Massed prolonged exposure therapy for PTSD and alcohol use: a single case experimental study of a university student
- Authors: Abrahams, Sherwin Owen
- Date: 2025-04-25
- Subjects: Prolonged exposure therapy , Post-traumatic stress disorder , Alcoholism , Flooding , College students Alcohol use South Africa , College students Psychology
- Language: English
- Type: Academic theses , Master's theses , text
- Identifier: http://hdl.handle.net/10962/478284 , vital:78173
- Description: Post-traumatic stress disorder (PTSD) and alcohol use disorder (AUD) are common among university students in South Africa. Bantjies et al. (2023) found a PTSD prevalence of 21.0% (n=28,268), and McGowan and Kagee (2013) reported that 90% (n=1337) had experienced at least one traumatic event. There is a high comorbidity between PTSD and AUD, especially in hazardous drinkers (Peltzer & Pengpid, 2015). Despite the prevalence, research on effective trauma-focused therapies (TFTs) in low-resource settings is limited (Booysen & Kagee, 2021). This study evaluates the effectiveness of massed-prolonged exposure (MPE) therapy for comorbid PTSD and AUD among South African university students, using a Single-Case Experimental Design (SCED). The participant (n=1) underwent comprehensive assessments using CAPS-5, AUDIT, PDS-5, and PCL-5, confirming PTSD and AUD diagnoses. Regular PCL-5 assessments during the intervention showed significant symptom improvement, and post-intervention assessments indicated the participant no longer met PTSD criteria. AUDIT scores also improved from 11 (harmful/hazardous drinking) to 6. The participant found MPE therapy to be feasible, acceptable, and appropriate. This study supports the effectiveness, feasibility and acceptability of MPE therapy and highlights the importance of evidence-based interventions to improve PTSD outcomes within university settings and in low-to-middle-income countries. , Thesis (MA) -- Faculty of Humanities, Psychology, 2025
- Full Text:
- Date Issued: 2025-04-25
- Authors: Abrahams, Sherwin Owen
- Date: 2025-04-25
- Subjects: Prolonged exposure therapy , Post-traumatic stress disorder , Alcoholism , Flooding , College students Alcohol use South Africa , College students Psychology
- Language: English
- Type: Academic theses , Master's theses , text
- Identifier: http://hdl.handle.net/10962/478284 , vital:78173
- Description: Post-traumatic stress disorder (PTSD) and alcohol use disorder (AUD) are common among university students in South Africa. Bantjies et al. (2023) found a PTSD prevalence of 21.0% (n=28,268), and McGowan and Kagee (2013) reported that 90% (n=1337) had experienced at least one traumatic event. There is a high comorbidity between PTSD and AUD, especially in hazardous drinkers (Peltzer & Pengpid, 2015). Despite the prevalence, research on effective trauma-focused therapies (TFTs) in low-resource settings is limited (Booysen & Kagee, 2021). This study evaluates the effectiveness of massed-prolonged exposure (MPE) therapy for comorbid PTSD and AUD among South African university students, using a Single-Case Experimental Design (SCED). The participant (n=1) underwent comprehensive assessments using CAPS-5, AUDIT, PDS-5, and PCL-5, confirming PTSD and AUD diagnoses. Regular PCL-5 assessments during the intervention showed significant symptom improvement, and post-intervention assessments indicated the participant no longer met PTSD criteria. AUDIT scores also improved from 11 (harmful/hazardous drinking) to 6. The participant found MPE therapy to be feasible, acceptable, and appropriate. This study supports the effectiveness, feasibility and acceptability of MPE therapy and highlights the importance of evidence-based interventions to improve PTSD outcomes within university settings and in low-to-middle-income countries. , Thesis (MA) -- Faculty of Humanities, Psychology, 2025
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- Date Issued: 2025-04-25
Effects of supply chain disruptions on alcohol consumption behaviour in a South African township
- Authors: Sipamla, Noluthando
- Date: 2024-12
- Subjects: Business logistics , Inventory control , Alcoholism
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10948/69913 , vital:78172
- Description: This study investigated the effect of supply chain disruptions on alcohol consumer consumption behaviour in the Eastern Cape Province, but with the specific reference to Mdantsane Township in the Buffalo City Municipality. A quantitative methodology was employed, and self-administered questionnaires were used to collect data. The results of the study revealed that: disruptions increase the risk of the company; disruptions have a significant negative impact on profitability; disruptions have a crippling effect on performance because firms take longer to recover from disruptions; and disruptions have a negative impact on stock price, profitability, and share price volatility across the board. The study recommends diversification of alcohol supply chains to mitigate the impact of disruptions, establish robust monitoring and surveillance systems to track changes in alcohol consumption patterns following supply chain disruptions and consider implementing price regulation and taxation policies to moderate alcohol consumption, particularly during periods of supply chain disruptions. , Thesis (MBA) -- Faculty of Business and Economic Sciences, Business School, 2024
- Full Text:
- Date Issued: 2024-12
- Authors: Sipamla, Noluthando
- Date: 2024-12
- Subjects: Business logistics , Inventory control , Alcoholism
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10948/69913 , vital:78172
- Description: This study investigated the effect of supply chain disruptions on alcohol consumer consumption behaviour in the Eastern Cape Province, but with the specific reference to Mdantsane Township in the Buffalo City Municipality. A quantitative methodology was employed, and self-administered questionnaires were used to collect data. The results of the study revealed that: disruptions increase the risk of the company; disruptions have a significant negative impact on profitability; disruptions have a crippling effect on performance because firms take longer to recover from disruptions; and disruptions have a negative impact on stock price, profitability, and share price volatility across the board. The study recommends diversification of alcohol supply chains to mitigate the impact of disruptions, establish robust monitoring and surveillance systems to track changes in alcohol consumption patterns following supply chain disruptions and consider implementing price regulation and taxation policies to moderate alcohol consumption, particularly during periods of supply chain disruptions. , Thesis (MBA) -- Faculty of Business and Economic Sciences, Business School, 2024
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- Date Issued: 2024-12
Exploring the experience of family members living with individuals who abuse alcohol and/or substances: Study conducted in Khayelitsha, Western Cape
- Authors: Modise, Badise
- Date: 2018
- Subjects: Alcoholism , Substance abuse , Family violence
- Language: English
- Type: Thesis , Masters , MSoc
- Identifier: http://hdl.handle.net/10353/13116 , vital:39466
- Description: The constant, excessive and frequently uncontrollable abuse of alcoholic beverages and drug related substances continues to have many devastating effects on family members of the abusers. The impact can be explored in various ways, but the findings are likely to be hand in glove regardless of the causes associated with this phenomenon. This study aimed to explore the experiences of family members living with individuals who abuse alcohol and/or substances through case studies conducted in Khayelitsha, in the Western Province of South Africa. The study was conducted to gain greater insight into the experiences of the family members in order to provide the appropriate assistance to help them deal with these issues. From the data that was captured and analysed, it was clear that alcohol and substance abuse inflicted profound suffering on family members. It contributes to high levels of interpersonal conflict, domestic violence, child abuse and neglect, financial problems as well as health issues for all parties involved - causing extreme emotional pain and suffering. Living with an alcohol or substance abuser inevitably results in financial burden, dysfunctional relationships and family life in addition to impacting on safety needs. Furthermore, the results have shown that family members of alcohol and substance dependents develop psychological and mental distress; anxiety, and insomnia. Likewise, the family members develop psychophysiological symptoms such as high-blood pressure and chronic headaches. With regards to rehabilitation, family members reported exclusion from rehabilitation programs and lost their belief in self-rehabilitation or detoxification.
- Full Text:
- Date Issued: 2018
- Authors: Modise, Badise
- Date: 2018
- Subjects: Alcoholism , Substance abuse , Family violence
- Language: English
- Type: Thesis , Masters , MSoc
- Identifier: http://hdl.handle.net/10353/13116 , vital:39466
- Description: The constant, excessive and frequently uncontrollable abuse of alcoholic beverages and drug related substances continues to have many devastating effects on family members of the abusers. The impact can be explored in various ways, but the findings are likely to be hand in glove regardless of the causes associated with this phenomenon. This study aimed to explore the experiences of family members living with individuals who abuse alcohol and/or substances through case studies conducted in Khayelitsha, in the Western Province of South Africa. The study was conducted to gain greater insight into the experiences of the family members in order to provide the appropriate assistance to help them deal with these issues. From the data that was captured and analysed, it was clear that alcohol and substance abuse inflicted profound suffering on family members. It contributes to high levels of interpersonal conflict, domestic violence, child abuse and neglect, financial problems as well as health issues for all parties involved - causing extreme emotional pain and suffering. Living with an alcohol or substance abuser inevitably results in financial burden, dysfunctional relationships and family life in addition to impacting on safety needs. Furthermore, the results have shown that family members of alcohol and substance dependents develop psychological and mental distress; anxiety, and insomnia. Likewise, the family members develop psychophysiological symptoms such as high-blood pressure and chronic headaches. With regards to rehabilitation, family members reported exclusion from rehabilitation programs and lost their belief in self-rehabilitation or detoxification.
- Full Text:
- Date Issued: 2018
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