Novel Interventions for PTSD

A special issue of Brain Sciences (ISSN 2076-3425). This special issue belongs to the section "Neuropsychology".

Deadline for manuscript submissions: closed (20 December 2023) | Viewed by 4602

Special Issue Editor


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Guest Editor
College of Psychology, Nova Southeastern University, Fort Lauderdale, FL, USA
Interests: posttraumatic stress disorder; behavioral/psychological risk factors for physical conditions (such as PTSD, stress and cognitive appraisal, health risk behaviors, depression); trauma and related sequelae among refugees; psychophysiology

Special Issue Information

Dear Colleagues,

A long history of research has provided excellent evidence-based options for addressing the psychiatric symptoms of PTSD. However, research in a wide range of areas has also supported the notion that there are numerous health problems/symptoms and related processes that complicate the PTSD presentation (e.g., high rates of overweight/obesity, elevated heart disease risks, immune dysregulation, significant sleep disruption). To date, there has been limited research on alternative or adjunctive interventions for these issues, with the goal of providing a more comprehensive or multidisciplinary approach as individuals recover from the psychiatric aspects of trauma. The aim of this Special Issue is to feature research that either directly addresses or has clear implications for novel or alternative interventions in PTSD. The objective is to include papers that will provide a broad perspective on the multidisciplinary approaches to treatment that may enhance quality of life. Examples include, but are not limited to, behavioral or pharmacological interventions to improve health or reduce health risks, studies of interventions that have the potential to enhance neurological functioning, and studies of trauma populations with unique treatment needs. In short, we seek papers that will advance the state of interventions for PTSD due to their innovation.

Dr. Jeffrey L. Kibler
Guest Editor

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Keywords

  • PTSD
  • intervention
  • novel
  • health
  • health risks
  • health behaviors
  • neuroscience/neurology

Published Papers (3 papers)

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Research

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10 pages, 475 KiB  
Article
Pilot Findings Indicate a Cognitive Behavioral Healthy Lifestyle Intervention for PTSD Improves Sleep and Physical Activity
by Jeffrey Kibler, Mindy Ma, Jacquelyn Hrzich and Jessica Choe
Brain Sci. 2023, 13(11), 1565; https://doi.org/10.3390/brainsci13111565 - 8 Nov 2023
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Abstract
Research has indicated strong associations between post-traumatic stress and cardiovascular disease (CVD) risk. Individuals with post-traumatic stress disorder (PTSD) tend to show patterns of elevated CVD risk earlier in life than the general population. The need for developing effective interventions for CVD risk [...] Read more.
Research has indicated strong associations between post-traumatic stress and cardiovascular disease (CVD) risk. Individuals with post-traumatic stress disorder (PTSD) tend to show patterns of elevated CVD risk earlier in life than the general population. The need for developing effective interventions for CVD risk reduction in PTSD is increasingly evident. The purpose of the present pilot study was to examine the effects of a healthy lifestyle intervention that addresses CVD-related heath behaviors (physical activity, sleep, stress) among civilian adults with PTSD. Participants were randomized to the healthy lifestyle intervention condition or a wait-list control. A total of 22 women completed the protocol (11 per group). The mean age was 32 (SD ± 14). Evaluations were conducted before and after the 12-week intervention program in the experimental group, and 12 weeks apart for the control group, and included standardized self-report measures of sleep, physical activity, and general stress. The healthy lifestyle group showed an increase in the amount of sleep pre to post (mean of 1.2 h per night), which was significantly different to the control group, who had no change (p < 0.05; effect size = 1.41). Notable pre to post increases in physical activity were observed between the intervention group (mean increase = 115.8 min over 7 days) and control condition (mean = 4.5 min over 7 days); however, this effect was not significant in the small sample (effect size = 0.70). These preliminary findings suggest that a healthy lifestyle intervention is feasible and can produce desired changes in target behaviors/outcomes. Full article
(This article belongs to the Special Issue Novel Interventions for PTSD)
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8 pages, 222 KiB  
Article
Enhanced Skills Training in Affective and Interpersonal Regulation (ESTAIR): A New Modular Treatment for ICD-11 Complex Posttraumatic Stress Disorder (CPTSD)
by Thanos Karatzias, Edel Mc Glanaghy and Marylene Cloitre
Brain Sci. 2023, 13(9), 1300; https://doi.org/10.3390/brainsci13091300 - 9 Sep 2023
Cited by 4 | Viewed by 1803
Abstract
ICD-11 Complex Posttraumatic Stress Disorder (CPTSD) is a relatively new condition; therefore, there is limited available evidence for its treatment. Prior to the recognition of CPTSD as a separate trauma condition, people who met criteria were often diagnosed with multiple co-morbid conditions such [...] Read more.
ICD-11 Complex Posttraumatic Stress Disorder (CPTSD) is a relatively new condition; therefore, there is limited available evidence for its treatment. Prior to the recognition of CPTSD as a separate trauma condition, people who met criteria were often diagnosed with multiple co-morbid conditions such as PTSD, anxiety, depression, and emotional dysregulation difficulties. In the absence of a coherent evidence base, treatment tended to involve multiple treatments for these multiple conditions or lengthy phase-based interventions, often delivered in an integrative fashion, which was not standardized. In this paper, we present Enhanced Skills Training in Affective and Interpersonal Regulation (ESTAIR), a new flexible multi-modular approach for the treatment of CPTSD and its transdiagnostic symptoms. ESTAIR is consistent with trauma-informed and patient-centered care, which highlights the importance of patient choice in identification and sequencing in targeting CPTSD symptoms. Directions for future research are discussed. Full article
(This article belongs to the Special Issue Novel Interventions for PTSD)

Review

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12 pages, 473 KiB  
Review
A Narrative Commentary on the Use of a Rational Emotive Behavior Therapy-Informed Group to Address Irrational Beliefs, Posttraumatic Stress Disorder, and Comorbidities
by Allen B. Grove, Brooke A. Green, Savannah M. Kaye and Christina M. Sheerin
Brain Sci. 2024, 14(2), 129; https://doi.org/10.3390/brainsci14020129 - 26 Jan 2024
Viewed by 1373
Abstract
Irrational beliefs of Demandingness, Catastrophizing, Low Frustration Tolerance, and Depreciation have demonstrated prevalence in disparate areas of life, including psychopathology, the military, politics, religion, and education. Individuals with mental health concerns, such as Post-Traumatic Stress Disorder (PTSD), endorse elevations in such thoughts compared [...] Read more.
Irrational beliefs of Demandingness, Catastrophizing, Low Frustration Tolerance, and Depreciation have demonstrated prevalence in disparate areas of life, including psychopathology, the military, politics, religion, and education. Individuals with mental health concerns, such as Post-Traumatic Stress Disorder (PTSD), endorse elevations in such thoughts compared to the general population. This commentary describes the rationale for focusing on irrational beliefs in efforts to address PTSD and presents the Rational Emotive Behavior Therapy (REBT)-Informed Group for PTSD as a potential novel application of a well-established intervention. In support of these suggestions, we present a narrative review of the published work on irrational beliefs and REBT tenets as relevant for PTSD. We then introduce and describe the REBT-Informed Group intervention, summarize the prior preliminary research conducted by our group, and present some novel data from a re-analysis of this prior work. We end with commentary related to future directions of REBT approaches for PTSD to address limitations and expand the impact of the treatment to military and other Veteran or civilian populations. Full article
(This article belongs to the Special Issue Novel Interventions for PTSD)
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