognitive-behavioural therapy in the treatment of various mental disorders. The present study reviews the available literature on the use and effectiveness of this therapy, both its classic form and more recent approaches (the so called “third wave”), among patients with brain injuries and those treated with surgical methods. We present a number of studies describing the use of cognitive-behavioural therapy in the treatment of patients with craniocerebral injuries, brain tumours, intracranial bleeding and vascular malformations. The obtained results are promising for the treatment of depression and anxiety disorders, post-traumatic stress disorder as well as sleep disorders, impulsivity and aggressive behaviour. The findings suggest that cognitive-behavioural therapy techniques may be effective in both these groups of patients and their families or caregivers. Currently, due to the small number of randomised controlled trials, high heterogeneity of study groups and a variety of research protocols, these findings do not allow for drawing final conclusions and proposing recommendations. Nevertheless, they demonstrate that the strategy offers promise when treating patients with brain damage. It is suggested that psychotherapy should be initiated after the end of the acute phase of the disease as it requires a certain level of self-awareness and an ability to test hypotheses, so it may be inadequate for patients with profound cognitive impairment. It requires the cooperation of a multidisciplinary team: doctors, physiotherapist, neuropsychologist and psychotherapist who, in addition to therapeutic skills, should have knowledge of the brain–behaviour relationship.


Author(s):  
Shannon C. Killip ◽  
Natalie K. R. Kwong ◽  
Joy C. MacDermid ◽  
Amber J. Fletcher ◽  
Nicholas R. Carleton

Firefighters appear at an increased risk for post-traumatic stress disorder (PTSD). Because of PTSD-related stigma, firefighters may search for information online. The current study evaluated the quality, readability, and completeness of PTSD online resources, and to determine how the online treatment recommendations align with current evidence. Google.ca (Canada) searches were performed using four phrases: ‘firefighter PTSD’, ‘firefighter operational stress’, ‘PTSD symptoms’, and ‘PTSD treatment’. The 75 websites identified were assessed using quality criteria for consumer health information (DISCERN), readability and health literacy statistics, content analysis, and a comparison of treatments mentioned to the current best evidence. The average DISCERN score was 43.8 out of 75 (indicating ‘fair’ quality), with 9 ‘poor’ websites (16–30), 31 ‘fair’ websites (31–45), 26 “good” websites (46–60), and nine excellent websites (61–75). The average grade level required to understand the health-related content was 10.6. The most mentioned content was PTSD symptoms (48/75 websites) and PTSD treatments (60/75 websites). The most frequently mentioned treatments were medications (41/75 websites) and cognitive behavioural therapy (40/75 websites). Cognitive behavioural therapy is supported by strong evidence, but evidence for medications appears inconsistent in current systematic reviews. Online PTSD resources exist for firefighters, but the information is challenging to read and lacks evidence-based treatment recommendations.


2021 ◽  
Vol 14 ◽  
Author(s):  
Kerry Young ◽  
Zoe J. Chessell ◽  
Amy Chisholm ◽  
Francesca Brady ◽  
Sameena Akbar ◽  
...  

Abstract This article outlines a cognitive behavioural therapy (CBT) approach to treating feelings of guilt and aims to be a practical ‘how to’ guide for therapists. The therapeutic techniques were developed in the context of working with clients with a diagnosis of post-traumatic stress disorder (PTSD); however, the ideas can also be used when working with clients who do not meet a diagnosis of PTSD but have experienced trauma or adversity and feel guilty. The techniques in this article are therefore widely applicable: to veterans, refugees, survivors of abuse, the bereaved, and healthcare professionals affected by COVID-19, amongst others. We consider how to assess and formulate feelings of guilt and suggest multiple cognitive and imagery strategies which can be used to reduce feelings of guilt. When working with clients with a diagnosis of PTSD, it is important to establish whether the guilt was first experienced during the traumatic event (peri-traumatically) or after the traumatic event (post-traumatically). If the guilt is peri-traumatic, following cognitive work, this new information may then need to be integrated into the traumatic memory during reliving. Key learning aims (1) To understand why feelings of guilt may arise following experiences of trauma or adversity. (2) To be able to assess and formulate feelings of guilt. (3) To be able to choose an appropriate cognitive technique, based on the reason for the feeling of guilt/responsibility, and work through this with a client. (4) To be able to use imagery techniques to support cognitive interventions with feelings of guilt.


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