Early intervention in post‐traumatic stress disorder without exposure to trauma memories using internet‐delivered cognitive therapy: A pilot case series.

Objectives: Trauma‐focussed psychological interventions are the treatments of choice for post‐traumatic stress disorder (PTSD). As many clinical services receive high demand for PTSD interventions, strategies to improve treatment efficiency are needed. Some people seek help in the early phase post‐t...

Descripción completa

Detalles Bibliográficos
Publicado en:British Journal of Clinical Psychology Vol. 62; no. 2; pp. 459 - 471
Autores principales: Thew, Graham R., Wild, Jennifer, Ehlers, Anke
Formato: research tables/charts Journal Article
Publicado: Wiley-Blackwell Jun2023
Acceso en línea:Ver este registro en EBSCOhost
fields @attributes:
  recordID: 1
pdfLink:
plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=163821711&site=ehost-live
header:
  @attributes:
    shortDbName: ccm
    uiTerm: 163821711
    longDbName: CINAHL Complete
    uiTag: AN
  controlInfo:
    bkinfo:
    dissinfo:
    jinfo:
      jid:
        01446657
        99B
      jtl: British Journal of Clinical Psychology
      issn: 01446657
      maglogo: Y
    pubinfo:
      dt: Jun2023
      vid: 62
      iid: 2
      pid: 480
      pub: Wiley-Blackwell
      place: Malden, Massachusetts
    artinfo:
      ui:
        163821711
        162521010
        163821711
        163821711
        10.1111/bjc.12419
        163821711
      ppf: 459
      ppct: 12
      formats:
        fmt:
          – @attributes:
              type: T
          – @attributes:
              type: C
          – @attributes:
              type: P
      tig:
        atl: Early intervention in post‐traumatic stress disorder without exposure to trauma memories using internet‐delivered cognitive therapy: A pilot case series.
      aug:
        au:
          Thew, Graham R.
          Wild, Jennifer
          Ehlers, Anke
        affil: Department of Experimental Psychology, University of Oxford, Oxford, UK
      sug:
        subj:
          Early Intervention
          Stress Disorders, Post-Traumatic Therapy
          Trauma
          Internet-Based Intervention
          Memory
          Cognitive Therapy
          Treatment Outcomes
          Human
          Pilot Studies
          Psychoeducation
          Anxiety Prevention and Control
          Depression Prevention and Control
          Coping
          Help Seeking Behavior
          Funding Source
      ab: Objectives: Trauma‐focussed psychological interventions are the treatments of choice for post‐traumatic stress disorder (PTSD). As many clinical services receive high demand for PTSD interventions, strategies to improve treatment efficiency are needed. Some people seek help in the early phase post‐trauma, including as soon as the first few months. It is unclear whether all components of trauma‐focussed CBT are needed in this initial stage. Providing brief intervention in this early phase without work on trauma memories may be feasible and effective. This service evaluation study describes a case series of five participants experiencing PTSD following recent traumas. Methods: Participants completed a shortened 6‐week form of Internet‐delivered Cognitive Therapy for PTSD (iCT‐PTSD), which used fewer treatment modules and focussed primarily on psychoeducation about PTSD, and two key treatment components, 'reclaiming your life' and trigger discrimination. Unlike the full course of iCT‐PTSD, this format did not include working directly with trauma memories. Results: The intervention was associated with large reductions in symptoms of PTSD, depression and anxiety at the 6‐week timepoint, which were maintained at 3‐month follow‐up. Scores on the composite PTSD measure showed an average reduction of 91% between baseline and end of follow‐up. One client required an extension to the weekly phase of treatment and received further treatment modules. All were discharged after follow‐up and did not require further treatment. Conclusions: The findings provide preliminary evidence that this briefer format of iCT‐PTSD was of benefit for those seeking support following recent traumas. Further examination in a larger controlled study is required.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
    refInfo:
    holdings:
      @attributes:
        islocal: N