8 research outputs found
Supportive and cognitive behavioral group interventions on Bam earthquake related PTSD symptoms in adolescents
Background: Psychological debriefing has been widely advocated for routine use following major traumatic events. Cognitive Behavioral Interventions, art supportive therapies, and sport and recreational support activities are other interventions for reducing posttraumatic stress disorder. We assessed the effects of theses methods individually and in combination on reduction posttraumatic stress disorder symptoms in adolescents who had experienced Bam earthquake. Methods: In a field trial, we evaluated the efficacy of psychological debriefing, group cognitive-behavioral therapy, art and sport supportive interventions in 200 adolescents with PTSD symptoms who survived of Bam earthquake and compare it with a control group. Patients were randomly assigned to one of intervention programs including: group cognitive-behavioral therapy; group CBT plus art and sport interventions; art and sport interventions without group CBT; and control group. Results: Thirty one individuals were excluded because of migration. A statistically significant reduction in overall PTSD symptoms as well as in avoidance symptoms was observed after group cognitive-behavioral therapy. There was no significant difference in reduction of overall PTSD and avoidance symptoms between the other groups. Conclusion: Psychological interventions in form of group cognitive behavioral therapy can reduce the symptoms of PTSD symptoms but we couldn't find the art and sport supportive therapy alone or in combination with group CBT to be useful in this regard
Group play therapy effect on Bam earthquake related emotional and behavioral symptoms in preschool children: a before-after trial
Background: Depressive, anxious, aggressive and regressive behaviors
are the most common psychiatric symptoms following natural disasters in
children. Art, play and behavioral techniques are used for reducing
these traumatic symptoms. We studied the effect of 12 sessions of group
play therapy in children 3 to 6 years old who had been exposed to the
Bam earthquake directlyMethods: This study was carried out to evaluate
the effect of 12 sessions of group play therapy with
cognitive-behavioral approach for the preschool aged children who had
been exposed to the Bam earthquake directly and had lost at least one
of their first degree family members. Mental retarded children and
those with psychiatric or severe medical problems that needed
medications were excluded. Before and after interventions we evaluated
post traumatic, emotional and anxiety symptoms by using Yule's PTSD
scale and behavioral symptoms by Rutter's questionnaire. Then we
compared before and after interventions scores.Findings: At first 19
children were included in the study, 13 of them completed at least two
thirds of the interventional sessions. We excluded six children who
participated in fewer sessions. The mean scores of Yule's PTSD scale
and Rutter's questionaire reduced during interventions which was
statistically significant.Conclusions: Trauma/grief focused group play
therapy may be effective in reducing post traumatic symptoms of natural
disasters in preschool aged children
Behavioral group therapy effect on Bam earthquake related PTSD symptoms in children: A randomized clinical trial
Background: In children and adolescents physical and psychological
integrity threatening occur after disasters, whereby post traumatic
stress disorder (PTSD) may be the first reaction. Psychological
debriefing is a way for prevention and reducing PTSD symptoms. Many
studies have shown the efficacy of behavioral therapy in treatment of
post-traumatic stress disorder. Few evidence is available for using
these techniques in combination for prevention and treatment of PTSD
symptoms. This study compared the efficacy of psychological debriefing
and cognitive behavioral group therapy combination on Bam earthquake
related PTSD symptoms in children with a control group. Methods: In a
control trial, we evaluated the efficacy of one session psychological
debriefing and three sessions of group behavioral therapy in Bam
earthquake adolescent survivors with PTSD symptoms and compared it with
a control group. The mean age of participants was 9.07 (SD=1.7) years
and no one had sever PTSD or other psychiatric disorder that needed
pharmacological interventions. Before and after interventions we
evaluated PTSD symptoms by use of K-SADS questionnaire and compared
them with the control group. Results: The study included 100 persons,
of whom 20 persons were excluded during intervention because of
migration. The mean values of total PTSD symptoms and the symptoms of
re-experience and avoidance were reduced after interventions. This
reduction was statistically significant only for symptoms of
re-experience. In control group the mean values of PTSD symptoms
increased during study which was statistically significant. The two
groups showed statistically significant differences of symptom
reduction in total PTSD symptoms, re-experience and avoidance. No
difference was detected for hyper arousal. Conclusion: Psychological
debriefing and group behavioral therapy may have preventive effect on
PTSD symptoms and may reduce symptoms of re-experience