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Efficacy of an Early Cognitive-Behavioral Intervention for Acute Stress Disorder in Mexican Earthquake Victims

Published online by Cambridge University Press:  15 October 2020

Raúl Durón-Figueroa*
Affiliation:
Universidad Autónoma Nacional de México (Mexico)
Georgina Cárdenas-López
Affiliation:
Universidad Autónoma Nacional de México (Mexico)
Soledad Quero
Affiliation:
Universitat Jaume I (Spain)
*
Correspondence concerning this article should be addressed to Raúl Durón Figueroa. Universidad Autónoma Nacional de México. 04510 Coyoacan (Mexico). E-mail: [email protected]

Abstract

Acute stress disorder (ASD) refers to the symptoms associated with posttraumatic stress disorder (PTSD) within the first four weeks following the traumatic event. Recent theoretical models suggest that early detection of ASD provides an opportunity to implement early interventions to prevent the development of PTSD or ameliorate its symptomatology. The aim of the present study was the evaluation of the efficacy of an ASD treatment for earthquake victims, which would serve as an early intervention for PTSD. A single-case (n = 1) quasi-experimental design was used, with pre and post-assessments, as well as one, three and six-month follow-ups, with direct treatment replications. Fourteen participants completed the treatment and the follow-up measurements. The results obtained using a single-case analysis showed significant clinical improvement and clinically significant change when employing a clinical significance analysis and the reliable index of change. Statistical analyses of the dataset displayed statistically significant differences between the pre and post-assessments and the follow-up measures, as well as large effect sizes in all clinical measures. These results suggest that the treatment was an efficacious early intervention for PTSD during the months following the traumatic event, although some relevant study limitations are discussed in the text.

Type
Research Article
Copyright
© Universidad Complutense de Madrid and Colegio Oficial de Psicólogos de Madrid 2020

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Footnotes

Conflicts of Interest: None.

Funding Statement: Supported by the National Council of Science and Technology (CONACyT) graduate scholarship program National Autonomous University of Mexico (UNAM) and National Council of Science and Technology (CONACyT).

References

Abeldaño Zuñiga, R., Guerrero Reyes, G., Siliceo Murrieta, J., & González Villoria, R. (2019). Posttraumatic stress symptoms in people exposed to the 2017 earthquakes in Mexico. Psychiatry Research, 275, 326331. https://doi.org/10.1016/j.psychres.2019.04.003CrossRefGoogle Scholar
American Psychiatric Association (1994). Diagnostic and statistical manual of mental disorders (4th Ed.). Author.Google Scholar
American Psychiatric Association (2000). Diagnostic and statistical manual of mental disorders (4th ed.). Washington, DC: Author.Google Scholar
American Psychiatric Association (2013). Diagnostic and statistical manual of mental disorders (5th Ed.). Author. https://doi.org/10.1176/appi.books.9780890425596Google Scholar
Barlow, D., & Hersen, M. (1984). Single case experimental designs. Strategies for studying behavior change (2nd Ed.). Pergamon Press.Google Scholar
Beck, A., Epstein, N., Brown, G. y Steer, R. (1988). An inventory for measuring clinical anxiety: Psychometric properties. Journal of Consulting and Clinical Psychology, 56 (6), 893-897. https://doi.org/10.1037/0022-006x.56.6.893CrossRefGoogle ScholarPubMed
Beck, A., Ward, CH., Mendelson, M., Mock, J. y Erbaugh, J. (1961). An inventory for measuring depression. Archives of General Psychiatry, 4, 561-571. https://doi.org/10.1001/archpsyc.1961.01710120031004CrossRefGoogle Scholar
Blanchard, E. B., & Schwarz, S. P. (1988). Clinically significant changes in behavioral medicine. Behavioral Assessment, 10, 171188.Google Scholar
Birur, B., Moore, N. C., & Davis, L. L. (2017). An evidence-based review of early intervention and prevention of posttraumatic stress disorder. Community Mental Health Journal, 53, 183201. http://doi.org/10.1007/s10597-016-0047-xCrossRefGoogle Scholar
Bryant, R. A. (2007). Acute stress disorder treatment guidelines. International Society Trauma Stress Studies.Google Scholar
Bryant, R. A. (2013). An update of acute stress disorder. PTSD Research Quarterly, 24(1).Google Scholar
Bryant, R. A. (2016). Acute stress disorder: What it is and how to treat it. The Guilford Press.Google Scholar
Bryant, R. A. (2018). The current evidence of acute stress disorder. Current Psychiatry Reports, 20, Article 111. http://doi.org/10.1007/s11920-018-0976-xCrossRefGoogle Scholar
Bryant, R. A., Creamer, M., O’Donnell, M., Silove, D., & McFarlane, A. (2012). The capacity of acute stress disorder to predict posttraumatic psychiatric disorders. Journal of Psychiatric Research, 46, 168173. http://doi.org/10.1016/j.jpsychires.2011.10.007CrossRefGoogle ScholarPubMed
Bryant, R. A., Creamer, M., O’Donnell, M., Silove, D., McFarlane, A. C., & Forbes, D. (2015). A comparison of the capacity of DSM–IV and DSM–V acute stress disorder definitions to predict posttraumatic stress disorder and related disorders. Journal of Clinical Psychiatry, 76(4), 391397. http://doi.org/10.4088/JCP.13m08731CrossRefGoogle Scholar
Bryant, R. A., Friedman, M. J., Spiegel, D., Ursano, R., & Strain, J. (2010). A review of acute stress disorder in DSM–5. Depression and Anxiety, 28(9), 116. http://doi.org/10.1002/da.20737Google Scholar
Bryant, R. A., Harvey, A. G, Dang, S. T., & Sackville, T. (1998). Assessing acute stress disorder: Psychometric properties of a structured clinical interview. Psychological Assessment, 10, 215220. http://doi.org/10.1037/1040-3590.10.3.215CrossRefGoogle Scholar
Bryant, R. A., Moulds, M. L., & Guthrie, R. M. (2000). Acute Stress Disorder Scale: A self-report measure of acute stress disorder. Psychological Assessment, 12(1) 6168. http://doi.org/10.1037/1040-3590.12.1.61CrossRefGoogle ScholarPubMed
Campbell, J. & Herzinger, C. (2010). Statistics and single subject research methodology. In Gast, D. L. (Ed.), Single subject research methodology in behavioral sciences (pp. 417453). Rotledge.Google Scholar
Cohen, J. (1988). Statistical power analysis for the behavioral sciences. Routledge Academic. https://doi.org/10.1016/C2013-0-10517-XGoogle Scholar
Cova, F., & Rincón, P. (2010). El terremoto y tsunami del 27–F y sus efectos en la salud mental []. Terapia Psicológica, 28(2), 179185. http://doi.org/10.4067/S0718-48082010000200006CrossRefGoogle Scholar
Cumming, G. (2012). Understanding the new statistics: Effect sizes, confidence intervals, and meta-analysis . Routledge. https://doi.org/10.4324/9780203807002Google Scholar
Durón-Figueroa, R., Cárdenas-López, G., & De la Rosa, A. (2018). Estructura factorial de la Escala de Trastorno por Estrés Agudo en población mexicana []. Journal of Behavior, Health & Social Issues, 10(2), 2938. http://doi.org/10.22201/fesi.20070780.2017.9.2.68381Google Scholar
Durón-Figueroa, R., Cárdenas-López, G., Castro, J., & la Rosa, De (2019). Adaptación de la Lista Checable de Trastorno por Estrés Postraumático para DSM–5 en población mexicana. Acta de Investigación Psicológica, 9(1), 2636.CrossRefGoogle Scholar
Echeburúa, E., Corral, P., & Fernández-Montalvo, J. (2000). Escala de Inadaptación (EI): Propiedades psicométricas en contextos clínicos []. Análisis y Modificación de la Conducta, 26(107), 325334.Google Scholar
Foa, E. B., & Kozak, M. J. (1986). Emotional processing of fear: Exposure to corrective information. Psychological Bulletin, 99, 2035. http://doi.org/10.1037/0033-2909.99.1.20CrossRefGoogle ScholarPubMed
Galea, S., Nandi, A., & Vlahov, D. (2005). The epidemiology of posttraumatic stress disorder after disasters. Epidemiological Reviews, 27, 7891. http://doi.org/10.1093/epirev/mxi003CrossRefGoogle ScholarPubMed
Howlett, J. R., & Stein, M. B. (2016). Prevention of trauma and stressor-related disorders: A review. Neuropsychopharmacology Reviews, 41, 357369. http://doi.org/10.1038/npp.2015.261CrossRefGoogle ScholarPubMed
Iraurgi, I. (2010). Evaluación de resultados clínicos (y III): Índices de Cambio Fiable (ICF) como estimadores del cambio clínicamente significativo []. Norte de Salud Mental, 8(36), 105122.Google Scholar
Jacobson, N. S., & Truax, P. (1991). Clinical significance: A statistical approach to defining meaningful change in psychotherapy research. Journal of Consulting and Clinical Psychology, 59(1), 1219. http://doi.org/10.1037/0022-006X.59.1.12CrossRefGoogle ScholarPubMed
Jurado, S., Villegas, M., Méndez, L., Rodríguez, F., Loperena, V., & Varela, R. (1998). La estandarización del Inventario de Depresión de Beck para los residentes de la ciudad de México []. Salud Mental, 21(3), 2631.Google Scholar
Kazdin, A. (2011). Single-case research designs: Methods for clinical and applied settings (2nd Ed.). Oxford University Press.Google Scholar
Kliem, S., & Kröger, C. (2013). Prevention of chronic PTSD with early cognitive behavioral therapy. A meta-analysis using mixed-effects modeling. Behavior Research and Therapy, 51(11), 753761. http://doi.org/10.1016/j.brat.2013.08.005CrossRefGoogle ScholarPubMed
Medina-Mora, M. E., Borgues, G., Lara, C., Ramos, L., Zambrano, J., & Fleiz, C. (2005). Prevalencia de sucesos violentos y de trastorno por estrés postraumático en población mexicana []. Salud Pública, 47, 822. http://doi.org/10.1590/S0036-36342005000100004CrossRefGoogle Scholar
McLean, C. P., & Foa, E. B. (2011). Prolonged exposure therapy for post-traumatic stress disorder: A review of evidence and dissemination. Expert Review of Neurotherapeutics, 11(8), 11511163. http://doi.org/10.1586/ern.11.94CrossRefGoogle ScholarPubMed
Mordeno, I.G. & Cue, M.P. (2015). Examining the latent structure of acute stress disorder symptoms in Filipino-victims of a flashflood disaster. Community Mental Health Journal, 51, 613620. http://doi.org/10.1007/s10597-015-9826-zCrossRefGoogle Scholar
Neria, Y., Nandi, A., & Galea, S. (2008). Posttraumatic Stress Disorder following disasters: A systematic review. Psychological Medicine, 38(4), 467480. http://doi.org/10.1017/S0033291707001353CrossRefGoogle ScholarPubMed
Norris, F. H., Friedman, M. J., Watson, P. J., Byrne, C. M., Díaz, E., & Kaniasty, K. (2002). 60,000 disaster victims speak: Part I. An empirical review of the empirical literature, 1981–2001. Psychiatry: Interpersonal and Biological Processes, 65, 207239. http://doi.org/10.1521/psyc.65.3.207.20173CrossRefGoogle ScholarPubMed
Orozco, R., Borges, G., Benjet, C., Medina-Mora, M., & López-Carrillo, L. (2008). Eventos traumáticos de vida y trastorno de estrés postraumático en adolescentes mexicanos: Resultados de encuesta []. Salud Publica México, 50(1), 2937.Google Scholar
Robles, R., Varela, R., Jurado, S., & Páez, F. (2001). Versión mexicana del Inventario de Ansiedad de Beck: Propiedades psicométricas []. Revista Mexicana de Psicología, 18, 211218.Google Scholar
Sattler, D. N., Glower de Alvarado, A. M., Blandon de Castro, N., Van Male, R., Zetino, A. M., & Vega, R. (2006). El Salvador earthquakes: Relationships among acute stress disorder symptoms, depression, traumatic event exposure and resource loss. Journal of Traumatic Stress, 19(6), 879893. http://doi.org/10.1002/jts.20174CrossRefGoogle ScholarPubMed
Soldatos, C. R., Paparrigopoulos, T. J., Pappa, D. A., & Christodoulou, G. N. (2006). Early post-traumatic stress disorder in relation to acute stress reaction: An ICD–10 study among help seekers following an earthquake. Psychiatry Research, 143, 245253. http://doi.org/10.1016/j.psychres.2005.05.018CrossRefGoogle ScholarPubMed
Tapia, R., Sepúlveda, J., Medina-Mora, M., Caraveo, J., & De la Fuente, J. (1987). Prevalencia del síndrome de estrés postraumático en población sobreviviente a un desastre natural []. Salud Pública México, 29(5), 406411.Google Scholar
Weathers, F. W. (2008). Posttraumatic Stress Disorder Checklist. In Reyes, G., Elhai, J. D., & Ford, J. D. (Eds.), Encyclopedia of psychological trauma(pp. 491494). Hoboken, NJ: Wiley.Google Scholar
Weathers, F., Litz, B., Keane, T., Palmieri, P., Marx, B., & Schnurr, P. (2013). The PTSD Checklist for DSM–5 (PCL–5). https://www.ptsd.va.gov/professional/assessment/adult-sr/ptsd-checklist.aspGoogle Scholar