Hypnotherapy and cognitive behaviour therapy of acute stress disorder: a three-year follow-up. Behav Res Ther (in press)

School of Psychology, University of New South Wales, NSW 2052, Sydney, Australia.
Behaviour Research and Therapy (Impact Factor: 3.85). 10/2006; 44(9):1331-5. DOI: 10.1016/j.brat.2005.04.007
Source: PubMed


The long-term benefits of cognitive behaviour therapy (CBT) for trauma survivors with acute stress disorder were investigated by assessing patients 3 years after treatment. Civilian trauma survivors (n=87) were randomly allocated to six sessions of CBT, CBT combined with hypnosis, or supportive counselling (SC), 69 completed treatment, and 53 were assessed 2 years post-treatment for post-traumatic stress disorder (PTSD) with the Clinician-Administered PTSD Scale. In terms of treatment completers, 2 CBT patients (10%), 4 CBT/hypnosis patients (22%), and 10 SC patients (63%) met PTSD criteria at 2-years follow-up. Intent-to-treat analyses indicated that 12 CBT patients (36%), 14 CBT/hypnosis patients (46%), and 16 SC patients (67%) met PTSD criteria at 2-year follow-up. Patients who received CBT and CBT/hypnosis reported less re-experiencing and less avoidance symptoms than patients who received SC. These findings point to the long-term benefits of early provision of CBT in the initial month after trauma.

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Available from: Reginald D.V. Nixon, Apr 16, 2015
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    • "Mindkét vizsgálatban 5 másfél órás ülésen vettek részt a bántalmazást vagy autóbalesetet elszenvedett betegek, akik mind megfeleltek az akut stressz zavar kritériumainak. Az első vizsgálatban [38] a CBT a klaszszikus protokollt követte, sorrendben pszichoedukáció, imaginatív expozíció (házi feladatként is), negatív automatikus gondolatok felismerése, kognitív átstrukturálás, expozíciós hierarchia felállítása, in vivo expozíció, relapsusprevenció . A hipnózissal kombinált feltétel ettől anynyiban tért el, hogy minden imaginációs expozíció előtt a személy meghallgatott egy 15 perces felvételt, amely hipnotikus indukciót tartalmazott és szuggesztiót az expozícióra vonatkozólag. "
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    ABSTRACT: INTRODUCTION: Because of the high prevalence of exposure to traumatic events and its negative consequences on mental health, the importance of effective interventions to prevent posttraumatic stress disorder has been emphasized. AIM: The authors wanted to evaluate the current status of evidence regarding early psychological interventions after traumatization. METHOD: A search was conducted in ProQuest PILOTS, PubMed, and Web of Science for early psychological interventions that were published between 2005 and 2015. RESULTS: Twenty-one trials were identified, of which 6 presented immediate interventions (within 72 hours) and the rest early interventions within the first month. Based on these research findings immediate interventions are not effective, whilst multi-session cognitive behavior therapies could be effective in symptom reduction. CONCLUSIONS: Multi-session cognitive behavior therapy is preferred over immediate one session interventions especially over debriefing. A natural decline of symptoms was observed among controls and, therefore, targeted interventions are recommended only for people with higher risk for developing subsequent posttraumatic stress disorder.
    Orvosi Hetilap 08/2015; 156(33):1321-34. DOI:10.1556/650.2015.30231
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    • "Analyzing the PTSD diagnosis was based on k ¼ 3 studies (Bisson et al., 2004; Bryant, Moulds, & Nixon, 2003; Bryant et al., 2006). The total number of treated patients was n ¼ 255, including n ¼ 146 in the early TFCBT. "
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    ABSTRACT: Post-traumatic stress disorder (PTSD) is of great interest to public health, due to the high burden it places on both the individual and society. We meta-analyzed randomized-controlled trials to examine the effectiveness of early trauma-focused cognitive-behavioral treatment (TFCBT) for preventing chronic PTSD. Systematic bibliographic research was undertaken to find relevant literature from on-line databases (Pubmed, PsycINFO, Psyndex, Medline). Using a mixed-effect approach, we calculated effect sizes (ES) for the PTSD diagnoses (main outcome) as well as PTSD and depressive symptoms (secondary outcomes), respectively. Calculations of ES from pre-intervention to first follow-up assessment were based on 10 studies. A moderate effect (ES = 0.54) was found for the main outcome, whereas ES for secondary outcomes were predominantly small (ES = 0.27-0.45). The ES for the main outcome decreased to small (ES = 0.34) from first follow-up to long-term follow-up assessment. The mean dropout rate was 16.7% pre- to post-treatment. There was evidence for the impact of moderators on different outcomes (e.g., the number of sessions on PTSD symptoms). Future studies should include survivors of other trauma types (e.g., burn injuries) rather than predominantly survivors of accidents and physical assault, and should compare early TFCBT with other interventions that previously demonstrated effectiveness.
    Behaviour Research and Therapy 09/2013; 51(11):753-761. DOI:10.1016/j.brat.2013.08.005 · 3.85 Impact Factor
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    • "(Bryant, Mastrodomenico, et al., 2008; Foa et al., 1995; Foa et al., 2006; Shalev et al., 2011 "
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    ABSTRACT: The study tested the efficacy and tolerability of cognitive processing therapy (CPT) for survivors of assault with acute stress disorder. Participants (N=30) were randomly allocated to CPT or supportive counseling. Therapy comprised six individual weekly sessions of 90-min duration. Independent diagnostic assessment for PTSD was conducted at posttreatment. Participants completed self-report measures of posttraumatic stress, depression, and negative trauma-related beliefs at pre-, posttreatment, and 6-month follow-up. Results indicated that both interventions were successful in reducing symptoms at posttreatment with no statistical difference between the two; within and between-group effect sizes and the proportion of participants not meeting PTSD criteria was greater in CPT. Treatment gains were maintained for both groups at 6-month follow-up.
    Behavior therapy 12/2012; 43(4):825-36. DOI:10.1016/j.beth.2012.05.001 · 2.85 Impact Factor
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