Human givens rewind trauma treatment: description and conceptualisation

2019 ◽  
Vol 24 (2) ◽  
pp. 98-111 ◽  
Author(s):  
Shona Adams ◽  
Steven Allan
Keyword(s):  
Controlled Trial ◽  
Cost Effective ◽  
Preliminary Evidence ◽  
Behavioural Therapy ◽  
Trauma Treatment ◽  
Treatment Technique ◽  
Post Traumatic Stress ◽  
Content Type ◽  
Potential Benefits ◽  
Randomised Controlled

Purpose Human Givens (HG) Rewind technique is a graded trauma-focused exposure treatment for post-traumatic stress disorder and trauma. The purpose of this paper is threefold: first, to describe the technique; second, to provide an outline of its potential benefits; and third, to present some preliminary evidence. Design/methodology/approach This paper provides an overview of HG therapy and describes the stages of HG Rewind trauma treatment and its potential benefits. Similarities and differences between Rewind and other Cognitive Behavioural Therapy techniques are explored. Possible underlying mechanisms are discussed. Findings Preliminary evidence suggests that Rewind could be a promising trauma treatment technique and that HG therapy might be cost effective. The findings highlight the need for further research and a randomised controlled trial (RCT) on Rewind is warranted. Practical implications During the rewind technique, the trauma does not need to be discussed in detail, making treatment potentially more accessible for shame-based traumas. Multiple traumas may be treated in one session, making it possible for treatment to potentially be completed in fewer sessions. Social implications This UK-based treatment may be cost effective and make treatment more accessible for people who do not want to discuss details of their trauma. Originality/value This is the first description of HG Rewind in the peer-reviewed literature. Alternative explanations for mechanisms underlying this trauma treatment are also presented.

scholarly journals Cognitive-behavioural therapy (CBT) for renal fatigue (BReF): a feasibility randomised-controlled trial of CBT for the management of fatigue in haemodialysis (HD) patients

BMJ Open ◽  
2018 ◽  
Vol 8 (3) ◽  
pp. e020842 ◽  
Author(s):  
Federica Picariello ◽  
Rona Moss-Morris ◽  
Iain C Macdougall ◽  
Sam Norton ◽  
Maria Da Silva-Gane ◽  
...  
Keyword(s):  
Physical Activity ◽  
Cognitive Behavioural Therapy ◽  
Controlled Trial ◽  
Behavioural Therapy ◽  
Self Report ◽  
Behavioural Responses ◽  
Feasibility Randomised Controlled Trial ◽  
Cognitive Behavioural ◽  
Potential Benefits ◽  
Randomised Controlled

IntroductionFatigue is one of the most common and disabling symptoms in end-stage kidney disease, particularly among in-centre haemodialysis patients. This two-arm parallel group feasibility randomised controlled trial will determine whether a fully powered efficacy trial is achievable by examining the feasibility of recruitment, acceptability and potential benefits of a cognitive-behavioural therapy (CBT)-based intervention for fatigue among in-centre haemodialysis patients.MethodsWe aim to recruit 40 adult patients undergoing in-centre haemodialysis at secondary care outpatient dialysis units, who meet clinical levels of fatigue. Patients will be randomised individually (using a 1:1 ratio) to either a 4–6 weeks’ CBT-based intervention (intervention arm) or to a waiting-list control (control arm). The primary feasibility outcomes include descriptive data on numbers within each recruiting centre meeting eligibility criteria, rates of recruitment, numbers retained postrandomisation and treatment adherence. To assess the potential benefits of the cognitive-behavioural therapy for renal fatigue intervention, secondary self-report outcomes include measures of fatigue severity (Chalder Fatigue Questionnaire), fatigue-related functional impairment (Work and Social Adjustment Scale), sleep quality (Pittsburgh Sleep Quality Index), depression (Patient Health Questionnaire-9) and anxiety (Generalised Anxiety Disorder-7). Changes in fatigue perceptions (Brief Illness Perception Questionnaire), cognitive and behavioural responses to fatigue (Cognitive and Behavioural Responses to Symptoms Questionnaire), sleep hygiene behaviours (Sleep Hygiene Index) and physical activity (International Physical Activity Questionnaire–short form) will also be explored. These self-report measures will be collected at baseline and 3 months postrandomisation. Nested qualitative interviews will be conducted postintervention to explore the acceptability of the intervention and identify any areas in need of improvement. The statistician and assessor will be blinded to treatment allocation.Ethics and disseminationA National Health Service (NHS) Research Ethics Committee approved the study. Any amendments to the protocol will be submitted to the NHS Committee and study sponsor.Trial registration numberISRCTN91238019;Pre-results.

The development of a trauma-focused therapy programme

2017 ◽  
Author(s):  
David Bolton
Keyword(s):  
Controlled Trial ◽  
Behavioural Therapy ◽  
Human Mind ◽  
Traumatic Experiences ◽  
Service Development ◽  
Post Traumatic Stress ◽  
Therapy Services ◽  
Community Trauma ◽  
Randomised Controlled ◽  
Therapy Programme

This Chapter looks in detail at the establishment of the trauma-focused cognitive behavioural therapy programme at the Northern Ireland Centre for Trauma and Transformation (NICTT) in Omagh, which received referrals from over 650 people from 2002 until 2011. The development of a therapy programme based on a theory of how traumatic experiences impact on the human mind, was central to the the development of its therapy service. The programme relied on the Ehlers & Clark (2000) approach to treating post traumatic stress disorder and related disorders - building on the work that was developed in the original Omagh Community Trauma and Recovery team - described in Chapter 2. The development of the service is presented as an example of how to adapt and build upon existing resources and capabilities in a community that is subsequently affected by major acts of conflict related violence or disaster related tragedy. The challenges of developing and delivering therapy services where there is on-going violence, death threats, sectarianism and politic discord, are discussed. The author makes a case for bringing a trauma-focussed approach to understanding needs and service development. The therapy programme was the subject of a randomised controlled trial (RCT) which is also discussed in Chapter 9.

scholarly journals Cultural adaptation and feasibility of trauma-focused cognitive behavioural therapy in China: a pilot randomised controlled trial

2020 ◽  
Author(s):  
Jia Li ◽  
Jina Li ◽  
Lin Yuan ◽  
Ying Zhou ◽  
Zhiyong Qu
Keyword(s):  
Cognitive Behavioural Therapy ◽  
Cultural Adaptation ◽  
Retention Rate ◽  
Controlled Trial ◽  
Behavioural Therapy ◽  
Controlled Study ◽  
Adaptation Process ◽  
Post Traumatic Stress ◽  
Cognitive Behavioural ◽  
Randomised Controlled

Abstract Background: The contradiction between the burden of post-traumatic stress disorder (PTSD) and the lack of evidence-based treatments (EBTs) is common in low- and middle-income countries of Asia. The adaptation of trauma-focused cognitive behavioural therapy (TF-CBT) is helpful for meeting the needs of children in these countries. The objectives of this study were to describe the cultural adaptation process of TF-CBT and to explore the feasibility and acceptability of adapted interventions in China.Method: Based on the Map of the Adaptation Process (MAP), this study adapted the types of participants, form, content elements, length and language of TF-CBT. A total of 115 children and 8 facilitators participated in the pilot randomised controlled study. Feasibility was measured by the retention of children. Acceptability was assessed by the client satisfaction questionnaire (CSQ-8) and interviews with the children and facilitators.Result: An intervention based on TF-CBT that included 7 group sessions and 3 individual sessions was developed. The results of the pilot study showed that children had a high average retention rate (above 97%) and satisfaction (78.95%) with the intervention. Qualitative interviews showed that children and facilitators had high acceptance of the adapted intervention.Conclusion: The adapted group-based TF-CBT had good participant retention and satisfaction. It could be smoothly implemented in the Chinese school environment.Trial registration: Chinese Clinical Trial Registry, ChiCTR1800019837. Registered 2 December 2018, http://www.chictr.org.cn/showproj.aspx?proj=33479.

scholarly journals Incredible Years parenting programme: cost-effectiveness and implementation

2016 ◽  
Vol 11 (1) ◽  
pp. 54-72 ◽  
Author(s):  
Rhiannon Tudor Edwards ◽  
Carys Jones ◽  
Vashti Berry ◽  
Joanna Charles ◽  
Pat Linck ◽  
...  
Keyword(s):  
Cost Effectiveness ◽  
Controlled Trial ◽  
Cost Effective ◽  
Primary Outcome Measure ◽  
Control Group ◽  
Incredible Years ◽  
Parenting Programme ◽  
Content Type ◽  
Number Of Children ◽  
Randomised Controlled

Purpose – There is growing interest in the economic evaluation of public health prevention initiatives and increasing government awareness of the societal costs of conduct disorder in early childhood. The purpose of this paper is to investigate the cost-effectiveness of the Incredible Years (IY) BASIC parenting programme compared with a six-month waiting list control. Design/methodology/approach – Cost-effectiveness analysis alongside a pragmatic randomised controlled trial of a group-parenting programme. The primary outcome measure was the Strengths and Difficulties Questionnaire (SDQ), a measure of child behaviour. Findings – The IY programme was found to have a high probability of being cost-effective, shifting an additional 23 per cent of children from above the clinical concern to below the cut-off on the SDQ compared to the control group, at a cost ranging from £1612-£2418 per child, depending on the number of children in the group. Originality/value – The positive findings of this study have led to ongoing implementation of the IY programme and is therefore an example of commitment to evidence-based service provision and investment in prevention initiatives.

Computerised cognitive behavioural therapy: helping Ireland log on

2013 ◽  
Vol 30 (1) ◽  
pp. 29-56 ◽  
Author(s):  
C. Twomey ◽  
G. O'Reilly ◽  
M. Byrne
Keyword(s):  
Mental Health ◽  
Cognitive Behavioural Therapy ◽  
Low Cost ◽  
Controlled Trial ◽  
Behavioural Therapy ◽  
Stepped Care ◽  
Post Traumatic Stress ◽  
Cognitive Behavioural ◽  
Wide Range ◽  
Randomised Controlled

ObjectivesThe aim of this article is to review and highlight evidence-based computerised cognitive behavioural therapy (cCBT) programmes that can potentially be used in Ireland for the treatment of mild-to-moderate mental health difficulties.MethodsThe authors undertook a literature search using three databases, and consulted a recognised, university-developed web portal. For a programme to be included in this review, it had to (a) have at least one randomised controlled trial demonstrating its efficacy; (b) be available on the internet; and (c) be delivered in English.FindingsTwenty-five cCBT programmes that met the inclusion criteria were profiled. Taken together, these programmes target various anxiety difficulties (i.e. generalised anxiety, panic/phobia, social anxiety and post-traumatic stress), depression (or low mood), eating problems, stress, insomnia, pain and alcohol misuse.ConclusionscCBT programmes, preferably administered as part of a stepped-care model, offer effective, low-cost and low-intensity interventions for a wide range of psychological problems. Their use could be beneficial given how underdeveloped primary care mental health services are in Ireland.

scholarly journals Protocol for the Project SAVE randomised controlled trial examining CBT for insomnia among veterans in treatment for alcohol use disorder

BMJ Open ◽  
2021 ◽  
Vol 11 (6) ◽  
pp. e045667
Author(s):  
Mary Beth Miller ◽  
Jane Metrik ◽  
John E McGeary ◽  
Brian Borsari ◽  
Christina S McCrae ◽  
...  
Keyword(s):  
Randomised Controlled Trial ◽  
Alcohol Use ◽  
Controlled Trial ◽  
Heavy Drinking ◽  
Alcohol Treatment ◽  
Behavioural Therapy ◽  
Post Traumatic Stress ◽  
Registration Number ◽  
Randomised Controlled ◽  
The Impact

IntroductionAs many as 74% of veterans with alcohol use disorders (AUDS) report symptoms of insomnia. Insomnia represents a barrier to alcohol treatment because insomnia symptoms (1) may lead to relapse among those who use alcohol to help them sleep and may negatively impact (2) executive functions and (3) emotion regulation skills. Cognitive–behavioural therapy for insomnia (CBT-I) is an efficacious first-line treatment for insomnia; however, no research has examined the impact of CBT-I on individuals’ response to alcohol treatment. In the Sleep and Alcohol for Veterans (Project SAVE) randomised controlled trial, we hypothesise that CBT-I will enhance the efficacy of alcohol treatment among Veterans with insomnia by enhancing their abilities to attend to treatment, regulate emotions and initiate sleep without alcohol.Methods and analysisEighty Veterans enrolled in alcohol treatment at the Veterans Administration (VA) hospital will be randomly assigned to receive either CBT-I or single-session sleep hygiene (SH) education. Individuals will be eligible to participate if they meet Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5) criteria for moderate to severe AUD and Insomnia Disorder of at least 1-month duration. Participants will complete assessments at baseline, post-treatment and 6-week follow-up. Preliminary process outcomes include retention/recruitment rates and treatment satisfaction (feasibility and acceptability, respectively). Primary outcomes are insomnia severity, percentage of heavy-drinking days and alcohol-related problems. We will assess a variety of secondary clinical and mechanistic outcomes (eg, post-traumatic stress disorder (PTSD) symptoms, attention and working memory).Ethics and disseminationEthics approval was obtained in October 2018. Data collection began in July 2019 and is planned for completion by July 2021. Trial results will be disseminated at local and national conferences, in peer-reviewed publications and through media outlets, as available. Results will also be shared with interested participants and clinical collaborators at the end of the trial.Trial registration numberclinicaltrials.gov identifier NCT03806491 (pre-results).

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