scholarly journals Desensitisasi Bersistem (CBT-SD) Terhadap Simptomatologi PTSD Mangsa Buli: Satu Kajian Kes

2021 ◽  
Vol 25 (2) ◽  
pp. 107-127
Author(s):  
Siti Fadhlina Mustapa Kamal ◽  
Syed Mohamad Syed Abdullah ◽  
Rezki Perdani Sawai
Keyword(s):  
Behavioral Therapy ◽  
Well Being ◽  
Post Traumatic Stress ◽  
Psychological Issues ◽  
Counseling Intervention ◽  
Counseling Interventions ◽  
Detailed Assessment ◽  
Post Traumatic ◽  
Psychological Balance ◽  
Personal Functioning

Bullying not only has a significant influence on victims' physical and emotional well-being, but they are also reported to experience symptoms of post-traumatic stress disorder (PTSD) such as nightmares, intrusive thoughts and emotions of hopelessness and powerlessness. The symptomatology of untreated PTSD exposes victims to other psychological issues such as substance abuse, depersonalization and suicide. This case study was conducted to identify the effectiveness of Cognitive Behavioral Therapy-Systematic Desensitization (CBT-SD), a counseling intervention for reducing symptomatology of PTSD. He was diagnosed with clinically severe symptomatology of PTSD (T> 65) by using the Detailed Assessment of Posttraumatic Stress (DAPS) (Briere, 2001). The treatment planning using CBT-SD technique was constructed aimed at answering the research questions. The results indicate a decrease in the symptomatology of PTSD and other psychological issues, particularly on the scales of dissociation and suicide. Reducing PTSD symptoms has a favourable impact on the client’s cognitive, emotional and behavioural functioning, as seen by his improved personal functioning in his daily life. Hence, prevention and early rehabilitation through counseling interventions are crucial in aiding victims of bullying achieve psychological balance. The implications of this intervention are also discussed.

scholarly journals Persepsi Kaunselor terhadap Gangguan Stres Pasca Trauma (Post-Traumatic Stress Disorder) Mangsa Buli di Malaysia

Sains Insani ◽  
2021 ◽  
Vol 6 (1) ◽  
pp. 217-226
Author(s):  
Siti Fadhlina Mustapa Kamal ◽  
Siti Khadijah Mohd Nasrah ◽  
Syed Mohamad Syed Abdullah
Keyword(s):  
School Counselors ◽  
Post Traumatic Stress Disorder ◽  
Traumatic Stress ◽  
Stress Disorder ◽  
Well Being ◽  
Post Traumatic Stress ◽  
Psychological Issues ◽  
Post Traumatic ◽  
Needs Assessment Survey ◽  
Victims Of Bullying

Mangsa buli di sekolah berisiko tinggi untuk mengalami isu Gangguan Stres Pasca Trauma (PTSD). Pelbagai risiko isu psikologikal mendatang seperti penyalahgunaan bahan serta kecenderungan membunuh diri boleh berlaku jika tidak ditangani. Ekoran daripada itu, penglibatan kaunselor dan guru bimbingan kaunseling diharapkan dapat membendung gejala PTSD ini dengan memberi intervensi awal kepada mangsa buli yang mengalami trauma. Justeru, satu kajian tinjauan analisis keperluan telah dilaksanakan bagi mengenal pasti persepsi kaunselor terhadap isu PTSD mangsa buli. Seramai 161 orang kaunselor dari pelbagai institusi telah terlibat dalam kajian ini melalui teknik Pensampelan Mudah. Kaedah pengumpulan data melalui borang soal selidik telah diedarkan secara atas talian menggunakan aplikasi ‘Google Form’. Data kuantitatif dianalisis menggunakan analisis deskriptif melalui analisis kekerapan dan peratusan. Dapatan kajian menunjukkan bahawa tahap kesedaran kaunselor tentang isu PTSD mangsa buli berada di tahap baik (87.6%). Namun begitu, kesedaran dan pengetahuan kaunselor kurang terhadap isu-isu psikologikal mendatang serta kurang berkemahiran dalam membina intervensi kaunseling yang sesuai. Oleh itu, satu tindakan bagi menerapkan kesedaran, pengetahuan dan kecekapan kemahiran tentang PTSD mangsa buli di kalangan kaunselor khususnya di peringkat sekolah perlu dilaksanakan supaya mangsa buli tidak dipinggirkan tetapi dibantu agar mereka dapat mencapai psikologi yang sejahtera.     Victims of bullying in schools are at high risk for Post-Traumatic Stress Disorder. Various psychological issues such as substance abuse as well as suicidal tendencies can occur if left untreated. As a result, the involvement of counselors and counseling guidance teachers is seen as important to curb the symptoms of PTSD by providing early intervention to victims who are traumatized. Thus, a quantitative needs assessment survey was conducted to obtain preliminary information on counselors’ perceptions of PTSD symptoms among adolescents victims of bullying. A total of 161 counselors from various institutions were involved in this research through Convenience Sampling. Data collection methods through questionnaires have been distributed online using the Google Form application. Quantitative data were analyzed by frequency counts and percentage analysis. The findings of the study show that the level of counselor awareness on the issue of PTSD victims of bullying is at a good level (87.6%). However, their awareness and knowledge on the risk of psychological issues is lacking and they are less competent in constructing appropriate trauma counseling interventions.Thus, an action to inculcate competency skills and awareness towards PTSD of bullying victim among school counselors should be implemented upon in uplifting the victims’ psychological well being .

Evaluating the effectiveness of post-traumatic stress disorder (PTSD) treatment using acupuncture combined with cognitive behavioral therapy in Thua Thien Hue province

2019 ◽  
pp. 74-80
Author(s):  
Thi Tan Nguyen ◽  
Van Minh Doan ◽  
Nhat Minh Tran ◽  
Van Hung Nguyen
Keyword(s):  
Side Effects ◽  
Cognitive Behavioral Therapy ◽  
Post Traumatic Stress Disorder ◽  
Traumatic Stress ◽  
Stress Disorder ◽  
Behavioral Therapy ◽  
Post Traumatic Stress ◽  
Dsm 5 ◽  
Effectiveness Rate ◽  
Post Traumatic

Post-traumatic Stress Disorder (PTSD) is a mental disorder that develops in people who have experienced or witnessed a serious traumatic event, such as natural catastrophes, sexual assaults, war… Some studies showed that acupuncture was effective for PTSD. However, there is no published research on the treatment of PTSD using acupuncture and cognitive behavioral therapy (CBT) in Vietnam. The aim of this study was to evaluate the effectiveness of treating PTSD using acupuncture combined with CBT in Thua Thien Hue province. Method and subject: This study was an interventional study conducted in two districts of Thua Thien Hue province. Thirty patients were diagnosed with PTSD using Clinician-Administered PTSD Scale for DSM-5 (CAPS-5). Participants were assessed on PTSD symptoms using PTSD Checklist for DSM-5 (PCL–5); depression, anxiety and stress status using DASS-21; and other health states before and after treatment. Result: The effectiveness rate of treatment was 83.3% by PCL–5 and 86.7% by DASS-21. The improvement of symptoms after 5 weeks of treatment was statistically significant (p <0.05). Side effects were itch (5.0%), pain (4.3%); bleeding (1.3%); and others (0%). Conclusion: Treatment of PTSD using acupuncture and CBT has a high effectiveness rate on PCL - 5 scale and DASS21 scale. Improvement was similar when evaluated by the two scales. Acupuncture was safe and did not cause any significant side effects. Key words: Post-traumatic Stress Disorder, PTSD, acupuncture, cognitive behavior therapy, CBT, Thua Thien Hue

scholarly journals Healthcare staff well-being and use of support services during COVID-19: a UK perspective

2021 ◽  
Vol 34 (3) ◽  
pp. e100458
Author(s):  
Anika R Petrella ◽  
Luke Hughes ◽  
Lorna A Fern ◽  
Lisa Monaghan ◽  
Benjamin Hannon ◽  
...  
Keyword(s):  
Psychological Distress ◽  
Acute Phase ◽  
Traumatic Stress ◽  
Service Use ◽  
Well Being ◽  
Rapid Evaluation ◽  
Personal Factors ◽  
Post Traumatic Stress ◽  
Supportive Services ◽  
Post Traumatic

BackgroundThe COVID-19 pandemic has drastically increased demands on healthcare workers (HCWs) leaving them vulnerable to acute psychological distress, burnout and post-traumatic stress. In response, supportive services in a central London hospital mobilised mental health support specifically for HCWs.AimsThis rapid evaluation assessed HCW psychological welfare during the acute phase of the COVID-19 pandemic and their use of supportive services made available.MethodsDuring the acute phase of COVID-19 (April to May 2020) all staff working for the hospital were invited to complete an online survey assessing well-being (self-rated health, moral distress exposure, symptoms of burnout and psychological distress) and use of available supportive services (awareness of, use and perceived helpfulness). Associations among personal characteristics and psychological well-being were explored using correlations and linear regression.ResultsA total of 1127 staff participated in the rapid evaluation. On average, psychological distress was high (mean (SD): 22 (7.57)) regardless of role, with 84% of this sample scoring above the general population mean (14.5). Nearly half of the sample reported feeling emotionally drained and a profile emerged displaying higher levels of psychological distress and burnout in those who were younger and exposed to morally distressing situations, with this group also exhibiting greater support service use. Greater levels of burnout were associated with increased psychological distress when controlling for personal factors. During this acute phase of the pandemic, majority of staff used at least one service and rated it as helpful.ConclusionHCWs experienced high levels of psychological distress requiring continued support as the COVID-19 pandemic evolved. Although HCWs were aware of supportive services, uptake varied. In order to mitigate the risk of burnout and post-traumatic stress, long-term, effective strategies that facilitate staff accessing support are urgently required.

scholarly journals Post-traumatic stress disorder following COVID-19 pandemic among medical students in Riyadh: a cross-sectional study

2021 ◽  
Vol 28 (1) ◽  
Author(s):  
Zainab Ifthikar ◽  
Saima Sajjad Fakih ◽  
Saumy Johnson ◽  
Johnson Alex
Keyword(s):  
Medical Students ◽  
Post Traumatic Stress Disorder ◽  
Traumatic Stress ◽  
Stress Disorder ◽  
Well Being ◽  
Emotional Impact ◽  
Post Traumatic Stress ◽  
Psychological Well Being ◽  
Post Traumatic ◽  
The Impact

Abstract Background In recent times, COVID-19 has been recognized as a public health emergency and thus far, most papers published on it are focused only on the clinical characteristics of infected patients. This pandemic has also made phenomenal emotional impact among the young and the old. We aimed to find out the impact of the COVID-19 pandemic on the psychological well-being of medical students in a University at Riyadh. Results There were 309 participants in the study. Out of them 44% did not have PTSD, 29% had score more than 37 which might contribute to immune suppression, in 18.4% PTSD was a clinical concern and 8.6% had probable PTSD. Female participants were the majority in the group and they also had higher chance of having consequences than the male counterparts (P < 0.001). Avoidance score between male and female gender was significantly different. Conclusion COVID-19 pandemic has not just affected the physiological functioning of the affected individuals but also has had a probable post-traumatic stress disorder among young college students. Screening for psychological well-being and the treatment for PTSD is imperative in college, school and general population.

"Efficacy of Cognitive Behavioral Therapy in Post-traumatic Stress Disorder Among Spinal Cord Injury Patients: A Randomized Controlled Pilot Study"

2021 ◽  
Vol 21 (2) ◽  
pp. 143-162
Author(s):  
Anwar Khan ◽  
Faseeh Ullah ◽  
Omer Abid ◽  
Khizra Hafeez Awan
Keyword(s):  
Spinal Cord ◽  
Post Traumatic Stress Disorder ◽  
Traumatic Stress ◽  
Stress Disorder ◽  
Behavioral Therapy ◽  
Ptsd Symptoms ◽  
Post Traumatic Stress ◽  
Randomized Controlled ◽  
Cord Injury ◽  
Post Traumatic

"Post-Traumatic Stress Disorder (PTSD) develops after exposure to or witnessing traumatic events. PTSD is very common among the Spinal Cord Injury (SCI) patients. PTSD can be successfully treated with the Cognitive Behavioral Therapy (CBT). However, CBT is mostly used in the western countries, so its efficacy in the eastern culture is still not fully known. Keeping this in view, the current study has determined the efficacy of CBT in the treatment of PTSD among the SCI patients in Pakistan. Using a Randomized Controlled Pilot Study design, data were collected through the Clinician-Administered PTSD Scale for DSM-5 from thirty patients admitted to the Paraplegic Center. Trauma-focused CBT(TF-CBT) protocol was applied through fourteen sessions. Data were analyzed by descriptive and multivariate statistics. Findings show that the level of PTSD symptoms gradually decreased from high at baseline (CAPS-5 Mean Scores μ= 3.6) to low during follow-up stage (CAPS-5 Mean Scores μ= 0.89). Results obtained from the present study on the efficacy of CBT are in concurrence with the research findings in other countries. This study supports the efficiency CBT intervention among Pakistani patients who had developed PTSD symptoms after suffering from SCI. Therefore, CBT can be widely used in the management of PTSD in Pakistan."

Mental Health Outcomes of Peer-led Therapeutic Adventure for Military Veterans

2021 ◽  
pp. 105382592110495
Author(s):  
Joanna Ellen Bettmann ◽  
Ileana Anderson ◽  
Joe Makouske ◽  
Adam Hanley
Keyword(s):  
Mental Health ◽  
Military Veterans ◽  
Well Being ◽  
Group Model ◽  
Health Issues ◽  
Post Traumatic Stress ◽  
Community Based Interventions ◽  
Community Based ◽  
Post Traumatic ◽  
Adventure Program

Background: Skepticism of therapy and stigma are significant barriers for veterans with mental health issues. Therapeutic adventure shows promise in addressing veterans’ mental health needs while circumventing the stigma many veterans face in initiating treatment. Purpose: Given the small group model of therapeutic adventure programs, such programs may be ideal to provide social support for veterans and reduce mental health symptomology. The present study investigated: can a brief peer-led therapeutic adventure program modify veterans’ mental health symptoms? Methodology/Approach: The study's sample included 56 participants attending one Sierra Club Military Outdoors trip lasting at least three days and two nights and involving camping. Participants completed study measurements assessing depression, anxiety, stress, Post-Traumatic Stress Disorder symptoms, substance misuse symptoms, and suicidality at pre-trip, post-trip, one-month post trip, six-months post trip, and 12-months post trip. Six-month and 12-month post-trip data was collected during the COVID-19 pandemic. Findings/Conclusions: Results indicated significant reduction in mental health symptomology from pre-trip to post-trip, but showed few longer-term changes in mental health symptomology. Implications: The present study's findings are consistent with research suggesting improvements in overall psychological well-being immediately following a nature-based intervention and suggest the need for on-going, community-based interventions to support optimally military veterans’ mental health.

Trauma-Focused Cognitive Behavior Therapy

2016 ◽  
Vol 27 (2) ◽  
pp. 226-235 ◽  
Author(s):  
Nancy K. Westerman ◽  
Vanessa E. Cobham ◽  
Brett McDermott
Keyword(s):  
Post Traumatic Stress Disorder ◽  
Traumatic Stress ◽  
Stress Disorder ◽  
Behavioral Therapy ◽  
Cognitive Behavior ◽  
Coding System ◽  
Post Traumatic Stress ◽  
Trauma Narratives ◽  
Internal Logic ◽  
Post Traumatic

Repeated retelling of trauma narratives within Trauma-Focused Cognitive Behavioral Therapy (TF-CBT) assists participants to habituate to experiences that have precipitated symptoms of post-traumatic stress. In this study, the narratives produced by children and adolescents, who developed post-traumatic stress disorder following a natural disaster, and who were treated with a manualized TF-CBT intervention, were examined. The first author developed a coding system utilizing three major concepts (coherence, elaboration, and evaluation) to identify changes in the narratives as they were retold at each therapeutic session. Analysis using this coding system identified that the internal logic of the stories was maintained as the detail diminished, and that the level of evaluation increased. Compression emerged as a major pattern, alongside the reduction in participant distress over the course of the treatment. Although requiring replication, these trial concepts, developed by the coding system, have potential analyzing trauma narratives and enhancing clinician observations.

scholarly journals Randomized Clinical Trial of Telephone-Administered Cognitive-Behavioral Therapy to Reduce Post-Traumatic Stress Disorder and Distress Symptoms After Hematopoietic Stem-Cell Transplantation

2010 ◽  
Vol 28 (23) ◽  
pp. 3754-3761 ◽  
Author(s):  
Katherine N. DuHamel ◽  
Catherine E. Mosher ◽  
Gary Winkel ◽  
Larissa E. Labay ◽  
Christine Rini ◽  
...  
Keyword(s):  
Post Traumatic Stress Disorder ◽  
Traumatic Stress ◽  
Behavioral Therapy ◽  
Ptsd Symptoms ◽  
Post Traumatic Stress ◽  
Hematopoietic Stem ◽  
General Distress ◽  
Distress Symptoms ◽  
Post Traumatic

Purpose A significant number of survivors of hematopoietic stem-cell transplantation (HSCT) report enduring adverse effects of treatment, including illness-related post-traumatic stress disorder (PTSD) symptoms and general distress. We report results of a randomized clinical trial that tested the effects of a 10-session, telephone-administered cognitive-behavioral therapy (CBT) intervention on PTSD, depression, and distress symptoms. Methods Survivors who had undergone HSCT 1 to 3 years earlier (N = 408) were assessed for study eligibility. Those who met study eligibility criteria (n = 89) completed a baseline assessment that included a clinical interview and self-report measures of PTSD symptoms (the primary outcome) and depression and general distress (the secondary outcomes). Next, they were randomly assigned to CBT or an assessment-only condition. Survivors in the CBT group completed 10 individual telephone-based CBT sessions (T-CBT) that included strategies to reduce PTSD symptoms, depression, and general distress. Follow-up assessments occurred at 6, 9, and 12 months after the baseline assessment. Results Linear mixed-model analyses revealed that, compared with HSCT survivors in the assessment-only condition, survivors who completed T-CBT reported fewer illness-related PTSD symptoms, including less avoidance (P < .001) and fewer intrusive thoughts (P < .05) as well as less general distress and fewer depressive symptoms (P < .05) even after controlling for potential demographic and medical covariates. These results were consistent across the three follow-up assessments. Conclusion A brief, telephone-administered CBT intervention developed for HSCT survivors is an efficacious treatment for reducing illness-related PTSD symptoms and general distress.

scholarly journals Perceived stress and post-traumatic stress disorder symptoms among intensive care unit staff caring for severely ill coronavirus disease 2019 patients during the pandemic: a national study

2021 ◽  
Vol 20 (1) ◽  
Author(s):  
Nisha Kader ◽  
Bushra Elhusein ◽  
Nirvana Swamy Kudlur Chandrappa ◽  
Abdulqadir J. Nashwan ◽  
Prem Chandra ◽  
...  
Keyword(s):  
Mental Health ◽  
Intensive Care Unit ◽  
Perceived Stress ◽  
Post Traumatic Stress Disorder ◽  
Traumatic Stress ◽  
Stress Disorder ◽  
Well Being ◽  
Ptsd Symptoms ◽  
Post Traumatic Stress ◽  
Post Traumatic

Abstract Background Intensive care unit (ICU) staff have faced unprecedented challenges during the coronavirus disease 2019 (COVID-19) pandemic, which could significantly affect their mental health and well-being. The present study aimed to investigate perceived stress and post-traumatic stress disorder (PTSD) symptoms reported by ICU staff working directly with COVID-19 patients. Methods The Perceived Stress Scale was used to assess perceived stress, the PTSD Diagnostic Scale for the Diagnostic and Statistical Manual of Mental Disorders (5th edition) was used to determine PTSD symptoms, and a sociodemographic questionnaire was used to record different sociodemographic variables. Results Altogether, 124 participants (57.2% of whom were men) were included in the analysis. The majority of participants perceived working in the ICU with COVID-19 patients as moderately to severely stressful. Moreover, 71.4% of doctors and 74.4% of nurses experienced moderate-to-severe perceived stress. The staff with previous ICU experience were less likely to have a probable diagnosis of PTSD than those without previous ICU experience. Conclusions Assessing perceived stress levels and PTSD among ICU staff may enhance our understanding of COVID-19-induced mental health challenges. Specific strategies to enhance ICU staff’s mental well-being during the COVID-19 pandemic should be employed and monitored regularly. Interventions aimed at alleviating sources of anxiety in a high-stress environment may reduce the likelihood of developing PTSD.

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