PTSD Flashcards
Model
cognitive model
psychological intervention
trauma based CBT
biological intervention
SSRI’s
who made the cognitive model
Ethlers & clark 2000
what did Ethlers & clark 2000 do
made the cognitive model
what influences nature of trauma memory
pre-existing traits and cognitive processing
what is the cognitive model
nature of trauma memory, appraisal of trauma and consequences, perceived current ongoing threat, maladaptive coping and avoidance, prevents change in nature of memory
what does appraisal of trauma and consequences lead to
a perceived current ongoing threat
what does a perceived current ongoing threat lead to
maladaptive coping stratigies and avoidance
what does maladaptive coping strategies and avoidance prevent
a change in nature of traumatic memory
who’s study backs up the cognitive model
ehering et al 2008
what was ehering et al 2008 study
assessed road traffic accident victims 2 weeks, 1, 3 and 6 months later for ptsd
what did ehering et al 2008 find
33 people met the criteria for ptsd after 2 weeks and 17 after 6 months. there was a strong relationship between symptoms involved in the model and PTSD severity
does the cognitive model predict ptsd
yes as per ehering et al 2008
who created trauma based CBT for ptsd
Ehlers et al 2005
what is the CBT based on
the cognitive model
what are the three goals of CBT
Identify and modify
appraisals.
Reduce re-experiencing
Drop dysfunctional behaviours and cognitive strategies.
how do you Reduce re-experiencing
by elaborating trauma memory
by identifying triggers
breaking link with trauma memory.
study backing up CBT
Cusack et al 2016 meta analysis
what did Cusack et al 2016 do
meta analysis of 9 studies of CBT vs other interventions
what did Cusack et al 2016 find
CBT on PTSD had large effect size 1.36
negative of study by Cusack et al 2016
the use of wait list controls
do SSRIs work for PTSD
yes a little bit
studies on SSRIs PTSD
ipser & stein 2017, Hoskins et al 2015
what did ipser & stein 2017 find
SSRIs had a small effect n PTSD vs placebo
what did Hoskins et al 2015 do
21 study meta analysis
what did Hoskins et al 2015 find
most studies found no effect 13/21 but overall SSRIs do have a small effect but that patients can feel a difference
