Multiple session early psychological interventions for the prevention of post-traumatic stress disorder

Roberts, Neil P.; Kitchiner, Neil J; Kenardy, Justin; Bisson, Jonathan I.

doi:10.1002/14651858.cd006869.pub2

Cited by 102 publications

(41 citation statements)

References 76 publications

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“…Though the 30-minute gap is in line with other experimental studies on rescripting, it is not in line with clinical observations, making it hard to generalise the results to a clinical setting. As such one can argue that the current study is more in line with PTSD prevention research (see for reviews Feldner, Monson, & Friedman, 2007;Roberts, Kitchiner, Kenardy, & Bisson, 2009). Like in the experimental study of Hagenaars and Arntz (2012), the intervention rather aimed at preventing PTSDlike symptoms than treating them.…”

Section: Imagery Rescriptingmentioning

confidence: 69%

Imagery rescripting: Is incorporation of the most aversive scenes necessary?

Dibbets

Arntz

2015

Memory

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During imagery rescripting (ImRs) an aversive memory is relived and transformed to have a more positive outcome. ImRs is frequently applied in psychological treatment and is known to reduce intrusions and distress of the memory. However, little is known about the necessity to incorporate the central aversive parts of the memory in ImRs. To examine this necessity one hundred participants watched an aversive film and were subsequently randomly assigned to one of four experimental conditions: ImRs including the aversive scenes (Late ImRs), ImRs without the aversive scenes (Early ImRs), imaginal exposure (IE) or a control condition (Cont). Participants in the IE intervention reported the highest distress levels during the intervention; Cont resulted in the lowest levels of self-reported distress. For the intrusion frequency, only the late ImRs resulted in fewer intrusions compared to the Cont condition; Early ImRs produced significantly more intrusions than the Late ImRs or IE condition. Finally, the intrusions of the Late ImRs condition were reported as less vivid compared to the other conditions. To conclude, it seems beneficial including aversive scenes in ImRs after an analogue trauma induction.

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Section: Imagery Rescriptingmentioning

confidence: 69%

Imagery rescripting: Is incorporation of the most aversive scenes necessary?

Dibbets

Arntz

2015

Memory

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“…Although many children are resilient and recover well, posttraumatic stress (PTS) responses following acute trauma occur in a significant minority of these children, and, if persistent, these symptoms can have ongoing impact on child development and well-being (Copeland, Keeler, Angold, & Costello, 2007). Early intervention to prevent or reduce PTS responses holds promise, but the empirical literature for early interventions post-trauma has demonstrated that well-intentioned interventions can be ineffective in preventing psychological sequelae (Roberts, Kitchiner, Kenardy, & Bisson, 2009; Rose, Bisson, Churchill, & Wessely, 2001). This highlights the need for careful development and evaluation of early interventions for children.…”

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confidence: 99%

Design, delivery, and evaluation of early interventions for children exposed to acute trauma

Kassam‐Adams

2014

European Journal of Psychotraumatology

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BackgroundExposure to acute, potentially traumatic events is an unfortunately common experience for children and adolescents. Posttraumatic stress (PTS) responses following acute trauma can have an ongoing impact on child development and well-being. Early intervention to prevent or reduce PTS responses holds promise but requires careful development and empirical evaluation.ObjectivesThe aims of this review paper are to present a framework for thinking about the design, delivery, and evaluation of early interventions for children who have been exposed to acute trauma; highlight targets for early intervention; and describe next steps for research and practice.Results and conclusionsProposed early intervention methods must (1) have a firm theoretical grounding that guides the design of intervention components; (2) be practical for delivery in peri-trauma or early post-trauma contexts, which may require creative models that go outside of traditional means of providing services to children; and (3) be ready for evaluation of both outcomes and mechanisms of action. This paper describes three potential targets for early intervention—maladaptive trauma-related appraisals, excessive early avoidance, and social/interpersonal processes—for which there is theory and evidence suggesting an etiological role in the development or persistence of PTS symptoms in children.

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“…A number of systematic reviews and meta analyses (Roberts et al, 2009a;2009b; concluded that for those people showing acute traumatic stress symptoms post-incident, TF-CBT was effective when compared to both wait list and supportive counseling groups. Rothbaum et al (2012) investigated the effect of a modified individual prolonged exposure treatment versus assessment on a mixed trauma sample within 12 h post incident.…”

Section: Psychosocial Treatmentsmentioning

confidence: 99%

Psychological Intervention Including Emotional Freedom Techniques for an Adult With Motor Vehicle Accident Related Posttraumatic Stress Disorder: A Case Study

Sheldon¹

2014

Current Research in Psychology

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Posttraumatic Stress Disorder (PTSD) is a significant public health concern and can have long-term emotional, social and financial consequences for individuals and society. Lifetime prevalence in the general population is estimated at 8% and rates of exposure to Post-Traumatic Events (PTE) indicate approximately 50 to 65% have been exposed to at least one PTE in their lives. This indicates that approximately 15 to 25% of people exposed may also have a diagnosis of PTSD at some time in their life. It is therefore paramount that sufferers receive effective treatment. A case of successful treatment using Emotional Freedom Technique (EFT) combined with more conventional psychological treatment for a woman, DS, suffering from acute PTSD with travel anxiety post a motor vehicle accident is presented. The client's progress was evaluated at baseline and post treatment. After six sessions, over an eight week period, improvements were noted on all identified goals and on all assessment tools such that at post treatment DS no longer met the criteria for PTSD. The case highlights the utility of single case designs to evaluate the clinical decisions made in selection of treatment of PTSD. Theoretical implications of this study are discussed and an evaluation of using EFT in this case is provided.

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Multiple session early psychological interventions for the prevention of post-traumatic stress disorder

Cited by 102 publications

References 76 publications

Imagery rescripting: Is incorporation of the most aversive scenes necessary?

Imagery rescripting: Is incorporation of the most aversive scenes necessary?

Design, delivery, and evaluation of early interventions for children exposed to acute trauma

Psychological Intervention Including Emotional Freedom Techniques for an Adult With Motor Vehicle Accident Related Posttraumatic Stress Disorder: A Case Study

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