Hamed Jahanbin; Ahmad Borjali; Hossein Eskandari
Abstract
This study has been conducted to investigate the efficacy of Narrative Constructive Treatment in Back to the future model on reduction of Acute Stress Disorder (ASD) symptoms. The population of the study were all women with ASD symptoms, which appeared following the exposure to car accident coma of the ...
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This study has been conducted to investigate the efficacy of Narrative Constructive Treatment in Back to the future model on reduction of Acute Stress Disorder (ASD) symptoms. The population of the study were all women with ASD symptoms, which appeared following the exposure to car accident coma of the spouse and their husband hospitalized in ICU ward of Poorsina hospital, in Rasht, during 2013 (from June to August). The sample included three women (n=3), who were selected based on purposeful sampling procedure. These cases were selected using Stanford Acute Stress Reaction Questionnaire (SASRQ). This study was a non-concurrent multiple-baseline (across participants) single-case experimental study. The intervention was conducted based on Narrative Constructive Treatment in Back to the future model. The treatment program was carried out for 13 sixty-minute sessions. In general, the study consisted of three stages including the baseline evaluation, the intervention period, and with a follow-up period of 1.5 and 3 months subsequent to treatment termination. Data were analyzed using the clinical significance (Cohen’s d) method, and findings demonstrated that all subjects who completed the treatment showed significant improvement in their ASD symptoms (d = -1.89), including dissociative (d = -1.78), re-experience (d = -1.82), avoidance (d= -2.08) and marked symptoms of anxiety or increased arousal (d = -1.88). It appears that back to the future model is effective in treating women’s ASD.
Mona Shivarani; Parviz Azadfallah; Alireza Moradi; Hosein Eskandari
Abstract
PTSD and depression are most prevalent disorders in traumatic events. This research studies reducing symptoms of PTSD and comorbid depression through narrative exposure therapy (NET). NET incorporated many of exposure elements with additional focus of clearly documenting the atrocities endured. 24 betrayed ...
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PTSD and depression are most prevalent disorders in traumatic events. This research studies reducing symptoms of PTSD and comorbid depression through narrative exposure therapy (NET). NET incorporated many of exposure elements with additional focus of clearly documenting the atrocities endured. 24 betrayed women with PTSD and depression were randomized in experiment and control groups. Participants were clinically interviewed and filled out impact of event scale-revised (IES-R) and Beck Depression inventory (BDI) for three times; once before and once after 8 sessions of experiment group’s therapy. Third time was three months after therapy. Data were analyzed using repeated measures variances analysis. PTSD and its two parameters (intrusion & hyperarousal) significantly reduce in experiment group, immediately after therapy and in three months follow up. Depression also reduces significantly immediately after therapy and continues to reduce three months after therapy. According to this study, NET is beneficial therapy for PTSD even in social fields. NET successfulness in Iranian culture is ascribed to narrative aspect of NET. This study endorses that extra-marital relationship causes PTSD in victims.
