Dynamic Psychotherapy as a PTSD Treatment for Firefighters: A Case Study

Detalhes bibliográficos
Autor(a) principal: Becker, Joana Proença
Data de Publicação: 2022
Outros Autores: Paixão, Rui, Quartilho, Manuel João Rodrigues
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
Texto Completo: http://hdl.handle.net/10316/100171
https://doi.org/10.3390/healthcare10030530
Resumo: In Portugal, forest fires are responsible for disasters that tend to be repeated annually, leading to dramatic consequences, such as those that have occurred in 2017, with the destruction of hundreds of houses and the deaths of dozens of people. Firefighters who are exposed to these potentially traumatic events are considered a high-risk group for the development of stress-related disorders. The aim of this study was to monitor the progress of two firefighters with symptoms of post-traumatic stress disorder (PTSD) treated through dynamic psychotherapy (DP) and to assess the feasibility of implementing this intervention within fire departments. A female firefighter and a male firefighter, with similar sociodemographic characteristics and PTSD symptom severity, were selected to verify the treatment applicability for both genders. The symptomatology changes were assessed through a set of instruments (PHQ-15, PCL-5, BSI, DASS, and CALPAS-P) applied every three months over 15 months (including pre-treatment, treatment period, and post-treatment). DP seemed to be an effective treatment for PTSD symptoms, with patients showing a state of increasing improvement even after the end of treatment. The acceptability to firefighters, the treatment adherence, the therapeutic alliance, and the reduction in PTSD symptoms suggest feasibility for implementing this intervention inside the Portuguese fire departments.
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spelling Dynamic Psychotherapy as a PTSD Treatment for Firefighters: A Case StudyCase studyDynamic psychotherapyFirefightersPost-traumatic stressIn Portugal, forest fires are responsible for disasters that tend to be repeated annually, leading to dramatic consequences, such as those that have occurred in 2017, with the destruction of hundreds of houses and the deaths of dozens of people. Firefighters who are exposed to these potentially traumatic events are considered a high-risk group for the development of stress-related disorders. The aim of this study was to monitor the progress of two firefighters with symptoms of post-traumatic stress disorder (PTSD) treated through dynamic psychotherapy (DP) and to assess the feasibility of implementing this intervention within fire departments. A female firefighter and a male firefighter, with similar sociodemographic characteristics and PTSD symptom severity, were selected to verify the treatment applicability for both genders. The symptomatology changes were assessed through a set of instruments (PHQ-15, PCL-5, BSI, DASS, and CALPAS-P) applied every three months over 15 months (including pre-treatment, treatment period, and post-treatment). DP seemed to be an effective treatment for PTSD symptoms, with patients showing a state of increasing improvement even after the end of treatment. The acceptability to firefighters, the treatment adherence, the therapeutic alliance, and the reduction in PTSD symptoms suggest feasibility for implementing this intervention inside the Portuguese fire departments.MDPI2022-03-14info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articlehttp://hdl.handle.net/10316/100171http://hdl.handle.net/10316/100171https://doi.org/10.3390/healthcare10030530eng2227-9032https://doi.org/10.3390/healthcare10030530Becker, Joana ProençaPaixão, RuiQuartilho, Manuel João Rodriguesinfo:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2022-11-02T11:23:45Zoai:estudogeral.uc.pt:10316/100171Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T21:17:37.296284Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse
dc.title.none.fl_str_mv Dynamic Psychotherapy as a PTSD Treatment for Firefighters: A Case Study
title Dynamic Psychotherapy as a PTSD Treatment for Firefighters: A Case Study
spellingShingle Dynamic Psychotherapy as a PTSD Treatment for Firefighters: A Case Study
Becker, Joana Proença
Case study
Dynamic psychotherapy
Firefighters
Post-traumatic stress
title_short Dynamic Psychotherapy as a PTSD Treatment for Firefighters: A Case Study
title_full Dynamic Psychotherapy as a PTSD Treatment for Firefighters: A Case Study
title_fullStr Dynamic Psychotherapy as a PTSD Treatment for Firefighters: A Case Study
title_full_unstemmed Dynamic Psychotherapy as a PTSD Treatment for Firefighters: A Case Study
title_sort Dynamic Psychotherapy as a PTSD Treatment for Firefighters: A Case Study
author Becker, Joana Proença
author_facet Becker, Joana Proença
Paixão, Rui
Quartilho, Manuel João Rodrigues
author_role author
author2 Paixão, Rui
Quartilho, Manuel João Rodrigues
author2_role author
author
dc.contributor.author.fl_str_mv Becker, Joana Proença
Paixão, Rui
Quartilho, Manuel João Rodrigues
dc.subject.por.fl_str_mv Case study
Dynamic psychotherapy
Firefighters
Post-traumatic stress
topic Case study
Dynamic psychotherapy
Firefighters
Post-traumatic stress
description In Portugal, forest fires are responsible for disasters that tend to be repeated annually, leading to dramatic consequences, such as those that have occurred in 2017, with the destruction of hundreds of houses and the deaths of dozens of people. Firefighters who are exposed to these potentially traumatic events are considered a high-risk group for the development of stress-related disorders. The aim of this study was to monitor the progress of two firefighters with symptoms of post-traumatic stress disorder (PTSD) treated through dynamic psychotherapy (DP) and to assess the feasibility of implementing this intervention within fire departments. A female firefighter and a male firefighter, with similar sociodemographic characteristics and PTSD symptom severity, were selected to verify the treatment applicability for both genders. The symptomatology changes were assessed through a set of instruments (PHQ-15, PCL-5, BSI, DASS, and CALPAS-P) applied every three months over 15 months (including pre-treatment, treatment period, and post-treatment). DP seemed to be an effective treatment for PTSD symptoms, with patients showing a state of increasing improvement even after the end of treatment. The acceptability to firefighters, the treatment adherence, the therapeutic alliance, and the reduction in PTSD symptoms suggest feasibility for implementing this intervention inside the Portuguese fire departments.
publishDate 2022
dc.date.none.fl_str_mv 2022-03-14
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
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dc.identifier.uri.fl_str_mv http://hdl.handle.net/10316/100171
http://hdl.handle.net/10316/100171
https://doi.org/10.3390/healthcare10030530
url http://hdl.handle.net/10316/100171
https://doi.org/10.3390/healthcare10030530
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv 2227-9032
https://doi.org/10.3390/healthcare10030530
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