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Well-Being Therapy as Rehabilitation Therapy for Posttraumatic Stress Disorder Symptoms
- Source :
- Journal of Traumatic Stress, 33(5), 813-823. Wiley-Blackwell
- Publication Year :
- 2020
-
Abstract
- Many individuals with posttraumatic stress disorder (PTSD) continue to have substantial residual symptoms after completing psychological treatment. Well-being therapy (WBT) has been developed to treat the residual phase of mental disorders, prevent relapse, and promote a full recovery. The present study aimed to compare treatment as usual (TAU) with the long-term effects of WBT as a rehabilitation therapy in adults who successfully completed psychological treatment for PTSD. Participants who did not meet PTSD diagnostic criteria after completing treatment were randomized to WBT (n = 29) or TAU (n = 35) groups. Assessments of well-being, residual PTSD symptoms, and posttraumatic growth were conducted at baseline (T0) and again after 3 months (T1), 6 months (T2), and 1 year (T3). The results of the multilevel analysis revealed that WBT was not more effective than TAU in increasing levels of well-being, γ = 0.02 (SE = 0.11) or posttraumatic growth, γ = 0.10 (SE = 0.13) nor in decreasing PTSD symptoms, γ = -0.04 (SE = 0.05). However, for participants with low levels of well-being at baseline (Mental Health Continuum-Short Form score < 2.6), WBT was more effective than TAU in increasing ratings of well-being, γ = -0.41 (SE = 0.19) and posttraumatic growth, γ = -0.55 (SE = 0.24); this effect was most evident at T3 for posttraumatic growth, d = 1.23. Future research should assess clinically relevant individual characteristics that to optimize the effectiveness and utility of WBT.
- Subjects :
- Adult
Male
050103 clinical psychology
medicine.medical_specialty
medicine.medical_treatment
UT-Hybrid-D
Treatment as usual
law.invention
Stress Disorders, Post-Traumatic
03 medical and health sciences
0302 clinical medicine
Randomized controlled trial
law
medicine
Humans
0501 psychology and cognitive sciences
Psychological treatment
Rehabilitation
Posttraumatic growth
business.industry
05 social sciences
Middle Aged
Mental health
030227 psychiatry
Psychiatry and Mental health
Clinical Psychology
Posttraumatic stress
Well-being
Physical therapy
Psychotherapy, Brief
Female
business
Subjects
Details
- Language :
- English
- ISSN :
- 08949867
- Volume :
- 33
- Issue :
- 5
- Database :
- OpenAIRE
- Journal :
- Journal of Traumatic Stress
- Accession number :
- edsair.doi.dedup.....fcefa0df925db8158fc1f77ded8ff50f