CBT for PTSD

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Psychology Karteikarten am CBT for PTSD, erstellt von Becky Smith am 11/01/2017.
Becky  Smith
Karteikarten von Becky Smith, aktualisiert more than 1 year ago
Becky  Smith
Erstellt von Becky Smith vor fast 8 Jahre
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Hellawell & Brewin (2002) PTSD patients asked to write a narrative of their trauma and identify when memories were flashbacks. Flashbacks were associated with impaired visuospatial processing, and both types of memory were associated with decrements on a verbal processing task.
Dunmore et al (1999) In 92 assault victims, dysfunctional appraisals of trauma, the aftermath of the trauma, unhelpful coping strategies and beliefs were all associated with onset and maintenance of PTSD
Metcalfe & Jacobs (1998) Exposure of glucocorticoids cause the hippocampal neurons to fire and then decline. Suggests that in times of high stress, functioning of the hippocampus is impaired, leading to adverse effects on declarative memories.
Herman (1992) Complex PTSD includes - more complex persistent symptoms including somatisation and dissociation, self abuse/abuse from others, pathological relationship changes and character changes including deformations in identity (MPD/BPD).
Bradley et al (2005) Meta review found that CBT and EMDR were equally successful in treating PTSD, possibly because they include similar methodology such as exposure and memory restructuring. 40-70% showed a decrease in symptoms following one of these treatments.
Kowalik (2011) Meta-analysis found CBT to be effective in treating children who had undergone trauma. However it addressed internalising symptoms such as depression more robustly than external one's such as aggression.
Wenzlaff & Wegner (2000) Attempts to suppress thoughts were found to fail and will often return even more strongly. This is why confronting trauma is such an important part of recovery.
Herkt et al (2014) 22 healthy students watched disturbing and neutral videos whilst being scanned. 1/3 of the time they received bilateral alternating auditory stimulations. In this condition during disturbing videos, there was increased activity in the right amygdala and decreased activity in the dorsolateral PFC. Shows how EMDR may aid emotional recall of memories
Morkved et al (2014) Prolonged Exposure (confrontation with trauma cues) and Narrative Exposure (telling their story) were compared, finding although PE was widely effective, NE was better in treatment of complex and prolonged trauma cases as it allows focus on a narrative rather than a singular event.
Edmond, Rubin & Wambach (1999) Adult survivors of child abuse showed significant improvement in symptoms after 6 EMDR sessions. However it was suggested that longer term treatment was needed to deal wholly with their issues. This is a problem with the limitations of NHS sessions.
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