Abstract

Southeast Asia contains high numbers of traumatised populations arising from either natural disasters or interpersonal violence. Consequently, the need for empirically based trauma treatments, compromised by insufficiency in appropriately trained clinicians and mental health workers, makes the situation more challenging in addressing traumatic sequelae in local populations. In response, the humanitarian/ trauma capacity building organisation, Trauma Aid Germany, trained 37 therapists in psycho-traumatology, based on EMDR Therapy, which included trauma stabilisation techniques. This research analyses the impact of Trauma Stabilisation as a sole treatment intervention for Post-Traumatic Stress Disorder (PTSD) in adults. Each client was screened for PTSD utilising the Harvard Trauma Questionnaire - pre- and post-treatment. Analysis of the data considered only those interventions focussed on trauma stabilisation, including psychoeducation. Participants receiving trauma confrontation interventions were excluded from the data. Trauma stabilisation - as a sole treatment intervention, was highly effective in alleviating PTSD diagnoses. Results demonstrate PTSD symptoms were reduced in both clinical and sub-clinical trauma groups. The data set suggests trauma stabilisation, as a sole treatment intervention, was safe, effective, efficient and sufficient treatment intervention for PTSD. Furthermore, trauma stabilisation interventions have the advantage of being safe, flexible, and adaptable to the cultural and spiritual context in which they were are applied. The research findings also have implications regarding teaching and learning and the potential utilisation of paraprofessionals, and other allied health professionals in addressing the global burden of psychological trauma.

Highlights

  • The Centre for Research on Epidemiology of Disasters (CRED) [1] reports, Asia as the continent most affected by natural disasters (44.4%), has the most disaster victims (69.5%)Multiple use of data collected from the same sample This is the first paper about the Mekong I data, which is a huge data set of 4799 clients with over 2000 variables, the paper is only a partial analysis of the data

  • McNemar tests determined that there was a significant difference of the proportion of clients with Posttraumatic Stress Disorder (PTSD) diagnosis pre- and post-treatment, (p < 0.00001 for both DSM-Vand ICD-11 PTSD), for further details please view Table 2

  • The distribution of fulfilled PTSD criteria pre- and post-treatment is shown in Figs. 2 and 3

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Summary

Introduction

The Centre for Research on Epidemiology of Disasters (CRED) [1] reports, Asia as the continent most affected by natural disasters (44.4%), has the most disaster victims (69.5%)Multiple use of data collected from the same sample This is the first paper about the Mekong I data, which is a huge data set of 4799 clients with over 2000 variables, the paper is only a partial analysis of the data. Psychiatric Quarterly (2019) 90:63–88 and suffers the most damage (64.4% of worldwide natural disasters reported costs). An example of this relates to the Indian Ocean Tsunami in Southeast Asia in December 2004. This natural disaster was responsible for the death of 225,841 people making it the sixth deadliest natural disaster in the world [2]. Further post-tsunami studies highlight a prevalence of Posttraumatic Stress Disorder (PTSD) 8.6 to 57.3% among Asian survivors of natural disasters. This was highly dependent upon methodologies and diagnostic instruments used [2, 4]

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