Randomized Controlled Comparison of Cognitive Behavior Therapy with Rogerian Supportive Therapy in Chronic Post-Traumatic Stress Disorder: A 2-Year Follow-Up

2008 ◽  
Vol 77 (2) ◽  
pp. 101-110 ◽  
Author(s):  
Jean Cottraux ◽  
Ivan Note ◽  
Sai Nan Yao ◽  
Chantal de Mey-Guillard ◽  
Françoise Bonasse ◽  
...  
2017 ◽  
Vol 52 (3) ◽  
pp. 253-261 ◽  
Author(s):  
Katie Dawson ◽  
Amy Joscelyne ◽  
Catherine Meijer ◽  
Zachary Steel ◽  
Derrick Silove ◽  
...  

Objective: To evaluate the relative efficacies of trauma-focused cognitive behavior therapy and problem-solving therapy in treating post-traumatic stress disorder in children affected by civil conflict in Aceh, Indonesia. Method: A controlled trial of children with post-traumatic stress disorder ( N = 64) randomized children to either five individual weekly sessions of trauma-focused cognitive behavior therapy or problem-solving therapy provided by lay-counselors who were provided with brief training. Children were assessed by blind independent assessors at pretreatment, posttreatment and 3-month follow-up on post-traumatic stress disorder, depression and anger, as well as caregiver ratings of the child’s post-traumatic stress disorder levels. Results: Intent-to-treat analyses indicated no significant linear time × treatment condition interaction effects for post-traumatic stress disorder at follow-up ( t(129.05) = −0.55, p = 0.58), indicating the two conditions did not differ. Across both conditions, there were significant reductions in post-traumatic stress disorder on self-reported ( t(131.26) = −9.26, p < 0.001) and caregiver-reported ( t(170.65) = 3.53, p = 0.001) measures and anger ( t(127.66) = −7.14, p < 0.001). Across both conditions, there was a large effect size for self-reported post-traumatic stress disorder (cognitive behavior therapy: 3.73, 95% confidence interval = [2.75, 3.97]; problem-solving: 2.68, 95% confidence interval = [2.07, 3.29]). Conclusions: These findings suggest that trauma-focused cognitive behavior therapy and problem-solving approaches are comparably successful in reducing post-traumatic stress disorder and anger in treating mental health in children in a post-conflict setting. This pattern may reflect the benefits of non-specific therapy effects or gains associated with trauma-focused or problem-solving approaches.


2018 ◽  
Vol 1 (3) ◽  
pp. 95
Author(s):  
Del Fatma Wati ◽  
Winda Ratna Wulan

<p><em>Disasters can cause trauma to individuals who experience direct events or as witnesses, which is one of the psychological impacts that are often encountered in disaster victims is Post-Traumatic Stress Disorder or PTSD. Pharmacological therapy in disaster victims with PTSD can be more effective if combined with psychotherapy interventions. One of the psychotherapy therapies that can be done using the CBT method. The goal of CBT is to improve psychosocial function, restore thinking ability, reduce the impact of traumatic events. The aim of this literature review is to determine the effectiveness of the application of CBT to disaster victims with PTSD, by using a database that is used as a search source related to research, namely "ncbi," google scholar ","msjonline.org"," national library ", and "Researchgate". Research data on databases using the keywords "disaster", "Post-Traumatic Stress Disorder (PTSD)", "Cognitive Behavior Therapy (CBT)", and "the influence of CBT". The results show that the CBT method used in disaster victims with PTSD is effective in reducing levels of anxiety, discomfort, depression, helplessness, and behavioral problems of various types of measuring instruments and different patient populations. This literature study reports that the positive influence of the CBT method used on disaster victims with PTSD can maintain adaptive coping, improve socialization and train courage of independence.</em></p><p><em>Keywords: Disaster, Post-Traumatic Stress Disorder (PTSD), Cognitive Behavior Therapy (CBT), Effect of CBT</em></p>


2019 ◽  
Vol 26 (9) ◽  
pp. 507-519 ◽  
Author(s):  
Lin Liu ◽  
Steven R Thorp ◽  
Lucy Moreno ◽  
Stephanie Y Wells ◽  
Lisa H Glassman ◽  
...  

Introduction Veterans with post-traumatic stress disorder (PTSD) face significant barriers that make it less likely for them to pursue treatment. A randomized controlled non-inferiority trial was used to determine if providing psychotherapy for PTSD via videoconference (VC) is as effective as in-person (IP) psychotherapy. Methods All eligible veterans ( n = 207) received cognitive processing therapy (CPT) to treat PTSD symptoms in one of the two treatment modalities. Participant symptoms were collected at baseline, post-treatment, and six months after treatment completion. The primary outcome measure, the Clinician-Administered PTSD Scale (CAPS), was used to assess PTSD diagnosis and symptom severity. Secondary outcomes included two self-report measures of symptom severity, the Post-traumatic Stress Disorder Checklist – Specific (PCL–S) for PTSD and the Patient Health Questionnaire – 9 (PHQ–9) for depressive symptoms. A linear mixed-effects model was used to assess non-inferiority for participants who completed treatment (completers) and those who were randomized to treatment (intention-to-treat (ITT)). Results Both completer and ITT analyses showed that improvement in CAPS scores in the VC condition was non-inferior to that in the IP condition at six-month follow-up, but VC was inferior to IP for improvement in CAPS at post-treatment. Non-inferiority was supported by completer analyses for PCL–S and PHQ–9 in both post-treatment change and six-month follow-up change, and the ITT analysis supported the significant non-inferiority for PCL at post-treatment change. Discussion These findings generally suggest that CPT delivered via VC can be as effective as IP for reducing the severity of PTSD symptoms.


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