Psychosocial therapy for posttraumatic stress disorder [Supplement 2]

Center for the Treatment and Study of Anxiety, University of Pennsylvania, Philadelphia, PA 19104, USA.
The Journal of Clinical Psychiatry (Impact Factor: 5.5). 02/2006; 67 Suppl 2:40-5.
Source: PubMed


Immediately after experiencing a traumatic event, many people have symptoms of posttraumatic stress disorder (PTSD). If trauma victims restrict their routine and systematically avoid reminders of the incident, symptoms of PTSD are more likely to become chronic. Several clinical studies have shown that programs of cognitive-behavioral therapy (CBT) can be effective in the management of patients with PTSD. Prolonged exposure (PE) therapy-a specific form of exposure therapy-can provide benefits, as can stress inoculation training (SIT) and cognitive therapy (CT). PE is not enhanced by the addition of SIT or CT. PE therapy is a safe treatment that is accepted by patients, and benefits remain apparent after treatment programs have finished. Nonspecialists can be taught to practice effective CBT. For the treatment of large numbers of patients, or for use in centers where CBT has not been routinely employed previously, appropriate training of mental health professionals should be performed. Methods used for the dissemination of CBT to nonspecialists need to be modified to meet the requirements of countries affected by the Asian tsunami. This will entail the use of culturally sensitive materials and the adaptation of training methods to enable large numbers of mental health professionals to be trained together.

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    • "En las sesiones se realizan ejercicios de atención dual repetitivos de 30 segundos con las memorias traumáticas prestando atención a las cogniciones negativas, y las sensaciones corporales que se asocian a estas. Durante elHALLAZGOS OBTENIDOS EN LAS INTERVENCIONES PARA EL TEPT Resultados de la TEP En un estudio aleatorizado de (Foa, Hembree, Cahill, Rauch, Riggs, Feeny, yYadin, 2005Foa, 2006), en Relatos escritos (Resick ySchnicke, 1992), en exposición imaginada (al evento traumático) y en vivo (a situaciones temidas) (Labrador, Fernández y Rincon, 2009), y a través de apareamiento de una memoria positiva con la memoria traumática (Shapiro, 1989). Foa, Huppert y Cahill (2006), explican que la exposición es necesaria para modificar las cogniciones disfuncionales subyacentes que sostienen el TEPT.Para Resick (2002, 2008a, 2008bConsideramos que las intervenciones aquí revisadas pueden ser una buena opción terapéutica para la mayoría de los casos y que los clínicos se pueden ver beneficiados al utilizar terapias basadas en evidencia. "
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    • "Importantly, there are several studies suggesting that fear extinction is impaired in individuals with anxiety disorders [28] [29] [30] [31]. Therefore, to promote extinction learning, the patient in exposure therapy is repeatedly given actual (in vivo exposure) or imaginary exposure to the trauma-associated cues or contexts followed by relaxation in order to reduce the negative emotional response elicited by these stimuli [32] [33] [34]. Exposure therapies have been successfully used to treat anxiety disorders since the work of Wolpe and co-workers in 1960s ([35] [36]; see [37] for a historical perspective) and they continue to be the most effective treatment method for a variety of anxiety disorders. "
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    Full-text · Article · Jul 2015 · Biochemical pharmacology
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    • "Several well-known therapeutic approaches are in congruence with these findings. For example, prolonged exposure therapy (Foa, 2006), although based on theoretical considerations other than SDT, treats persons with posttraumatic stress disorder by means of imaginary exposure to the traumatic event that involves emotional engagement during the exposure (Jaycox, Foa, & Morral, 1998 ). Clinical studies demonstrated the effectiveness of exposure for those patients who engaged emotionally with their traumatic memories (Foa, Hembree, & Rothbaum, 2007; Jaycox et al., 1998). "
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