People with intellectual disabilities often experience disproportionate barriers to accessing the health care they need, both physically and financially, as well as poorer health outcomes, in comparison to those without intellectual disabilities. Improving this situation should help make health systems more resilient. Community-based behaviour therapy may slightly decrease behavioural problems in adults with intellectual disabilities.
Whether the frequency of health service provision and ...
In this Cochrane review, the authors searched for randomised controlled trials of the effectiveness of present‐centred therapy (PCT) compared with either trauma-focused cognitive-behavioural therapies (TF-CBT) or a control condition in treating post-traumatic stress disorder (PTSD) in adults. They searched in February 2019 and found 12 studies (1837 participants), all from the USA. They also found one ongoing study and two studies that were awaiting assessment. The authors found that PCT was ...
Essencial: Afegint valor a la pràctica clínica [Essencial: Adding value to the clinical practice]
Evidence Aid
There is moderate quality evidence for the efficacy of hydrocortisone for the prevention of postraumatic stress disorder development in adults. However, further research is necessary in order to determine the efficacy of pharmacotherapy in preventing postraumatic stress disorder and to identify potential moderators of treatment effect.
Essencial: Afegint valor a la pràctica clínica [Essencial: Adding value to the clinical practice]
Evidence Aid
Various interventions, often in combination, were used to address physical, psychological, and other HRR needs among survivors. The most commonly used interventions were narrative exposure therapy, cognitive-behavioural therapy, calligraphic training, and web-based self-help programmes. These interventions were successful in treating post-traumatic stress disorder symptoms and in creating social support.
Essencial: Afegint valor a la pràctica clínica [Essencial: Adding value to the clinical practice]
Evidence Aid
Psychological intervention for post-traumatic stress disorder (such as cognitive behavioral therapy or EMDR) in patients with severe mental illness could be useful to improve their quality of life, symptoms of psychosis, depression, anxiety and health economic outcomes.
However, the lack of data causes that the effects of these psychological interventions on post-traumatic stress disorder stay inconclusive.