Cognitive therapy or imaginal exposure in the treatment of post-traumatic stress disorder

Tarrier, Nicholas; Sommerfield, Claire; Pilgrim, Hazel; Humphreys, Lloyd G.

doi:10.1192/bjp.175.6.571

Cited by 85 publications

(64 citation statements)

References 13 publications

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“…Regardless of the chosen treatment technique, about 40% of subjects present a recurrence of symptoms within the year (Martenyi & Soldatenkova, 2006, Tarrier, Sommerfeld, Pilgrim, & Humphreys, 1999) with a risk of relapse estimated at 20% within five years (Boe, Holgersen, & Holen, 2010). Most studies found a weak association of pre-trauma factors with recovery, presumably due to the strong influence of post-trauma factors (Rosellini et al, 2017).…”

Section: Introductionmentioning

confidence: 99%

e-PTSD: an overview on how new technologies can improve prediction and assessment of Posttraumatic Stress Disorder (PTSD)

Bourla

Mouchabac

El‐Hage

et al. 2018

European Journal of Psychotraumatology

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Background: New technologies may profoundly change our way of understanding psychiatric disorders including posttraumatic stress disorder (PTSD). Imaging and biomarkers, along with technological and medical informatics developments, might provide an answer regarding at-risk patient’s identification. Recent advances in the concept of ‘digital phenotype’, which refers to the capture of characteristics of a psychiatric disorder by computerized measurement tools, is one paradigmatic example. Objective: The impact of the new technologies on health professionals practice in PTSD care remains to be determined. The recent evolutions could disrupt the clinical practices and practitioners in their beliefs, ethics and representations, going as far as questioning their professional culture. In the present paper, we conducted an extensive search to highlight the articles which reflect the potential of these new technologies. Method: We conducted an overview by querying PubMed database with the terms [PTSD] [Posttraumatic stress disorder] AND [Computer] OR [Computerized] OR [Mobile] OR [Automatic] OR [Automated] OR [Machine learning] OR [Sensor] OR [Heart rate variability] OR [HRV] OR [actigraphy] OR [actimetry] OR [digital] OR [motion] OR [temperature] OR [virtual reality]. Results: We summarized the synthesized literature in two categories: prediction and assessment (including diagnostic, screening and monitoring). Two independent reviewers screened, extracted data and quality appraised the sources. Results were synthesized narratively. Conclusions: This overview shows that many studies are underway allowing researchers to start building a PTSD digital phenotype using passive data obtained by biometric sensors. Active data obtained from Ecological Momentary Assessment (EMA) could allow clinicians to assess PTSD patients. The place of connected objects, Artificial Intelligence and remote monitoring of patients with psychiatric pathology remains to be defined. These tools must be explained and adapted to the different profiles of physicians and patients. The involvement of patients, caregivers and health professionals is essential to the design and evaluation of these new tools.

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Section: Introductionmentioning

confidence: 99%

e-PTSD: an overview on how new technologies can improve prediction and assessment of Posttraumatic Stress Disorder (PTSD)

Bourla

Mouchabac

El‐Hage

et al. 2018

European Journal of Psychotraumatology

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“…The most frequently investigated forms of treatment in these long-term follow-up studies have included imaginal exposure-based treatments such as that used by Tarrier and colleagues 49 and Power and colleagues, 50 while other studies have included combinations of imaginal plus in vivo techniques as used by Richards and colleagues, 48 Foa and colleagues 52 and Bisson and colleagues. 51 Other forms of exposure-based treatments have included trauma-focused group therapy which provides patients with opportunities for exposure to their own traumatic events in addition to vicarious exposure to traumatic events experienced by other group members.…”

Section: Post-traumatic Stress Disordermentioning

confidence: 99%

“…With regard to patient characteristics the populations vary greatly. Of the six studies listed, three included adult civilians of both genders who had developed PTSD following trauma such as accident or assault, [48][49][50] one study included male and female patients who had attended accident and emergency facilities following physical injury, 51 one study included females only who had been victims of assault, primarily sexual assault, 52 and the remaining study included Vietnam veterans. 53 Among these studies the sample size varied considerably, ranging from as small as seven 48 up to 180.…”

Section: Post-traumatic Stress Disordermentioning

confidence: 99%

Long-term outcome of cognitive behaviour therapy clinical trials in central Scotland

Durham

Chambers²,

Power³

et al. 2005

Health Technol Assess

109

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“…In addition, those with more general apprehensions may raise concerns about how such guidelines will be used and their potentially stifling impact on research efforts to design and support even more effective treatments. This latter point is especially important given that a considerable number of individuals with PTSD still fail to respond to the most empirically efficacious treatments available at present (Andrews et al, 2002;Tarrier, Sommerfield, Pilgrim, & Humphreys, 1999).…”

Section: The First Is the Clinical Resource Efficiency Support Team (mentioning

confidence: 98%

Cautions on the overgeneralized application of the NICE and CREST recommendations for the treatment of PTSD in the UK: a reflection from practice in Belfast, Northern Ireland

Dorahy¹

2006

Clin Psychology and Psychoth

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Cognitive therapy or imaginal exposure in the treatment of post-traumatic stress disorder

Abstract: Clinical benefits for exposure or cognitive therapy were maintained.

Cited by 85 publications

References 13 publications

e-PTSD: an overview on how new technologies can improve prediction and assessment of Posttraumatic Stress Disorder (PTSD)

e-PTSD: an overview on how new technologies can improve prediction and assessment of Posttraumatic Stress Disorder (PTSD)

Long-term outcome of cognitive behaviour therapy clinical trials in central Scotland

Cautions on the overgeneralized application of the NICE and CREST recommendations for the treatment of PTSD in the UK: a reflection from practice in Belfast, Northern Ireland

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