Implementing prolonged exposure therapy for PTSD in a context of ongoing adversity: a clinical case study
- Booysen, Duane D, Kagee, Ashraf
- Authors: Booysen, Duane D , Kagee, Ashraf
- Date: 2020
- Language: English
- Type: text , article
- Identifier: http://hdl.handle.net/10962/149275 , vital:38821 , https://0-doi.org.wam.seals.ac.za/10.1177/1534650120925918
- Description: Obstacles regarding the implementation of empirically supported treatments (ESTs) for mental disorders such as post-traumatic stress disorder (PTSD) still require further investigation. One notable obstacle is whether persons in low- and middle-income countries (LMICs) residing in a context of ongoing adversity would benefit from an EST for PTSD. We reflect on the utility of a brief prolonged exposure intervention at a primary care community-counseling center in South Africa. “Sam,” a 45-year-old, female was assessed at baseline, during treatment, postassessment, and at 3-month follow-up. At the beginning of treatment, Sam had a positive diagnosis for PTSD (PSSI-5 = 55, and cutoff is 23) and at the end of treatment (PSSI-5 = 17), and 3-month follow-up (PSSI-5 = 21), she had a negative diagnosis for PTSD. We reflect on the mediating effects that contextual factors such as gang violence had on the treatment process and the feasibility of implementing ESTs for PTSD in LMICs under conditions of ongoing adversity.
- Full Text:
- Date Issued: 2020
- Authors: Booysen, Duane D , Kagee, Ashraf
- Date: 2020
- Language: English
- Type: text , article
- Identifier: http://hdl.handle.net/10962/149275 , vital:38821 , https://0-doi.org.wam.seals.ac.za/10.1177/1534650120925918
- Description: Obstacles regarding the implementation of empirically supported treatments (ESTs) for mental disorders such as post-traumatic stress disorder (PTSD) still require further investigation. One notable obstacle is whether persons in low- and middle-income countries (LMICs) residing in a context of ongoing adversity would benefit from an EST for PTSD. We reflect on the utility of a brief prolonged exposure intervention at a primary care community-counseling center in South Africa. “Sam,” a 45-year-old, female was assessed at baseline, during treatment, postassessment, and at 3-month follow-up. At the beginning of treatment, Sam had a positive diagnosis for PTSD (PSSI-5 = 55, and cutoff is 23) and at the end of treatment (PSSI-5 = 17), and 3-month follow-up (PSSI-5 = 21), she had a negative diagnosis for PTSD. We reflect on the mediating effects that contextual factors such as gang violence had on the treatment process and the feasibility of implementing ESTs for PTSD in LMICs under conditions of ongoing adversity.
- Full Text:
- Date Issued: 2020
The feasibility of prolonged exposure therapy for PTSD in low-and middle-income countries: a review
- Booysen, Duane D, Kagee, Ashraf
- Authors: Booysen, Duane D , Kagee, Ashraf
- Date: 2020
- Language: English
- Type: text , article
- Identifier: http://hdl.handle.net/10962/148505 , vital:38745 , DOI: 10.1080/20008198.2020.1753941
- Description: There is a need in the global south to evaluate and implement empirically supported psychological interventions to ameliorate symptoms of posttraumatic stress disorder (PTSD). Empirically supported treatments (ESTs) have increasingly been developed and implemented, yet the majority people in the global south do not have access to these treatments for mental disorders such as PTSD. Prolonged exposure therapy has accrued substantial empirical evidence to show it as an effective treatment for PTSD. Research on the effectiveness and acceptability of prolonged exposure in a low- and middle-income countries (LMICs) are sparse. This brief report presents a review of prolonged exposure (PE) therapy and its feasibility as a trauma therapy for PTSD in LMICs. First, we present a brief overview of PE as a first-line treatment for PTSD. Second, using South Africa as a case example, we present a brief overview of traumatic stress in South Africa and how mental healthcare has developed since the abolishment of apartheid in 1994. Lastly, we discuss the challenges pertaining to the dissemination and implementation of PE in LMICs and propose future perspectives regarding the implementation of ESTs such as PE in LMICs.
- Full Text:
- Date Issued: 2020
- Authors: Booysen, Duane D , Kagee, Ashraf
- Date: 2020
- Language: English
- Type: text , article
- Identifier: http://hdl.handle.net/10962/148505 , vital:38745 , DOI: 10.1080/20008198.2020.1753941
- Description: There is a need in the global south to evaluate and implement empirically supported psychological interventions to ameliorate symptoms of posttraumatic stress disorder (PTSD). Empirically supported treatments (ESTs) have increasingly been developed and implemented, yet the majority people in the global south do not have access to these treatments for mental disorders such as PTSD. Prolonged exposure therapy has accrued substantial empirical evidence to show it as an effective treatment for PTSD. Research on the effectiveness and acceptability of prolonged exposure in a low- and middle-income countries (LMICs) are sparse. This brief report presents a review of prolonged exposure (PE) therapy and its feasibility as a trauma therapy for PTSD in LMICs. First, we present a brief overview of PE as a first-line treatment for PTSD. Second, using South Africa as a case example, we present a brief overview of traumatic stress in South Africa and how mental healthcare has developed since the abolishment of apartheid in 1994. Lastly, we discuss the challenges pertaining to the dissemination and implementation of PE in LMICs and propose future perspectives regarding the implementation of ESTs such as PE in LMICs.
- Full Text:
- Date Issued: 2020
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