preventions Flashcards
what is prevention
intervening so MHI doesn’t develop
3 prevention types
universal (everyone), high risk target, sub-clinical symptoms present
way 1 to prevent PTSD
psychological debreifing
way 2 to prevent PTSD
cognitive vaccine
what is psychological debriefing
counselling within a week of traumatic event
7 steps of psychological debriefing
assess impact, identify issues, reaction and validation, predict future problems, maladaptive response, resources
a study for psychological debriefing
Van emmerik et al 2002
what did Van emmerik et al 2002 do
meta analysis of psychological debriefing for different traumas
what did Van emmerik et al 2002 find
small effect, doing nothing or other interventions were better
is psychological briefing effective
No
what is a cognitive vaccine
intervening right after trauma to change the way the memory is consolidated
what does the cognitive vaccine do
tax visuospacial working memory to change consolidation
study 1 for cognitive vaccine
Hirsch et al 2017
what did Hirsch et al 2017 do
looked at woman who had emergceny C section gave half tetris to play
what did Hirsch et al 2017 find
tertis caused fewer intrusive memories and diagnostic threshold
study 2 for cognitive vaccine
lyadurai et al 2018
what did lyadurai et al 2018 do
tetris for road traffic accident victims
what did lyadurai et al 2018 find
a week later- less intrusive thoughts
problem with lyadurai et al 2018
a month later patchy group differences
future for cognitive vaccine
follow ups are needed, look at diagnostic not symptoms
what is used for mood problems
mindfulness- build resilience in young people
mindfulness study
carsley et al 2018
what did carsley et al 2018 do
meta analysis of school based mindfulness
what did carsley et al 2018 find
significant effect at end of treatment but not long term
issues with carsley et al 2018
only 6 followed up, less power no clear effect
prevention for psychosis
CBT for ultra high risk
study 1 for psychosis
stafford et al
what did stafford et al do
meta analysis of RCT of cbt for psychosis
what did stafford et al 2013 find
CBT = reduction in risk
study 2 for psychosis
davies et al 2018
what did davies et al 2018 do
expanded on Staffords by adding 7 and removing 2 RCT using many interventions
what did davies et al 2018 find
no evidence any were effective
