PTSD Flashcards

1
Q

DSM-5 Part A symptoms

A

Exposure to actual or threatened death, serious injury, or sexual violence

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

DSM-5 Part B symptoms

A

Recurrent involuntary and intrusive distressing memories of traumatic event

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

DSM-5 Part C symptoms

A

Avoidance of or efforts to avoid distressing memories, thoughts, or feelings about or closely related with the traumatic event

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Who created the cognitive model of PTSD

A

Ehlers and Clark (2000)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Key claims of cognitive model of PTSD

A

Pre existing traits and cognitive processing during trauma influence the nature of the memory and the appraisal of trauma

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What is the nature of trauma memory?

A

Experiencing dissociation during traumatic event means likely to develop unusual atypical memory of trauma.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

What does the filling system do?

A

Elicited by putting together complex cues in the episodic memory. Trauma gets paired with sensory info which triggers memory

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Appraisal of trauma and its consequences

A

Low self esteem and high self blame

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Maladaptive strategies

A

Avoiding activities and areas related to the trauma creates a vicious cycle - suppressing emotions

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Supporting evidence for Ehlers and Clark (2000) model

A

Ehring et al (2008)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

What did Ehring et al (2008) do?

A

Assessed 147 A&E admissions following road traffic accidents on the day, 2weeks later, 1month later, 3months later and 6months later

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What did Ehring et al (2008) find at 2 weeks?

A

At 2 weeks 33 ppt met PTSD criteria

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

What did Ehring et al find at 6 months?

A

At 6 months, 17 ppt still met the criteria for PTSD

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

What were related to symptoms at 6 months (Ehring et al, 2008)?

A

Interviews on cognitive processing during trauma, memory disorganisation, negative appraisal & consequences, safety behaviours, rumination, thought suppression + ongoing dissociation.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

What is a psychological therapy of PTSD

A

Trauma focussed cognitive therapy (CBT)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Evidence of CBT for PTSD

A

Ehlers et al (2005) + Cusak et al (2016)

17
Q

What did Ehlers et al (2005) aim to do?

A

They aimed to identify and modify hotspots and appraisal of memory

18
Q

What is a hotspot

A

The most traumatic moment of the memory

19
Q

What is an appraisal

A

For example being in a car accident and telling yourself your a terrible dad for putting kids at risk

20
Q

How did Ehlers et al (2005) aim to identify and modify?

A

Reducing re experiencing by elaborating trauma memory, identifying triggers and breaking link with trauma memory = drop dysfunctional behaviours and cognitive strategies

21
Q

Supporting evidence of Ehlers et al (2005)

A

Cusak et al (2016)

22
Q

What did Cusak et al (2016) do?

A

Meta analysis showing CBT is effective
Data from 9 studies with range of different controls used

23
Q

What was the overall effect size found in Cusak et al (2016) meta analysis?

A

Effect size = 1.36
Confidence intervals = 0.94 - 1.77
This is a very large effect

24
Q

Limitations of Cusak et al (2016) meta analysis

A

While used a mix of controls most often was waiting list.
While cognitive therapy is effective, this study found exposure therapy to be the most effective

25
Q

What is a biological intervention of PTSD?

A

Pharmacotherapy - SSRIs

26
Q

What did Ipser and Stein (2012) find in their review?

A

SSRIs have a small effect on PTSD symptoms compared to the placebo

27
Q

Who ran an SSRI meta analysis for PTSD?

A

Hoskins et al (2015)

28
Q

How many studies did Hoskins et al (2015) use in their meta analysis?

A

21 studies with 3,930 ppt

29
Q

How many studies reported no significant effect of SSRIs on PTSD (Hoskins et al, 2015)

A

13 studies

30
Q

What was the effect size of Hoskins et al (2015) meta analysis

A

Effect size = 0.23
Confidence intervals = 0.12 - 0.33
Overall found small statistical significance of SSRIs on PTSD