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Letteratura scientifica selezionata sul tema "Trauma-focused cognitive behavioural therapy"

Autore: Grafiati

Pubblicato: 4 giugno 2021

Ultima modifica: 1 febbraio 2022

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Articoli di riviste sul tema "Trauma-focused cognitive behavioural therapy"

Cohen, Judith A., e Anthony P. Mannarino. "Trauma-Focused Cognitive Behavioural Therapy for Children and Parents". Child and Adolescent Mental Health 13, n. 4 (novembre 2008): 158–62. http://dx.doi.org/10.1111/j.1475-3588.2008.00502.x.

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Pollio, Elisabeth, e Esther Deblinger. "Trauma-focused cognitive behavioural therapy for young children: clinical considerations". European Journal of Psychotraumatology 8, sup7 (15 dicembre 2017): 1433929. http://dx.doi.org/10.1080/20008198.2018.1433929.

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Lowe, Charlotte, e Craig Murray. "Adult Service-Users’ Experiences of Trauma-Focused Cognitive Behavioural Therapy". Journal of Contemporary Psychotherapy 44, n. 4 (14 giugno 2014): 223–31. http://dx.doi.org/10.1007/s10879-014-9272-1.

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O'Driscoll, Ciarán, Oliver Mason, Francesca Brady, Ben Smith e Craig Steel. "Process analysis of trauma-focused cognitive behavioural therapy for individuals with schizophrenia". Psychology and Psychotherapy: Theory, Research and Practice 89, n. 2 (23 luglio 2015): 117–32. http://dx.doi.org/10.1111/papt.12072.

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Bisson, Jonathan I., Anke Ehlers, Rosa Matthews, Stephen Pilling, David Richards e Stuart Turner. "Psychological treatments for chronic post-traumatic stress disorder". British Journal of Psychiatry 190, n. 2 (febbraio 2007): 97–104. http://dx.doi.org/10.1192/bjp.bp.106.021402.

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BackgroundThe relative efficacy of different psychological treatments for chronic post-traumatic stress disorder (PTSD) is unclear.AimsTo determine the efficacy of specific psychological treatments for chronic PTSD.MethodIn a systematic review of randomised controlled trials, eligible studies were assessed against methodological qualitycriteria and data were extracted and analysed.ResultsThirty-eight randomised controlled trials were included in the meta-analysis. Trauma-focused cognitive-behavioural therapy (TFCBT), eye movement desensitisation and reprocessing (EMDR), stress management and group cognitive-behavioural therapy improved PTSD symptoms more than waiting-list or usual care. There was inconclusive evidence regarding other therapies. There was no evidence of a difference in efficacy between TFCBT and EMDR butthere was some evidence that TFCBT and EMDR were superior to stress management and other therapies, and that stress management was superior to other therapies.ConclusionsThe first-line psychological treatment for PTSD should be trauma-focused (TFCBTor EMDR).

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de Haan, Anke, Caitlin Hitchcock, Richard Meiser-Stedman, Markus A. Landolt, Isla Kuhn, Melissa J. Black, Kristel Klaus, Shivam D. Patel, David J. Fisher e Tim Dalgleish. "Efficacy and moderators of efficacy of trauma-focused cognitive behavioural therapies in children and adolescents: protocol for an individual participant data meta-analysis from randomised trials". BMJ Open 11, n. 2 (febbraio 2021): e047212. http://dx.doi.org/10.1136/bmjopen-2020-047212.

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IntroductionTrauma-focused cognitive behavioural therapies are the first-line treatment for posttraumatic stress disorder (PTSD) in children and adolescents. Nevertheless, open questions remain with respect to efficacy: why does this first-line treatment not work for everyone? For whom does it work best? Individual clinical trials often do not provide sufficient statistical power to examine and substantiate moderating factors. To overcome the issue of limited power, an individual participant data meta-analysis of randomised trials evaluating forms of trauma-focused cognitive behavioural therapy in children and adolescents aged 6–18 years will be conducted.Methods and analysisWe will update the National Institute for Health and Care Excellence guideline literature search from 2018 with an electronic search in the databases PsycINFO, MEDLINE, Embase, Cochrane Central Register of Controlled Trials and CINAHL with the terms (trauma* OR stress*) AND (cognitive therap* OR psychotherap*) AND (trial* OR review*). Electronic searches will be supplemented by a comprehensive grey literature search in archives and trial registries. Only randomised trials that used any manualised psychological treatment—that is a trauma-focused cognitive behavioural therapy for children and adolescents—will be included. The primary outcome variable will be child-reported posttraumatic stress symptoms (PTSS) post-treatment. Proxy-reports (teacher, parent and caregiver) will be analysed separately. Secondary outcomes will include follow-up assessments of PTSS, PTSD diagnosis and symptoms of comorbid disorders such as depression, anxiety-related and externalising problems. Random-effects models applying restricted maximum likelihood estimation will be used for all analyses. We will use the Revised Cochrane Risk of Bias tool to measure risk of bias.Ethics and disseminationContributing study authors need to have permission to share anonymised data. Contributing studies will be required to remove patient identifiers before providing their data. Results will be published in a peer-reviewed journal and presented at international conferences.PROSPERO registration numberCRD42019151954.

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Moorey, Stirling. "Cognitive behaviour therapy for whom?" Advances in Psychiatric Treatment 2, n. 1 (gennaio 1996): 17–23. http://dx.doi.org/10.1192/apt.2.1.17.

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In many ways cognitive and behavioural therapies represent the acceptable face of psychotherapy for the general psychiatrist. They are brief, focused, problem-oriented treatments, which take symptoms seriously. They show an affinity for the medical model in their acceptance of diagnostic categories and their commitment to effective evaluation of treatments through randomised controlled trials. The wide applicability of these therapies is also attractive to the general psychiatrist. Cognitive and behavioural techniques are of major importance in the treatment of anxiety disorders, depression, eating disorders, and sexual dysfunctions, and beyond this core group the methods can be applied to enhance coping and change unwanted behaviours in conditions as diverse as cancer, chronic pain, substance abuse, anger control, schizophrenia, and challenging behaviours in people with learning disabilities.

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Garety, P. A. "Cognitive Behavioural Therapy for psychosis". Die Psychiatrie 9, n. 02 (aprile 2012): 111–16. http://dx.doi.org/10.1055/s-0038-1671779.

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SummaryCognitive Behavioural Therapy for psychosis (CBTp), with its theoretical underpinning derived from cognitive models of psychosis, is described. The therapeutic approach is elucidated, in terms of goals, techniques, content and style. Adjustments of the therapy to address the particular problems of psychosis, including building a therapeutic relationship and matching cognitive capacities, are highlighted. The extensive evidence for the effectiveness of CBTp is reviewed and methodological issues in trials noted. The evidence shows that CBTp has small to medium effects on a range of outcomes, including symptoms, affect and functioning, and that the evidence is most consistent for improvements in people with persistent positive symptoms. New developments in CBTp are described, and the promise of developing focused treatments targeting specific psychological processes, such as reasoning or emotional processes, hypothesized as causal mechanisms of distressing symptom persistence. Finally, to support implementation of CBTp in practice, it is concluded that there is a need for dissemination programs, addressing staff attitudes and skills and wider system changes.

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Hébert, Martine, Isabelle V. Daignault e Claudia Blanchard-Dallaire. "Adaptation of Trauma-Focused Cognitive Behavioural Therapy for cases of child sexual abuse with complex trauma: A clinical case illustration". International Journal of Child and Adolescent Resilience 7, n. 1 (27 ottobre 2020): 211–21. http://dx.doi.org/10.7202/1072599ar.

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Child sexual abuse is an important public health issue given its magnitude and the multiple associated consequences. The diversity of profiles in child victims of sexual abuse calls for a more personalized approach to treatment. Indeed, recent studies suggest that children display a variety of symptoms and that a subgroup of sexually abused children may present a profile of complex trauma. This article first presents a review of the scientific literature that positions Trauma-Focused Cognitive Behavioural Therapy (TF-CBT; Cohen et al., 2017) amongst the best practices to address trauma-related symptoms following child sexual abuse; whether it is co-occurring with other forms of violence or not. Various adaptations of TF-CBT therapy are proposed by the authors (Cohen et al., 2012) to treat children facing complex trauma. These adaptations are summarized and illustrated with the presentation of a clinical case involving two siblings from the same family.

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Biggs, C., N. Tehrani e J. Billings. "Brief trauma therapy for occupational trauma-related PTSD/CPTSD in UK police". Occupational Medicine 71, n. 4-5 (1 giugno 2021): 180–88. http://dx.doi.org/10.1093/occmed/kqab075.

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Abstract Background Police are frequently exposed to occupational trauma, making them vulnerable to post-traumatic stress disorder (PTSD) and other mental health conditions. Through personal and occupational trauma police are also at risk of developing Complex PTSD (CPTSD), associated with prolonged and repetitive trauma. Police Occupational Health Services require effective interventions to treat officers experiencing mental health conditions, including CPTSD. However, there is a lack of guidance for the treatment of occupational trauma. Aims To explore differences in demographics and trauma exposure between police with CPTSD and PTSD and compare the effectiveness of brief trauma-focused therapy between these diagnostic groups. Methods Observational cohort study using clinical data from the Trauma Support Service, providing brief trauma-focused therapy for PTSD (cognitive behavioural therapy/eye movement desensitization and reprocessing) to UK police officers. Demographics, trauma exposure, baseline symptom severity and treatment effectiveness were compared between police with PTSD and CPTSD. Changes in PTSD, depression and anxiety symptoms were used to measure treatment effectiveness. Results Brief trauma therapy reduced symptoms of PTSD, depression and anxiety. Treatment effectiveness did not differ between CPTSD and PTSD groups. Police with CPTSD exposed to both primary and secondary occupational trauma had poorer treatment outcomes than those exposed to a single occupational trauma type. Conclusions Brief trauma-focused interventions are potentially effective in reducing symptoms of PTSD, depression and anxiety in police with CPTSD and PTSD. Further research is needed to establish whether additional CPTSD symptoms (affect dysregulation, self-perception and relational difficulties) are also reduced.

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Più fonti

Tesi sul tema "Trauma-focused cognitive behavioural therapy"

Kempa, Monika. "Clients' understanding of change in trauma-focused cognitive behavioural therapy for posttraumatic stress disorder". Thesis, University of Surrey, 2013. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.599573.

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This review aims to examine literature on psychological interventions in the adult acute inpatient settings, with a particular focus on Cognitive Behavioural Therapy (CBT) groups. It outlines the challenges in creating a therapeutic environment on acute psychiatric wards and presents CBT groups developed and introduced in various services across the UK. It is clear that standard interventions, as available in outpatient settings, cannot be applied in the acute units. CBT groups on the wards prove to be popular among clients and staff. They are also seen as meaningful by clinical psychologists. However, popularity is not considered as the same as clinical effectiveness, and so there is a need for more research in this area.

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Shearing, Vanessa. "How do clients experience reliving as part of trauma-focused cognitive behavioural therapy for posttraumatic stress disorder?" Thesis, University of Oxford, 2008. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.490736.

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Reliving is an integral part of trauma-focused CBT, a recommended treatment for PTSD with a convincing evidence base supporting its use. However, the literature suggests that clinicians are reluctant to use reliving in therapy. Very few studies have explored clients' experiences of undergoing CBT for PTSD, and it seems none have specifically at reliving. The aim of this study was to explore participants' experiences of undergoing reliving as part of CBT for PTSD and help clinicians understand how clients experience this central element of treatment.

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Burgess, Moser Melissa. "The Cognitive-affective and Behavioural Impact of Emotionally Focused Couple Therapy". Thèse, Université d'Ottawa / University of Ottawa, 2012. http://hdl.handle.net/10393/23175.

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Emotionally Focused Couple Therapy (EFT; Johnson, 2004) addresses relationship distress by facilitating the development of new patterns of interaction between partners. These new patterns of interaction are based on partners' vulnerable acknowledgement and expression of attachment needs. Partners' engagement in these new patterns of interaction is thought to improve their relationship-specific attachment bond. Although previous studies have shown EFT to result in excellent relationship satisfaction outcomes (Johnson, Hunsley, Greenberg & Schindler, 1999), research had yet clearly to demonstrate if and how EFT facilitates increases in partners' relationship-specific models attachment security over the course of therapy. To address this research gap, the current study employed Hierarchical Linear Modelling (HLM; Singer & Willet, 2003) to investigate the pattern of change in couples' (n=32) self-reported relationship satisfaction and relationship-specific attachment over the course of EFT. Couples reported significant linear increases in their relationship satisfaction and significant linear decreases in their relationship-specific attachment avoidance over the course of therapy. Couples who completed the blamer-softening therapeutic change event (n=16) demonstrated significant linear decreases in their relationship-specific attachment anxiety after completing this event. Decreases in relationship-specific attachment anxiety predicted increases in couples' relationship satisfaction over the course of therapy. Couples also demonstrated significant increases in the security of their pre-post-therapy relationship-specific attachment behaviour, as coded Secure Base Scoring System (Crowell, Treboux, Gao, Fyffe, Pan & Waters, 2002). The current study also used HLM (Singer & Willet, 2003) to examine how the completion of blamer-softening impacted softened couples' relationship-specific attachment anxiety, and whether the completion of blamer-softening had a similar impact on softened couples' relationship-specific attachment avoidance and relationship satisfaction. Softened couples reported an immediate increase in relationship satisfaction and immediate decrease relationship-specific attachment avoidance at the softening session. Further, softened couples' post-softening decreases in relationship-specific attachment anxiety were initially preceded by an increase at the softening session. These results provided an understanding of how EFT leads to increases in couples' relationship-specific attachment security. These results provide support for the use of attachment theory in the treatment of relationship distress, and also provide an illustration of how attachment can shift over the course of a therapeutic intervention.

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Guastella, Adam, e n/a. "Trauma Writing Tasks: An Examination of the Process of Change Indicated by Cognitive-Behavioural Models of Trauma". Griffith University. School of Applied Psychology, 2004. http://www4.gu.edu.au:8080/adt-root/public/adt-QGU20040526.130108.

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Past research indicates a causal relationship between emotional writing and health benefits (Smyth, 1998). At present, little is known about the mechanisms underlying change or if the emotional writing paradigm may be applied to a clinical setting. This present study reviewed current models of trauma and hypothesised three mechanisms of change leading to future health benefits: exposure, devaluation, and benefit-finding. Instructions for the standard writing paradigm were manipulated to isolate and increase engagement with each of these processes. It was hypothesised that if any one of these processes were to underlie health benefits, participants assigned to that condition would obtain more benefit than standard writing participants. Individual differences were also hypothesised to interact with each process to amplify or detract from their influence in leading to future benefit. A total of 201 university students were recruited from Griffith University. Participants were assigned to one of five writing conditions: Control, Standard, Exposure, Devaluation, and Benefit-Finding. Sessions were conducted once a week for three weeks. Physiological and self-report measures were taken before, during and after writing sessions. Follow-up assessments of psychological and physical health were taken at 2 and 6-months post-writing. Essay content analysis suggested that participants wrote in the instructed manner. Participants assigned to each of the groups experienced expected amounts of distress and affect changes. Overall, results failed to replicate the beneficial health effects for the standard emotional writing paradigm. There were no significant physical or psychological benefits for the standard trauma-writing participants in comparison to control. However, a trend in the appropriate direction was noted for illness visits at 6-months. Furthermore, in support of Greenberg and Stone's (1992) findings, standard writing participants who disclosed more severe and personal experiences evidenced significant illness visit reductions in comparison to control. Comparisons between standard and experimental trauma writing groups failed to support hypotheses that any one mechanism was responsible for physical health benefits. Examination of psychological self-report measures indicated exposure participants experienced the greatest reduction on the Impact of Events Scale at two months. However, these participants experienced greater reduction of positive affect and growth for the experience. They also became more anxious, depressed, and stressed at six-months follow-up. Process variables were examined within the exposure condition to explain these findings. Habituation was found to be strongly associated with the alternate outcomes. Individual differences. Including alexithymia, absorption, and negative affect, were also related to outcome. Benefit-finding participants experienced the greatest increase on a measure of post-traumatic growth at two-months and positive affect for the experience, but the finding was significant only in comparison to exposure and devaluation groups. The results of this study failed to identify the process of change, but suggest specific areas for future research. The findings demonstrate the importance of comprehensive health research to avoid blanket statements that suggest a paradigm either does or does not lead to health benefits. The results also support the manipulation of the writing paradigm to examine the role of emotion processing in trauma and health research.

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Drake, B., e D. J. A. Edwards. "Treatment of post traumatic stress disorder following an armed robbery : a case study testing the transportability of trauma-focused cognitive-behavioural therapy to urban Africans". Journal of Psychology in Africa, 2012. http://hdl.handle.net/10962/d1007775.

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John, an urban African male who developed post traumatic stress disorder (PTSD) following an armed robbery at the petrol station where he worked, was treated with 12 sessions of Trauma-focused cognitive behaviour therapy. Intervention involved a combination of psycho-education, prolonged imaginal exposure, cognitive restructuring and behavioural assignments. This article is a systematic case study of his treatment which included a comprehensive narrative and tracking of progress by means of the Post traumatic Diagnostic Scale. John responded well to the treatment, finding it acceptable and credible and remained free of PTSD symptoms at 15 months follow up. It is argued, based on the principles of Elliott’s Hermeneutic Single Case Efficacy Design, that there is evidence from within the narrative that it was the treatment that led to remission of symptoms. This case study demonstrates the cognitive, emotional and behavioural processes underlying John’s PTSD, which fits with those extensively described in the research literature, and that this evidence-based treatment developed in a westernised context is transportable to work with urban Africans.

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Stewart, Nick. "Doctorate in Clinical Psychology : main research portfolio". Thesis, University of Bath, 2018. https://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.761009.

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Critical Review of the LiteratureCan Borderline Personality Disorder be treated effectively in forensic settings? A systematic reviewBorderline Personality Disorder (BPD) is a common diagnosis in forensic settings. Certain features of BPD, such as impulsivity and emotional dysregulation, can create a vulnerability to impulsive acts. The condition is also associated with poor mental and physical health, making the treatment of BPD and its clinical features an important goal in forensic settings. This paper reviews evidence for the effectiveness of treating BPD and its symptoms using psychological approaches in forensic settings. A systematic search found 2913 papers, of which 13 met the inclusion criteria. The papers reported nine separate studies (six controlled) that implemented four distinct interventions, often adapted for particular forensic settings. Improvements in overall BPD symptomatology and specific BPD symptoms were reported for all types of intervention, although few differences in outcome between intervention and control groups were found. There were also reported improvements in BPD-related behaviours, but data on offending behaviour were absent. Heterogeneity in study quality and design makes it challenging to draw any firm conclusions about the effectiveness of any one form of treatment over another, nor about which treatment may best suit a particular setting. Further randomised controlled trials are needed to answer these questions. Service Improvement ProjectEvaluation of a brief educational intervention for clinical staff aimed at promoting trauma-informed approaches to careThere is growing evidence that trauma plays an important role in the aetiology of severe and enduring mental health problems. Yet staff can be reluctant to ask patients about trauma for reasons such as anxiety about harming patients and limited access to training. Where services have adopted trauma-informed approaches (TIAs) to mental health care (i.e., considering the ways in which trauma affects individuals when planning and delivering services), improved clinical outcomes have been observed. With this in mind, a new educational video was developed for mental health staff at an NHS trust. The video was intended to be (a) brief (10 minutes); (b) contemporary and engaging; and (c) accessible using computers, smartphones and tablets. Forty-one multidisciplinary staff viewed the video. Quantitative and qualitative evaluation indicated improvements in self-reported knowledge and confidence with regard to trauma, and a decrease in worries with regard to asking patients about such experiences. Participants found the video to be enjoyable, understandable and informative. Importantly, many indicated that it spurred them to further action, such as further training and asking patients about possible trauma. These findings indicate that a video of this type can offer an important ‘taster’ of trauma-related learning, constituting an important step towards embedding trauma-informed ways of working at a service. Main Research ProjectThe Role of Intrusive Imagery in Hoarding DisorderThe cardinal feature of Hoarding Disorder (HD) is persistent difficulty discarding possessions, with the resulting clutter compromising the intended use of living areas. Within the dominant cognitive-behavioural model of hoarding (Frost & Hartl, 1996), hoarding behaviours are positively and negatively reinforced in the context of certain object-related beliefs. Available treatments for HD have so far yielded modest outcomes, indicating a need for new approaches. Intrusive imagery has so far been neglected in HD research, despite the frequency of trauma in the histories of people with the condition. To address this, 27 individuals who met the DSM-5 criteria for HD and 28 community controls (CCs) were interviewed about their everyday experiences of mental imagery. Participants were also asked about the images they experienced during two recent real-life examples of actual or attempted discard of (1) an object of low subjective value; and (2) an object of high subjective value. Everyday imagery in the HD group commonly reflected themes of illness, death and reminiscence. Imagery in HD participants tended to carry negative emotional valence in comparison with CCs, and was associated with greater interference in everyday life and attempts to avoid the imagery. HD participants reported more negative experiences of intrusive imagery in comparison with CCs during recent episodes of discarding objects of low subjective value. However, HD participants experienced positive imagery when discarding, or trying to discard, high value objects. These findings indicate that although people with HD frequently report traumatic histories, this is not reflected in the everyday imagery that they experience. There is some evidence to suggest that the negative and positive memories experienced in relation to low and high value objects may aid our understanding of discarding and saving behaviour in HD. The theoretical and clinical implications of these findings are further discussed.

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Brady, F. "Early in-session predictors of response to trauma-focused cognitive therapy". Thesis, University College London (University of London), 2014. http://discovery.ucl.ac.uk/1449253/.

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Volume 1 of this thesis examines the predictors of response to trauma-focused treatment for posttraumatic stress disorder (PTSD). It is presented in three parts. Part 1 is a literature review of research evaluating the impact of trauma-focused therapy for PTSD on comorbid symptoms of depression. The Downs and Black (1998) checklist was used to assess study quality. Results indicated that both trauma-focused CBT and EMDR treatments were effective in reducing comorbid depression symptoms. However, as interventions varied widely and some studies were affected by significant methodological problems, the generalisability of these results may be limited, and thus areas for further research are also suggested. Part 2 is an empirical study exploring early in-session client and therapist factors that predict later response to treatment. Audio and video recordings of the first or second therapy session of 54 known treatment responders or non-responders were blind-rated for client perseverative thinking, therapist adherence and therapeutic alliance. Results revealed that more perseverative thinking was observed for non-responders than responders to treatment. No group differences were found in regards to therapist adherence or therapeutic alliance. Exploratory analyses revealed that across the sample as a whole, perseverative thinking was associated with reduced therapist adherence to the treatment manual and poorer therapeutic alliance. As this study is one of the first of its kind in this area, recommendations were made for future research opportunities to explore these findings further. Part 3 is a critical appraisal of the empirical study. This elaborates on the main findings of this project and discusses the methodological challenges involved in undertaking this type of research, particularly developing and applying a novel coding frame.

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Tang, Qing. "Acceptability of alternative treatments for problematic gambling". Thesis, University of Canterbury. Psychology, 2011. http://hdl.handle.net/10092/5300.

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Background & objective Cognitive Behavioural Therapy (CBT) and Motivational Interviewing (MI) have been the treatment of choice for problem or pathological gambling in the field in Western countries, and their efficacy has been supported by a considerable empirical research. Alternative treatments are little known; and such treatments for minority ethnic populations have been scarce. This study adopted Kazdin‘s procedures for assessing the acceptability of treatments (Kazdin, 1980a, 1980b, 1981) to test alternative treatments of problem or pathological gambling as a part of the broadening of treatment choices. This thesis presented 2009 survey results from counselling service providers in New Zealand on the acceptability of alternative treatments to problem or pathological gambling. The thesis, therefore, reports the responses of counsellors to counselling vignette case examples, not the views of actual clients viewing counselling. Methods The survey pack was distributed to counselling service providers in New Zealand. The survey included descriptions of sixteen vignettes of case examples of counselling treatments. Categories of clients in the vignette case examples included two genders (male, female) and three ethnicities (Pakeha, Maori, and Asian). Four counselling treatment conditions were selected from Solution-Focused Brief Counselling (SFBC), SFBC+Multicultural Counselling (SFBC+MC), Cognitive-Behavioural Therapy (CBT), and Motivational Interviewing (MI). CBT and MI were only administered to Pakeha clients for the purpose of comparison of the alternatives. Two measurements were used. The first a modified Problem Gambling Treatment Evaluation Inventory (TEI) was used to measure the acceptability levels of the alternative treatments for problem or pathological gambling. The Cross-Cultural Counselling Inventory-Revised (CCCI-R) was used for measuring the perceived cross-cultural competency of counsellors depicted in the vignette case examples. Findings Counsellors‘ ratings of the vignette case examples revealed the following findings: Measurement 1: Problem Gambling Treatment Evaluation Inventory (TEI). Overall, 1) The survey results of TEI questionnaires showed significant main effects across the four treatment conditions and the three client ethnicities, and there was no difference according to client genders. 1.1) SFBC+MC and SFBC were slightly more acceptable than CBT, and much more acceptable than MI. 1.2) The TEI scores for Pakeha clients were much higher than for Maori clients, and the scores for the Asian clients were in between. 2) There was a significant interaction effect between the four treatments and the three client ethnicities. 2.1) For Maori clients: SFBC+MC was much more acceptable than SFBC; for Pakeha clients: SFBC+MC was the most acceptable, closely followed by SFBC, CBT, then MI; and for Asian clients: SFBC was more acceptable than SFBC+MC. 2.2) SFBC+MC was most acceptable to Maori clients across all treatments and ethnic groups. 2.3) The variation in acceptability ratings for SFBC was larger than for SFBC+MC in Maori and Asian clients, and less variable in Pakeha. 2.4) Maori clients had the largest mean variation between SFBC and SFBC+MC, and Pakeha clients had the smallest mean variation. Measurement 2: Cross-Cultural Counselling Inventory-Revised (CCCI-R). The survey results of the CCCI-R showed significant main effects across the four treatment conditions and the three ethnicities. 1) The counsellors depicted in the vignette case examples under the SFBC+MC treatment condition were rated with the highest mean competence score and least variability across all the treatments and the ethnicities, the MI treatment condition were rated with the lowest mean score, CBT and SFBC were in between. 2) The counsellors described in the vignette case examples were rated more culturally competent with Pakeha clients and Maori clients than with Asian clients in the vignette case examples, the rating levels for both Pakeha and Maori were similar. 3) The Maori client in the vignette case examples had the largest mean gap between SFBC and SFBC+MC, and Pakeha client in the vignette case examples had the smallest mean gap. Clinical implications The tests of the acceptability of alternative treatment for problem or pathological gambling could provide useful information about 1) whether the above alternatives would be recommended or selected by the counselling service providers in their clinical practice, 2) which treatment would be more/less preferred by which ethnic group, 3) whether it would work or be worth the efforts to introduce or promote the above alternatives to the counselling service providers, 4) what needs to be explored for increasing levels of the acceptability of alternative treatment to problem or pathological gambling, 5) adding training in the techniques to counsellors training programme and curricula. The limitation of this study was discussed and future research was suggested.

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Ascienzo, Sarah A. "A MIXED METHODS ANALYSIS OF GENDER DIFFERENCES IN SYMPTOM PROGRESSION AND TRAUMA NARRATIVES DURING TRAUMA-FOCUSED COGNITIVE BEHAVIORAL THERAPY". UKnowledge, 2018. https://uknowledge.uky.edu/csw_etds/21.

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An alarming portion of youth experience traumatic events during childhood, and there is a robust body of literature documenting the adverse consequences of trauma exposure on the developing child. Fortunately, numerous empirically-supported phase-based interventions have been developed for youth that target the deleterious effects of trauma. While several of these interventions have demonstrated symptom reduction from the baseline to completion of treatment, much less is known regarding the trajectory of posttraumatic stress symptoms (PTSS) during the course of treatment. Information in this regard may have important implications for service delivery and help to illuminate the mechanisms of change responsible for treatment outcomes. Furthermore, gender-related differences in the prevalence and expression of PTSS following trauma exposure have been observed, but the reasons for these differences is unclear and there is a paucity of research concerning whether boys and girls may progress differently through trauma-focused treatment. As a result, the aims of this study were to (1) examine the progression of PTSS during the various components of Trauma-Focused Cognitive Behavioral Therapy (TF-CBT); (2) assess whether symptoms progress differently for males and females; (3) examine whether (a) sexual abuse history or (b) age moderates any gender-related symptom differences identified; and (4) explore the trauma narratives of boys and girls. This study utilized an embedded sequential mixed methods design. For the quantitative strand, aggregate scores on the UCLA Posttraumatic Stress Disorder Reaction Index (UCLA PTSD-RI) were mapped for the entire sample and then according to gender at baseline, during various components of TF-CBT, and at termination among a sample (N = 138) of polyvictimized youth ages 7-18 who completed TF-CBT at a university-based child trauma treatment clinic. Mixed Analysis of Variance (ANOVA) analyses were conducted for each of the outcome measures (UCLA-PTSD RI overall, arousal, avoidance, and intrusion scores) to examine whether there were symptom differences between males and females from baseline to completion of TF-CBT, and 2 X 2 full factorial ANOVAs were conducted to determine whether sexual violence history or age moderated the relationship between gender and symptom severity during any phase of TF-CBT. For the qualitative strand, trauma narratives (N = 16) completed during TF-CBT were analyzed through the use of thematic analysis. Findings revealed that males and females reported differences in PTSS symptoms from baseline to termination of treatment, and during various phases of treatment. Additionally, thematic analysis of the trauma narratives augmented findings from the quantitative strand and revealed variations in the narratives of males and females. Although further investigation is warranted, study findings help to further understand the complex interplay between gender and the progression of PTSS during treatment. Implications for practice, policy and social work education are discussed.

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Britz, Linda. "'N Intervensiemodel vir die middelkinderjare-kind wat seksueel misbruik is". Thesis, Pretoria : [s.n.], 2003. http://upetd.up.ac.za/thesis/available/etd-02042004-105645.

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Libri sul tema "Trauma-focused cognitive behavioural therapy"

Feather, Jacqueline S. Cognitive behavioural therapy for child trauma and abuse: A step-by-step approach. London: Jessica Kingsley Publishers, 2010.

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Trauma-focused CBT for children and adolescents: Treatment applications. New York, NY: Guilford Press, 2012.

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Gordon, Laurel Bonnie. Client perceptual processing in cognitive behavioural therapy and process-experiential therapy for depression. 2007.

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Lam, Alexandra Philomena, e Alexandra Philipsen. Behavioural therapy in adolescents and adults. Oxford University Press, 2018. http://dx.doi.org/10.1093/med/9780198739258.003.0037.

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Many different kinds of group or individual psychotherapeutic interventions, applied to the special needs of patients with ADHD, already exist (e.g. cognitive–behavioural therapy [CBT], coaching, problem-focused therapy, meta-cognitive training, mindfulness-based interventions, psychoeducation, and dialectical behaviour therapy [DBT]-based cognitive therapy). Most of these treatments are behaviourally orientated, and are predominantly modularly structured. CBT has been investigated most frequently and is regarded as the most effective psychological treatment option. The National Institute for Health and Care Excellence guidelines recommend CBT as appropriate for adolescents with moderate impairments and for adults, i.e. if drug treatment has proved to be only partially effective or ineffective. Interventions treating adolescents with ADHD are frequently based on CBT principles, behavioural therapy approaches, and cognitive and social skills training techniques addressing the patient, parents, or teachers. Unfortunately, interventions for adolescents have been investigated on a comparatively limited scale.

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Trauma-Focused CBT for Children and Adolescents: Treatment Applications. Guilford Publications, s.d.

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Cohen, Judith A., Anthony P. Mannarino e Esther Deblinger. Trauma-Focused CBT for Children and Adolescents: Treatment Applications. Guilford Publications, 2016.

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Kissane, David W., e Talia I. Zaider. Bereavement. Oxford University Press, 2015. http://dx.doi.org/10.1093/med/9780199656097.003.0177.

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The phenomena and trajectory of mourning as a normal adaptive process are differentiated from clinical depression, avoidant and complicated grief, post-traumatic distress disorder, and other forms of pathological grief. Anticipatory grief can be a particular challenge during palliative care. The family is recognized as the major source of social support and the environment in which grief is shared with others. Key risk factors for pathological bereavement outcomes can be identified on admission to palliative care, permitting preventive models of psychological care to be used through palliative care into bereavement. Models of therapy include supportive-expressive, interpersonal, cognitive behavioural, family focused, and specific therapy for complicated grief. Pharmacotherapy can judiciously accompany psychotherapy. Life-cycle issues include bereaved children, siblings, parents, and grief for the very elderly. Grief can be stigmatized and ambiguous in special circumstances, yet positive growth is a desirable outcome from any loss.

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Dillon, Kirsten H., Patricia A. Resick e Candice M. Monson. Psychotherapy: Cognitive Processing Therapy (CPT). A cura di Charles B. Nemeroff e Charles R. Marmar. Oxford University Press, 2018. http://dx.doi.org/10.1093/med/9780190259440.003.0031.

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This chapter discusses cognitive processing therapy (CPT), a trauma-focused, cognitive-behavioral treatment for post-traumatic stress disorder (PTSD). CPT focuses primarily on identifying and challenging maladaptive beliefs that have developed about and as a result of the trauma, in order to help the client adopt a more balanced set of beliefs. Based on its long history of research support, CPT is one of the leading evidence-based treatments for PTSD. The chapter covers the theoretical background for CPT, describes the therapy, and presents a summary of research findings. Studies of CPT across multiple populations, settings, cultures, and countries are discussed. Research on the efficacy of CPT for individuals with comorbid conditions (e.g., brain injury, personality disorders, depression) and the impact of CPT on health-related outcomes and psychosocial functioning is also presented.

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McCarron, Robert M., Amir Ramezani, Ian Koebner, Samir J. Sheth e Jessica Palka. Integrated Chronic Pain and Psychiatric Management. A cura di Robert E. Feinstein, Joseph V. Connelly e Marilyn S. Feinstein. Oxford University Press, 2017. http://dx.doi.org/10.1093/med/9780190276201.003.0023.

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Both physical pain and psychiatric disorders are widely prevalent, and collectively they account for the most frequently presenting complaints in the primary care setting. These conditions are a complex challenge for both the patient and provider, with frequent high use of medical services and increased morbidity. The Integrated Behavioral Pain Medicine (IBPM) treatment model incorporates a multidisciplinary, biopsychosocial, team-based approach for patients who have chronic and largely treatment-refractory pain. IBPM uses an integrated care team of providers and coordinators, who collectively work with the chronic pain patient to individualize a pain management plan, which may include pharmacologic management, cognitive-behavioral therapy, trauma-focused therapy, biofeedback, mindfulness, acupuncture, nutrition, behavioral weight and sleep management, and physical therapy. Ideally, primary care providers will refer patients to an IBPM model of care, but if the treatment model is not available in a specific area, a piecemeal approach with partial use of services is recommended.

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Capitoli di libri sul tema "Trauma-focused cognitive behavioural therapy"

Gurr, Birgit. "Cognitive behavioural therapy for posttraumatic headaches". In Headaches and Mild Brain Trauma, 130–219. 2^a ed. Other titles: Headaches and brain injury from a biopsychosocial perspective Description: 2nd edition. | Milton Park, Abingdon, Oxon; New York, NY: Routledge, 2021. |: Routledge, 2021. http://dx.doi.org/10.4324/9781003155546-4.

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Little, Steven G., e Angeleque Akin-Little. "Trauma-focused cognitive behavior therapy." In Behavioral interventions in schools: Evidence-based positive strategies (2nd ed.)., 393–402. Washington: American Psychological Association, 2019. http://dx.doi.org/10.1037/0000126-021.

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Fitzgerald, Monica M., e Judith Cohen. "Trauma-Focused Cognitive-Behavioral Therapy". In Handbook of Child Sexual Abuse, 199–228. Hoboken, New Jersey: John Wiley & Sons, Inc., 2011. http://dx.doi.org/10.1002/9781118094822.ch9.

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Enrile, Annalisa, Gabrielle Aquino e Charisma De Los Reyes. "Trauma-Focused Cognitive Behavioral Therapy". In Ending Human Trafficking and Modern-Day Slavery: Freedom’s Journey, 115–31. 2455 Teller Road, Thousand Oaks California 91320: SAGE Publications, Inc, 2018. http://dx.doi.org/10.4135/9781506316789.n6.

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Mannarino, Anthony P., Judith A. Cohen e Esther Deblinger. "Trauma-Focused Cognitive-Behavioral Therapy". In Child Maltreatment, 165–85. Dordrecht: Springer Netherlands, 2013. http://dx.doi.org/10.1007/978-94-007-7404-9_10.

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Kliethermes, Matthew D., Kate Drewry e Rachel Wamser-Nanney. "Trauma-Focused Cognitive Behavioral Therapy". In Evidence-Based Treatments for Trauma Related Disorders in Children and Adolescents, 167–86. Cham: Springer International Publishing, 2017. http://dx.doi.org/10.1007/978-3-319-46138-0_8.

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Allen, Brian, Elizabeth Riden e Chad E. Shenk. "Trauma-Focused Cognitive Behavioral Therapy (TF-CBT)". In Cognitive Behavioral Therapy in Youth: Tradition and Innovation, 91–108. New York, NY: Springer US, 2020. http://dx.doi.org/10.1007/978-1-0716-0700-8_5.

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Cohen, Judith A., e Anthony P. Mannarino. "Evidence Based Intervention: Trauma-Focused Cognitive Behavioral Therapy for Children and Families". In Parenting and Family Processes in Child Maltreatment and Intervention, 91–105. Cham: Springer International Publishing, 2016. http://dx.doi.org/10.1007/978-3-319-40920-7_6.

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Ehlers, Anke. "Trauma-Focused Cognitive Behavior Therapy for Posttraumatic Stress Disorder and Acute Stress Disorder". In CBT for Anxiety Disorders, 161–89. Oxford, UK: John Wiley & Sons Ltd, 2013. http://dx.doi.org/10.1002/9781118330043.ch7.

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Rebecca e Joanna Ward-Brown. "Trauma-focused therapy using cognitive-behavioural and EMDR approaches". In Personal Experiences of Psychological Therapy for Psychosis and Related Experiences, 77–85. Routledge, 2019. http://dx.doi.org/10.4324/9781315108605-10.

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Atti di convegni sul tema "Trauma-focused cognitive behavioural therapy"

Aten, Jamie D., David Boan, Wismick Jean Charles, Kathylynn Pierre Griff, Viola Valcin, Ward Davis, Joshua N. Hook et al. "Culturally Adapted Spiritual Oriented Trauma Focused Cognitive Behavioral Therapy for Child Survivors of Restavek". In Annual International Conference on Cognitive and Behavioral Psychology. Global Science & technology Forum ( GSTF ), 2016. http://dx.doi.org/10.5176/2251-1865_cbp16.42.

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Rapporti di organizzazioni sul tema "Trauma-focused cognitive behavioural therapy"

Slade, Michael K., e Russel T. Warne. A Meta-Analysis of the Effectiveness of Trauma-Focused Cognitive-Behavioral Therapy and Play Therapy for Child Victims of Abuse. Journal of Young Investigators, giugno 2016. http://dx.doi.org/10.22186/jyi.30.4.36-43.

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Family-focused CBT is not superior to enhanced treatment-as-usual in reducing suicide attempts. ACAMH, settembre 2019. http://dx.doi.org/10.13056/acamh.10651.

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In 2011, Esposito-Smythers et al. reported that integrated outpatient cognitive-behavioural therapy (I-CBT) significantly reduced substance use, suicidal behaviours, and the rate of health service use compared with enhanced treatment-as-usual (E-TAU) in adolescents with co-occurring alcohol or drug use disorder and suicidality.

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PTSD in very young children, and proof-of-concept trial – In Conversation Prof. Tim Dalgleish. ACAMH, settembre 2021. http://dx.doi.org/10.13056/acamh.17201.

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The focus of this podcast is on the JCPP paper 'The early course and treatment of posttraumatic stress disorder in very young children: diagnostic prevalence and predictors in hospital-attending children and a randomized controlled proof-of-concept trial of trauma-focused cognitive therapy, for 3- to 8-year-olds'

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