Efficacy of exposure therapy for Japanese patients with posttraumatic stress disorder due to mixed traumatic events: A randomized controlled study

Asukai, Nozomu; Saito, Azusa; Tsuruta, Nobuko; Kishimoto, Junji; Nishikawa, Toru

doi:10.1002/jts.20589

Cited by 59 publications

(61 citation statements)

References 29 publications

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“…This finding is striking given that the study compared the efficacy of the treatment development team to community-based therapists who had minimal prior experience in delivering manual-based CBT interventions. Community-based therapists have produced similar results in their delivery of PE for PTSD in Japan (Asukai et al, 2010) and Israel (Nacasch et al, 2010) and achieved outcomes far superior to treatment as usual. These examples and others are discussed in greater detail below in the section on “Meeting the Global Need” and demonstrate that PE is readily adaptable to community settings with non-expert clinicians.…”

Section: Current Use Of Ebts For Ptsd By Mental Health Cliniciansmentioning

confidence: 99%

“…PE produces significantly greater pre- to posttreatment reductions in PTSD symptoms compared to supportive counseling (Bryant, Moulds, Guthrie, Dang, et al, 2003; Schnurr et al, 2007), relaxation training (Marks, Lovell, Noshirvani, Livanou, & Thrasher, 1998; Taylor et al, 2003; Vaughan, Armstrong, Gold, & O'Connor, 1994), and “treatment as usual” including pharmacotherapy (Asukai, Saito, Tsuruta, Kishimoto, & Nishikawa, 2010), non-exposure-based individual psychotherapy (Boudewyns et al, 1990), and combinations of psychopharmacology, counseling, and group therapy (e.g., Nacasch et al, 2010). A similar protocol developed by Marks et al (1998) employs imaginal and in vivo exposure sequentially, instead of concurrently.…”

Section: Exposure Therapiesmentioning

confidence: 99%

“…This awareness prompted calls for policies and adequate funding to meet the needs of veterans and active duty service personnel with PTSD (e.g., Domestic Social Policy Division, 2006), reflected in numerous media reports. The VHA central office responded by rolling out two initiatives for disseminating EBTs for PTSD to VA clinicians: PE and Cognitive Processing Therapy (Karlin et al, 2010). Here we will describe the PE initiative, the goal of which was to establish the VA's ongoing capacity to train and supervise their mental health practitioners in conducting PE.…”

Section: Dissemination Of Ebts In Developed Countriesmentioning

confidence: 99%

See 2 more Smart Citations

Challenges and Successes in Dissemination of Evidence-Based Treatments for Posttraumatic Stress

Foa

Gillihan

Bryant

2013

Psychol Sci Public Interest

162

138

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Posttraumatic stress disorder (PTSD) poses monumental public health challenges because of its contribution to mental health, physical health, and both interpersonal and social problems. Recent military engagements in Iraq and Afghanistan and the multitude of resulting cases of PTSD have highlighted the public health significance of these conditions. There are now psychological treatments that can effectively treat most individuals with PTSD, including active duty military personnel, veterans, and civilians. We begin by reviewing the effectiveness of these treatments, with a focus on prolonged exposure (PE), a cognitive-behavioral therapy (CBT) for PTSD. Many studies conducted in independent research labs have demonstrated that PE is highly efficacious in treating PTSD across a wide range of trauma types, survivor characteristics, and cultures. Furthermore, therapists without prior CBT experience can readily learn and implement the treatment successfully. Despite the existence of highly effective treatments like PE, the majority of individuals with PTSD receive treatments of unknown efficacy. Thus, it is crucial to identify the barriers and challenges that must be addressed in order to promote the widespread dissemination of effective treatments for PTSD. In this review, we first discuss some of the major challenges, such as a professional culture that often is antagonistic to evidence-based treatments (EBTs), a lack of clinician training in EBTs, limited effectiveness of commonly used dissemination techniques, and the significant cost associated with effective dissemination models. Next, we review local, national, and international efforts to disseminate PE and similar treatments and illustrate the challenges and successes involved in promoting the adoption of EBTs in mental health systems. We then consider ways in which the barriers discussed earlier can be overcome, as well as the difficulties involved in effecting sustained organizational change in mental health systems. We also present examples of efforts to disseminate PE in developing countries and the attendant challenges when mental health systems are severely underdeveloped. Finally, we present future directions for the dissemination of EBTs for PTSD, including the use of newer technologies such as web-based therapy and telemedicine. We conclude by discussing the need for concerted action among multiple interacting systems in order to overcome existing barriers to dissemination and promote widespread access to effective treatment for PTSD. These systems include graduate training programs, government agencies, health insurers, professional organizations, healthcare delivery systems, clinical researchers, and public education systems like the media. Each of these entities can play a major role in reducing the personal suffering and public health burden associated with posttraumatic stress.

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Section: Current Use Of Ebts For Ptsd By Mental Health Cliniciansmentioning

confidence: 99%

Section: Exposure Therapiesmentioning

confidence: 99%

Section: Dissemination Of Ebts In Developed Countriesmentioning

confidence: 99%

See 1 more Smart Citation

Challenges and Successes in Dissemination of Evidence-Based Treatments for Posttraumatic Stress

Foa

Gillihan

Bryant

2013

Psychol Sci Public Interest

162

138

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“…and assigning in vivo exposures for homework . This protocol has been found successful with a diverse range of patient populations in a range of clinical settings (Powers, Halpern, Ferenschak, Gillihan, & Foa, 2010), e.g., community clinic and academic research clinics (Foa et al, 2005;Ironson, Freud, Strauss, & Williams, 2002); HIV-positive patients (Pacella et al, 2012); rape survivors (Foa, Rothbaum, Riggs, & Murdock, 1991;Resick et al, 2002;Rothbaum, Astin, & Marsteller, 2005); male and female veterans (Thorp, Stein, Jeste, Patterson, & Wetherell, 2012;Schnurr et al, 2007), and Japanese men and women (Asukai, Saito, Tsuruta, Kishimoto, & Nishikawa, 2010).…”

Section: Cognitive-behavioral Approachesmentioning

confidence: 99%

Posttraumatic Stress Disorder: Assessment and Treatment

Kulkarni¹,

Barrad²,

Cloitre³

2014

The Wiley Handbook of Anxiety Disorders

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“…They are directly related to the fear and anxiety that they generate to those who suffer. For the treatment of these disorders, we have demonstrated that exposure-based on therapies are more appropriate and effective than other ones [3][4][5][6][7][8][9][10][11]. Allowing patients to overcome their phobias in a progressive way.…”

Section: Introductionmentioning

confidence: 99%

Interactive multiplatform software to mitigate arachnophobia through augmented reality

Plasencia¹,

Escobar-Sánchez²

2018

KEG

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Augmented Reality (RA) is a technology that mixes physical reality with virtual elements, resulting in mixed reality in real time. He is currently widely accepted for his ease of adaptation in human activities. Superimposing data and digital information in a real environment for educational, commercial, social, therapeutic, industrial, among others. The objective of this research is to develop an interactive software to mitigate arachnophobia by using the engine and graphic editor of Unity Games, focusing on augmented reality. In this project the agile scrum methodology was used.Because it is based on incremental development. Enabling application requirements and development to be flexible for patients and developers. Obtained as a result of a sample of 16 people, that 93.19% improved equal or greater than 50% in their level of anxiety and fear according to their score obtained in the test FSQ after using the proposed application. While 6.81% obtained a percentage lower than 50% because the use of the application was carried out in times less than 20 minutes per day, causing no significant changes.

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Efficacy of exposure therapy for Japanese patients with posttraumatic stress disorder due to mixed traumatic events: A randomized controlled study

Cited by 59 publications

References 29 publications

Challenges and Successes in Dissemination of Evidence-Based Treatments for Posttraumatic Stress

Challenges and Successes in Dissemination of Evidence-Based Treatments for Posttraumatic Stress

Posttraumatic Stress Disorder: Assessment and Treatment

Interactive multiplatform software to mitigate arachnophobia through augmented reality

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