scholarly journals A Randomized Clinical Trial to Assess the Efficacy of Online-Treatment with Trial-Based Cognitive Therapy, Mindfulness-Based Health Promotion and Positive Psychotherapy for Post-Traumatic Stress Disorder during the COVID-19 Pandemic: A Study Protocol

2022 ◽  
Vol 19 (2) ◽  
pp. 819
Author(s):  
Érica Panzani Duran ◽  
Curt Hemanny ◽  
Renata Vieira ◽  
Orlando Nascimento ◽  
Leonardo Machado ◽  
...  
Keyword(s):  
Clinical Trial ◽  
Health Promotion ◽  
Cognitive Therapy ◽  
Post Traumatic Stress Disorder ◽  
Traumatic Stress ◽  
Stress Disorder ◽  
Post Traumatic Stress ◽  
Positive Psychotherapy ◽  
Online Treatment ◽  
Post Traumatic

Background: Research suggests the use of different forms of therapy as a way of decreasing dropout rates in the treatment of post-traumatic stress disorder (PTSD). The psychotherapies to be assessed in this study are trial-based cognitive therapy (TBCT), mindfulness-based health promotion (MBHP) and positive psychotherapy (PPT). Objectives: (1) to assess the online efficacy of TBCT compared to MBHP and PPT to reduce the symptoms of PTSD in the context of the Coronavirus Disease 2019 (COVID-19) pandemic; (2) to compare the efficacy of these psychotherapies in improving anxiety, depression, guilt and in promoting well-being; and (3) to describe how professionals perceive online treatment. Methods: A randomized, multicenter, single-blind clinical trial will be conducted, with three separate arms. An estimated sample of 135 patients will receive either TBCT, MBHP or PPT and will be treated through online, individual, weekly visits, totaling 14 sessions. The primary outcome will be CAPS-5 and secondary outcomes will be HADS and WHO-5. The variables used to mediate these outcomes will be the Trauma-Related Guilt Inventory (TRGI), Negative Core Beliefs Inventory (NCBI) and the California Psychotherapy Alliance Scale (CALPAS-P). Expected results: PTSD symptoms are expected to be reduced after TBCT, MBHP and PPT. No statistical difference is expected to be found among the three. Discussion: The present study will evaluate and contribute towards the development of new psychotherapeutic options for patients with PTSD. The results of this study will allow the dissemination of new effective and adaptable interventions for patients with PTSD.

A randomized clinical trial to assess the efficacy of trial-based cognitive therapy compared to prolonged exposure for post-traumatic stress disorder: preliminary findings

CNS Spectrums ◽  
2020 ◽  
pp. 1-8
Author(s):  
Érica Panzani Duran ◽  
Felipe Corchs ◽  
Andrea Vianna ◽  
Álvaro Cabral Araújo ◽  
Natália Del Real ◽  
...  
Keyword(s):  
Cognitive Therapy ◽  
Post Traumatic Stress Disorder ◽  
Traumatic Stress ◽  
Stress Disorder ◽  
Prolonged Exposure ◽  
Dropout Rate ◽  
Dysfunctional Attitudes ◽  
Post Traumatic Stress ◽  
Post Traumatic ◽  
Secondary Outcomes

Abstract Background. Post-traumatic stress disorder (PTSD) is a prevalent mental health condition that is often associated with psychiatric comorbidities and changes in quality of life. Prolonged exposure therapy (PE) is considered the gold standard psychological treatment for PTSD, but treatment resistance and relapse rates are high. Trial-based cognitive therapy (TBCT) is an effective treatment for depression and social anxiety disorder, and its structure seems particularly promising for PTSD. Therefore, we evaluated the efficacy of TBCT compared to PE in patients with PTSD. Methods. Ninety-five patients (77.6% females) who met Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, Text Revision, criteria for PTSD were randomly assigned to receive either TBCT (n = 44) or PE (n = 51). Patients were evaluated before and after treatment, and at follow-up 3 months after treatment. The primary outcome was improvement in PTSD symptoms as assessed by the Davidson Trauma Scale (DTS). Secondary outcomes were depression, anxiety, and dysfunctional attitudes assessed by the Beck Depression/Anxiety Inventories and Dysfunctional Attitudes Scale, as well as the dropout rate. Results. A significant reduction in DTS scores was observed in both arms, but no significant difference between treatments. Regarding the secondary outcomes, we found significant differences in depressive symptoms in favor of TBCT, and the dropout rate was lower in the TBCT group than the PE group. Conclusion. Our preliminary results suggest that TBCT may be an effective alternative for treating PTSD. Further research is needed to better understand its role and the mechanisms of change in the treatment of this disorder.

scholarly journals Cognitive therapy for post-traumatic stress disorder following critical illness and intensive care unit admission

2020 ◽  
Vol 13 ◽  
Author(s):  
Hannah Murray ◽  
Nick Grey ◽  
Jennifer Wild ◽  
Emma Warnock-Parkes ◽  
Alice Kerr ◽  
...  
Keyword(s):  
Intensive Care ◽  
Cognitive Therapy ◽  
Intensive Care Units ◽  
Post Traumatic Stress Disorder ◽  
Traumatic Stress ◽  
Stress Disorder ◽  
List Type ◽  
Post Traumatic Stress ◽  
Case Examples ◽  
Post Traumatic

Abstract Around a quarter of patients treated in intensive care units (ICUs) will develop symptoms of post-traumatic stress disorder (PTSD). Given the dramatic increase in ICU admissions during the COVID-19 pandemic, clinicians are likely to see a rise in post-ICU PTSD cases in the coming months. Post-ICU PTSD can present various challenges to clinicians, and no clinical guidelines have been published for delivering trauma-focused cognitive behavioural therapy with this population. In this article, we describe how to use cognitive therapy for PTSD (CT-PTSD), a first line treatment for PTSD recommended by the National Institute for Health and Care Excellence. Using clinical case examples, we outline the key techniques involved in CT-PTSD, and describe their application to treating patients with PTSD following ICU. Key learning aims (1) To recognise PTSD following admissions to intensive care units (ICUs). (2) To understand how the ICU experience can lead to PTSD development. (3) To understand how Ehlers and Clark’s (2000) cognitive model of PTSD can be applied to post-ICU PTSD. (4) To be able to apply cognitive therapy for PTSD to patients with post-ICU PTSD.

PENERAPAN TERAPI KOGNITIF UNTUK MENGATASI GANGGUAN STRES PASCA TRAUMATIK PADA PEKERJA SEKS KOMERSIAL

2017 ◽  
Vol 2 (1) ◽  
Author(s):  
Laila Uthomah
Keyword(s):  
Cognitive Therapy ◽  
Pattern Matching ◽  
Post Traumatic Stress Disorder ◽  
Traumatic Stress ◽  
Sex Workers ◽  
Stress Disorder ◽  
Social Institutions ◽  
Post Traumatic Stress ◽  
Post Traumatic ◽  
The Individual

 This study aims to determine whether the application of cognitive therapy can overcome post-traumatic stress disorder in commercial sex workers in social institutions Bina Karya Wanita Harapan Mulya Kedoya. This study uses a qualitative approach, with a single research subject. The results of the study are based on pattern matching data on CSW who have post traumatic stress disorder, all behaviors in theory are owned by the case. It shows that the case has a post traumatic stress disorder with behavior: it has a series of events that traumatize the individual, immediately accepts every man who pays little attention then is ignored, lives in a CSW environment and has a daughter who is his dependent. Based on the results of the intervention analysis, the informant feels that the current condition is more confident, feels excited about the next life, and can be grateful by accepting his current situation.   Keywords: Comersil Sex Workers, Post Traumatic Stress Disorder, Cognitive Therapy    Penelitian ini bertujuan untuk mengetahui apakah penerapan terapi kognitif dapat mengatasi gangguan stres pasca traumatik pada pekerja seks komersial di panti sosial Bina Karya Wanita Harapan Mulya Kedoya. Penelitian ini menggunakan pendekatan kualitatif, dengan subjek penelitian tunggal. Hasil penelitian berdasarkan data pattern matching pada PSK yang memiliki gangguan stres pasca traumatik, semua perilaku yang ada pada teori dimiliki oleh kasus. Hal itu menunjukkan bahwa kasus memiliki kondisi gangguan stres pasca traumatik dengan perilaku: memiliki sederetan kejadian-kejadian yang membuat individu trauma, langsung menerima setiap laki-laki yang memberikan perhatian sedikit kemudian diabaikan, tinggal di lingkungan PSK dan memiliki anak perempuan yang menjadi tanggungannya. Berdasarkan hasil analisa intervensi adalah informan merasa kondisi saat ini lebih percaya diri, merasa semangat dengan kehidupan selanjutnya, dan dapat bersyukur dengan menerima keadaannya dirinya saat ini.                                                                                                                          Kata Kunci: Pekerja Seks Komersial, Gangguan Stres Pasca Traumatik, Terapi Kognitif.

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