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SINGLE SESSION BEHAVIORAL TREATMENT (SSBT)

 

Why a single session?

In post-disaster circumstances, many survivors may not be able attend treatment more than once, because of disrupted life routines, demographic mobility, and daily struggle for survival. Such circumstances necessitate a single-session treatment that does not require further contact with the client.

Treatment Description

►Explain treatment rationale (to gain sense of control over stressors)

►Identify most disabling avoidance behaviors related to trauma.

►Set treatment targets.

►Give instructions for self-exposure feared trauma-related situations.

Treatment delivered individually (can also be delivered in groups.

Session duration is 1 hour.

Media news
about SSBT

3/3/2006
Monitor in Psychology
Fear Itself... With tens of thousands of people experiencing such debilitating fear, Basoglu and his colleagues set out to develop a fast-acting intervention…

 

Evidence of effectiveness

A randomized waitlist controlled study involving 59 earthquake survivors with PTSD


singlesesiongrafik.jpg

STUDY FINDINGS

  • Treated survivors improved more than controls at 6-week  follow-up.

  • Improvement rates were over 80% after 3 months.

  • PTSD reduced by 59%.

  • All PTSD and depression symptoms improved.
    Improvement generalized to social, work, and family functioning.

  • Relapse was rare (1 case).

Figure shows results in all survivors, 
including controls after treatment

  

Impications of findings

Findings imply that therapist involvement in treatment can be reduced to a minimum and the intervention can be delivered on a largely self-help basis. High rates of compliance with treatment instructions, despite minimum therapist contact, suggest that the intervention might be effectively delivered through media other than a therapist (e.g. a self-help manual, audio- or videocassettes, computerized programs, or even radio and TV), provided such media conveys the control-enhancing effects of the treatment rationale in an effective manner. If confirmed by future research, this would open up prospects for a highly cost-effective method in reducing traumatic stress in survivor populations.

Reference

Basoglu et al (2005) Single-session behavioral treatment of earthquake-related posttraumatic stress disorder: a randomized waiting list controlled trial. Journal of Traumatic Stress, 18, 1-11.

 

Last updated : July 18, 2010
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