Abstract
Background: Human Givens (HG) Rewind is a relatively unknown trauma-focussed treatment. This paper aimed to provide preliminary evidence of the effectiveness of Rewind to treat posttraumatic stress (PTS) in a variety of clinical settings in Great Britain. Methods: An observational prospective design was used in each of the four studies. Standardised questionnaires were administered in every session. Pre- and post-treatment means and effect sizes were calculated for each study, as were ‘recovery rates’ and ‘reliable change’ rates. Results: Across four studies, a total of 274 clients completed treatment and had complete data. The data capture rate ranged from 80-100%. The mean pre-treatment scores were in the severe range. The pre-post treatment effects sizes ranged from 1.90-2.68. The recovery rate, or percentage of clients who were below the clinical cut-off after treatment, ranged from 46-56% for the more conservative lower cut-offs, and ranged between 71-82% for the higher clinical cut-offs as used by Improving Access to Psychological Therapies (IAPT). Across the four studies, 83-96% of clients had ‘reliably improved’ (88-94% on trauma-specific questionnaires), with 4-17% having no reliable change on those questionnaires. There was no ‘reliable deterioration’. The mean number of HG treatment sessions ranged from 5-6.5 sessions (range 1–24 sessions), with between 73% and 84% of participants completing treatment in six sessions or less. Conclusions: These preliminary results indicate that HG Rewind appears to be a promising trauma treatment in a variety of settings. A randomised controlled trial is now required to determine the efficacy of this treatment.
Highlights
Post traumatic stress (PTS) refers to clinical symptoms resulting from trauma and includes both symptoms and traumatic events that may not meet diagnostic criteria for posttraumatic stress disorder (PTSD)
The Human Givens (HG) version of Rewind differs from the Muss version of Rewind that was developed from Visual Kinesthetic Dissociation (VKD) in Great Britain (Adams & Allan, 2018; Muss, 2002), in that the HG protocol includes steps to keep arousal levels relatively low during exposure
This paper briefly describes the evidence from four practicebased preliminary studies for HG Rewind
Summary
Post traumatic stress (PTS) refers to clinical symptoms resulting from trauma and includes both symptoms and traumatic events that may not meet diagnostic criteria for posttraumatic stress disorder (PTSD). This paper presents preliminary evidence for the effectiveness of a trauma-focused treatment called Rewind to treat PTS and PTSD. It is a trauma-focused technique that utilises graded imaginal exposure in which the levels of psychological distancing from the trauma are graded during the exposure (Adams & Allan, 2019a). This paper aimed to provide preliminary evidence of the effectiveness of Rewind to treat posttraumatic stress (PTS) in a variety of clinical settings in Great Britain. Pre- and post-treatment means and effect sizes were calculated for each study, as were ‘recovery rates’ and ‘reliable change’ rates. A randomised controlled trial is required to determine the efficacy of this treatment
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