- Title
- The effectiveness of prolonged exposure therapy for the treatment of PTSD and suicide ideation: a case study
- Creator
- Mhlane, Zuziwe Gloria
- ThesisAdvisor
- Booysen, Duane
- Subject
- Post-traumatic stress disorder South Africa
- Subject
- Suicidal ideation
- Subject
- Prolonged exposure therapy
- Subject
- Post-traumatic stress disorder in adolescence South Africa
- Subject
- Emotional process
- Subject
- Beck Scale for Suicide Ideation
- Subject
- Beck Depression Inventory
- Subject
- Beck Anxiety Inventory
- Subject
- CORE-OM
- Date
- 2023-10-13
- Type
- Academic theses
- Type
- Master's theses
- Type
- text
- Identifier
- http://hdl.handle.net/10962/424997
- Identifier
- vital:72200
- Description
- Post-Traumatic Stress Disorder (PTSD) is regarded as a public health burden in South Africa (SA) (Atwoli et al., 2013; Kagee, Bantjies & Saal 2017; Koenen et al.; 2017; Williams et al., 2007). According to McGowan & Kagee (2013), young adults in SA are a high-risk group of trauma. Exposure to trauma is also associated to comorbid conditions such as depression, anxiety suicidal ideation (SI) experienced by a large population (Bantjes, McGowan, Kagee & Steel, 2016). Prolonged Exposure (PE) is empirically supported and evaluated trauma therapy for PTSD (Foa, Hembree, & Rothbaum, 2007). However, there has been limited to no studies conducted to evaluate the effectiveness of PE in SA. Therefore, this study investigated whether PE is effective treatment for PTSD symptom reduction and suicide ideation in South Africa. Three participants were recruited from Focus on the Family SA (FOTF SA SA) through purposive sampling, and single-case experimental design (SCED) was utilised. PE was implemented online through zoom for 6 sessions on each client. At baseline, all the participants met the criteria for PTSD as per the Post-traumatic stress disorder symptom scale interview for DSM-5 (PSSI-5): Participant 1 (PSSI-5 - 63), Participant 2 (PSSI-5 - 53), Participant 3 (PSSI-5 - 63) and the clinical cut off score is 23. Furthermore, all participants were screened for suicide ideation (SI) using the Beck Suicide Inventory (BSI). All participants’ BSI score ranges were mild to moderate. Participants were also screened for depression using the Beck Depression Inventory second edition (BDI-II) and anxiety using the Beck Anxiety Inventory (BAI). The score ranges for both BDI-II and BAI were moderate to severe. The Clinical Outcomes in Routine Evaluation-Outcome Measure (CORE-OM) was also used to assess general psychological distress. The CORE-OM scores for all the participants for trauma, depression and anxiety were severe. However, the risk to self/SI for all the participants was minimal. During the intervention phase, all the participants scores showed a downtrend of PTSD symptomology, as per the Post-traumatic Stress Disorder Checklist for DSM-5 (PCL-5). The PCL-5 scores went down from PCL-5 score of 58 to final session PCL-5 score of 3. The clinical cut off score is 31-33. They were also screened using the BSI, BDI and BAI and the score ranges were mild. The CORE-OM scores for trauma, anxiety, depression, and risk to self/SI were also minimal. Overall, the preliminary result of this study supports the notion that adults with symptoms of PTSD and SI had improved at the end of a brief 6-session PE intervention. The comorbid depression also showed a downtrend.
- Description
- Thesis (MA) -- Faculty of Humanities, Psychology, 2023
- Format
- computer, online resource, application/pdf, 1 online resource (124 pages), pdf
- Publisher
- Rhodes University, Faculty of Humanities, Psychology
- Language
- English
- Rights
- Mhlane, Zuziwe Gloria
- Rights
- Use of this resource is governed by the terms and conditions of the Creative Commons "Attribution-NonCommercial-ShareAlike" License (http://creativecommons.org/licenses/by-nc-sa/2.0/)
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| Thumbnail | File | Description | Size | Format | |||
|---|---|---|---|---|---|---|---|
| View Details Download | SOURCE1 | MHLANE-MA-TR23-174.pdf | 1 MB | Adobe Acrobat PDF | View Details Download |