Comparative Effectiveness of Cognitive Behavioral Therapy 5 Sessions and 12 Sessions Toward to Post Traumatic Stress Disorder on Post Flood Disaster Adolescent

Abstract

Flood disaster conduced 2375 refugees and traumatic in adolescent with symptoms of Post Traumatic Stress Disorder as many as 15 people in Garut regency. The impact of PTSD on adolescents reduced brain volume, behavioral changed and short-term memory lost. The psychotherapy that proved to be effective overcome PTSD was Cognitive Behavioral Therapy (CBT) 12 sessions but the empirical evidence in Indonesia, the 12 session of CBT intervention was too long, tedious, and caused doubts to the therapist so that 5 session CBT intervention was considered more flexible and efficient. The purpose of this study was compare the effectiveness of PTSD scores pre and post intervention of CBT 5 sessions and 12 sessions toward of PTSD on post flood disaster in adolescent. This research used Quasi Experiment Design with Pre test and Post test approach Two Group Design. The first group was given CBT 5 sessions and the second group was given CBT 12 sessions with the total number of adolescent respondents were 38 people (aged 12-18). The sample was chosen by used Consecutive Sampling at two evacuation sites in Cilawu and Tarogong Kidul subdistrict, Garut regency, West Java, Indonesia. The results of this study pre and post intervention in both groups decreased of PTSD score which difference of median value of 6.00 on CBT 5 session and average difference of 7.58 on CBT 12 session with significancy (p-value < 0.01) and the result analysis test on the effectiveness of both interventions (p-value > 0.05) with significancy number 0.648. The conclusion was no significant difference between the effectiveness of the CBT group of 5 sessions and the CBT group of 12 sessions. There needs comparison of more than 5 sessions and less than 12 sessions for next research.

The Effect of Cognitive Behavioral Therapy for Trauma on Children Victims of Disasters: A Literature Review

“…After looking at the results of the pre-test and also the post-test, it proved that there was no significant difference in PTSD scores between the two treatment groups, because the two interventions, both 5 sessions and 12 sessions, both significantly reduced PTSD scores and showed effective intervention results. so that there was no significant difference between the groups that were given 5 sessions of CBT and also 12 sessions (Hayati et al, 2018).…”

“…Whereas in the research conducted by Pityaratstian, the first session was started with treatment, where the components of the treatment included psychological education, breathing training, ensuring a safe environment from disturbances (Pityaratstian et al, 2015). Biological research on adolescents after the flood disaster in Garut found that CBT 5 sessions or 12 sessions had no significant effect on the level of decline in PTSD scores (Hayati et al, 2018).…”

Terapi Pengelolaan Kecemasan dalam Menurunkan Stres pada Korban Pasca Bencana Gempa Bumi

“…Dengan tujuan untuk mengurangi atau menghilangkan tanda dan gejala, serta mengajarkan mekanisme koping yang baru dengan CBT agar mengurangi stress dan tingkat kecemasan. Menurut Hayati et al, (2018) membuktikan CBT efektif membantu remaja mengatasi kecemasan yang dihadapi. Dalam penelitian Swift et al, (2012) bahwa mengatakan intervensi dengan diberikan terapi CBT pada remaja yang memiliki masalah stress dan kecemasan serta depresi lebih efektif dalam menurunkan kecemasan dan dapat meningkatkan kembali kognitif, dan tingkah laku dari negatif menjadi positif dengan pendekatan psikoterapeutik dengan melakukan terapi yang teratur.…”

Efektivitas cognitive behavior therapy untuk menurunkan ptsd kecelakaan berkendaraan motor pada mahasiswa

“…Penelitian terlebih dahulu menunjukkan bahwa terdapat penuruan gejala PTSD yang diberikan oleh intervensi Cognitive behavior therapy. (Hayati et al, 2018) namun yang membedakan penelitian ini dilakukan secara kolektif. Penelitan yang sama bahwa ada pengaruh yang signifikan0terkait CBT terdahap gejala0PTSD pada pasien0post kecelakaan pengendara motor berupa lalu lintas di RSUD Denpasar (Prabandari et al, 2015).…”