Final Paper
Cognitive Behavioural and related Therapies
for
the Treatment of
Post Traumatic Stress Disorder
Abstract
In this paper the therapies related to Cognitive Behavioural Therapy (CBT) will be studied in order to determine the applicability thereof for the treatment (and prevention) of Post Traumatic Stress Disorder (PTSD). PTSD will be summarised as described in the Diagnostic and Statistical Manual of mental disorders edition 4 with revisions (DSM-IV-TR). The therapy models, their theory and techniques will be discussed. The therapies this paper has in scope are, CBT, Exposure therapy and it’s different related techniques, Stress Inoculation Training (SIT), and Eye Movement Desensitisation and Reprocessing (EMDR). Other augmenting therapies will be discussed as well. The application of these therapies will be researched in a literature review of clinical reviews and studies, in order to provide scientific - empirical evidence for the applicability of these therapies to treat PTSD.
Section 1:
Cognitive Behavioural and related Therapies for the Treatment of Post Traumatic Stress Disorder
Introduction
This paper will focus on the Cognitive Behavioural Therapy (CBT) and related therapies as used to treat Post Traumatic Stress Disorder (PTSD). For this reason it is necessary to understand how CBT and related therapies will be used to treat PTSD and how PTSD patients/clients will benefit from this therapies. Furthermore it is necessary to study previous clinical research to determine if these therapies are indeed helpful to treat PTSD.
Post Traumatic Stress Disorder (PTSD)
The American Psychiatric Association (APA), in their DSM-IV-TR (2000) defined PTSD as, “…the development of characteristic symptoms following exposure to an extreme traumatic stressor involving direct personal experience of an event that involves actual or threatened death or serious injury, or other threat to one 's physical integrity; or
References: American Psychiatric Association. (2000). Diagnostic and statistical manual of mental disorders (4th ed., text rev.) Beaulieu, D. (2003). Eye Movement Integration Therapy: The comprehensive clinical guide. Wales, UK: Crown House Publishing Beck, J. S. (2011). Cognitive Behavior Therapy, Basics and Beyond (2nd ed.). New York: The Guilford Press. Bisson, J., & Andrew, M. (2007). Psychological treatment of post-traumatic stress disorder (PTSD). Cochrane Database of Systematic Reviews, 2007(3), Article No. CD003388. Bisson, J. I., Ehlers, A., Matthews, R., Pilling, S., Richards, D., & Turner, S. (2007). Psychological treatments for chronic post-traumatic stress disorder: Systematic review and meta-analysis Bradley, R., Greene, J., Russ, E., Dutra, L., & Westen, D. (2005). A multidimensional meta- analysis of psychotherapy for PTSD Brewin, C. (1996). Theoretical foundations of cognitive-behaviour therapy for anxiety and depression Bryant, R. (1999). Cognitive Behavioral Therapy of violence-related Posttraumatic Stress Disorder Cahill, S., Foa, E. B., Hembree, E. A., Marshall, R. D., & Nacash, N. (2006). Dissemination of Exposure Therapy in the Treatment of Posttraumatic Stress Disorder Cherry, K. (2011). What is cognitive behaviour therapy? Retrieved from: http://psychology.about.com/od/psychotherapy/a/cbt.htm Corey, G. (2005). Theory and Practice of Counseling and Psychotherapy (7th ed.). Belmont, CA: Brooks/Cole Corey, G. (2009). Theory and practice of counseling and psychotherapy (8th ed.). Pacific Grove CA: Cengage Learning. Department of Veterans Affairs, Department of Defense. (2010). Clinical practice guideline for management of post-traumatic stress Foa, E. B., & Kozak, M. J. (1986). Emotional processing of fear: Exposure to corrective information Foa, E. B. (1995). How do treatments for obsessive-compulsive disorder compare? Harvard Mental Health Letter Follette, V. C., & Ruzek, J. I. (2006). Cognitive-Behavioral therapies for trauma (2nd ed.). New York: The Guilford Press. Follette, V. M., & Smith, A. A. A. (2005). Exposure Therapy. In A. Freeman, H. Felgoise, A. M. Nezu, C Healthyplace.com (2008). Exposure therapy for anxiety disorders, panic attacks. Retrieved from: http://www.healthyplace.com/Communities/Anxiety/treatment/exposure_therapy.asp Hembree, E. A., & Foa, E. B. (2004). Promoting cognitive change in posttraumatic stress disorder Hydes, K. (2012, June 11). Virtual Reality Exposure Therapy. Anxiety Disorders #2: Treatment of PTSD Johal, S. (2012, June 11). Eye Movement Desensitization and Reprocessing. Re: Anxiety Disorders #2: Treatment of PTSD Keane, T. M., & Charney, M. (2005). PTSD - War Related. In A. Freeman, H. Felgoise, A. M. Nezu, C Livanou, M. (2001). Psychological treatments for post-traumatic stress disorder: an overview. International Review of Psychiatry, 13, 181–188 Mark, B., Powers, M. B., Halpern, J. M., Ferenschak, M. P., Gillihan, S. J., & Foa, E.B. (2010). A meta-analytic review of prolonged exposure for post traumatic stress disorder Meadows, E. A., & Butcher, J. (2005). Anxiety – Adult. In A. Freeman, H. Felgoise, A. M. Nezu, C Meichenbaum, D. (1974). Self instructional methods. In F. H. Kanfer & A. P. Goldstein (Eds.), Helping people change National Institute of Mental Health (2009). Retrieved from: http://www.nimh.nih.gov/health/publications /post-traumatic-stress-disorder-ptsd/what are the symptoms-of-ptsd.shtml Otte, C. 2011). Cognitive behavioral therapy in anxiety disorders: current state of the evidence. Dialogues in Clinical Neuroscience, 13(4), 413-421. Pare, M. (2012, June 10). Anxiety Disorders #2: Treatment of PTSD. [Online discussion]. Retrieved from http://campus.yorkvilleu.ca/user/view.php?id=1304&course=1173 Ponniah, K., & Hollon, S. D. (2009). Empirically supported psychological treatments for adult acute stress disorder and posttraumatic stress disorder: A review 26, 1086–1109. Prochaska, J. O., & Norcross, J. C. (2007). Systems of Psychotherapy: A Transtheoretical Analysis Pucci, A. (2010). Cognitive-behavioural therapy. Retrieved from: http://www.nacbt.org/whatiscbt.htm Rauch, S. A. M, & Foa, E. B. (2005). PTSD. In A. Freeman, H. Felgoise, A. M. Nezu, C. M Ready, D., Sylvers, P., Worley, V., Butt, J., Mascaro, N. & Bradley, B. (2012). The impact of group-based exposure therapy on the PTSD and depression of 30 combat veterans Riggs, D. S., Cahill, S. P., & Foa, E. B. (2006). Prolonged Exposure Treatment of Posttraumatic Stress Disorder Sadock, B. J., & Sadock, V. A. (2007). Kaplan and Sadock 's synopsis of psychiatry: Behavioral Sciences/Clinical psychiatry (10th ed.) Schubert, S., & Lee, C. W. (2009). Adult PTSD and Its Treatment With EMDR: A Review of Controversies, Evidence, and Theoretical Knowledge Seidler, G. H., & Wagner, F. E. (2006). Comparing the efficacy of EMDR and trauma-focused cognitive-behavioral therapy in the treatment of PTSD: A meta-analytic study Shalev, A. Y., Ankri, Y., Israeli-Shalev, Y., Peleg, T., Adessky, R., Freedman, S., (2012). Retrieved from: Primary Psychiatry. 2006; 13(4), 31-34. Thomas, J. (2003). Exposure Treatment. In E. Thackery, & M. Harris (Eds.). Encyclopedia of Mental Disorders Thorp, S. R., Stein, M. B., Jeste, D. V., Patterson, T. L., & Wetherell, J. L. (2012). Prolonged exposure therapy for older veterans with posttraumatic stress disorder: A pilot study Tolin, D., Diefenbach, G., Maltby, N., & Hannan, S. (2005). Stepped care for obsessive- compulsive disorder: a pilot study Zoellner, T., Rabe, S., Karl, A., & Maercker, A. (2011). Post-traumatic growth as outcome of a cognitive-behavioural therapy trial for motor vehicle accident survivors with PTSD