Application of the Unified Protocol for a Japanese Patient with Post-Traumatic Stress Disorder and Multiple Comorbidities: A Single-Case Study

(1) Background: The efficacy of the Unified Protocol (UP), a transdiagnostic cognitive-behavioral therapy, with trauma-focused exposure has not been sufficiently demonstrated for post-traumatic stress disorder (PTSD) with multiple comorbidities. This study examined the effects of UP treatment with t...

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Autores principales:	Noriko Kato, Masaya Ito, Yutaka J. Matsuoka, Masaru Horikoshi, Yutaka Ono
Formato:	article
Lenguaje:	EN
Publicado:	MDPI AG 2021
Materias:	Unified Protocol posttraumatic stress disorder cognitive behavioral therapy transdiagnostic intervention emotional disorders Medicine R
Acceso en línea:	https://doaj.org/article/7e42571bc1be445f83971d7a3816d0ee
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spelling	oai:doaj.org-article:7e42571bc1be445f83971d7a3816d0ee2021-11-11T16:44:39ZApplication of the Unified Protocol for a Japanese Patient with Post-Traumatic Stress Disorder and Multiple Comorbidities: A Single-Case Study10.3390/ijerph1821116441660-46011661-7827https://doaj.org/article/7e42571bc1be445f83971d7a3816d0ee2021-11-01T00:00:00Zhttps://www.mdpi.com/1660-4601/18/21/11644https://doaj.org/toc/1661-7827https://doaj.org/toc/1660-4601(1) Background: The efficacy of the Unified Protocol (UP), a transdiagnostic cognitive-behavioral therapy, with trauma-focused exposure has not been sufficiently demonstrated for post-traumatic stress disorder (PTSD) with multiple comorbidities. This study examined the effects of UP treatment with trauma-focused exposure on symptoms of PTSD and comorbidities in a client who was hesitant about exposure. (2) Methods: The client, who had comorbid dysthymia, social anxiety disorder, agoraphobia, and bulimia nervosa, participated in the UP for 20 sessions over 6 months. The principal diagnosis and symptoms of the comorbid disorders were assessed at baseline, post-intervention, and at the 3-month follow-up. This treatment was conducted as part of a clinical study (UMIN000008322). (3) Results: The client showed improvement in the principal diagnosis and symptoms of the comorbid disorders post-intervention compared with baseline and no longer met the diagnostic criteria for any of the disorders. Considerable symptom improvement was observed with imaginal exposure to trauma memories. (4) Conclusions: The UP was an effective alternative treatment for PTSD and symptoms of comorbidities in this client who was hesitant about exposure to traumatic memories, and that the inclusion of trauma-focused exposure provided sufficient therapeutic effects. Further research is needed to examine the generalizability of our findings.Noriko KatoMasaya ItoYutaka J. MatsuokaMasaru HorikoshiYutaka OnoMDPI AGarticleUnified Protocolposttraumatic stress disordercognitive behavioral therapytransdiagnostic interventionemotional disordersMedicineRENInternational Journal of Environmental Research and Public Health, Vol 18, Iss 11644, p 11644 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Unified Protocol posttraumatic stress disorder cognitive behavioral therapy transdiagnostic intervention emotional disorders Medicine R
spellingShingle	Unified Protocol posttraumatic stress disorder cognitive behavioral therapy transdiagnostic intervention emotional disorders Medicine R Noriko Kato Masaya Ito Yutaka J. Matsuoka Masaru Horikoshi Yutaka Ono Application of the Unified Protocol for a Japanese Patient with Post-Traumatic Stress Disorder and Multiple Comorbidities: A Single-Case Study
description	(1) Background: The efficacy of the Unified Protocol (UP), a transdiagnostic cognitive-behavioral therapy, with trauma-focused exposure has not been sufficiently demonstrated for post-traumatic stress disorder (PTSD) with multiple comorbidities. This study examined the effects of UP treatment with trauma-focused exposure on symptoms of PTSD and comorbidities in a client who was hesitant about exposure. (2) Methods: The client, who had comorbid dysthymia, social anxiety disorder, agoraphobia, and bulimia nervosa, participated in the UP for 20 sessions over 6 months. The principal diagnosis and symptoms of the comorbid disorders were assessed at baseline, post-intervention, and at the 3-month follow-up. This treatment was conducted as part of a clinical study (UMIN000008322). (3) Results: The client showed improvement in the principal diagnosis and symptoms of the comorbid disorders post-intervention compared with baseline and no longer met the diagnostic criteria for any of the disorders. Considerable symptom improvement was observed with imaginal exposure to trauma memories. (4) Conclusions: The UP was an effective alternative treatment for PTSD and symptoms of comorbidities in this client who was hesitant about exposure to traumatic memories, and that the inclusion of trauma-focused exposure provided sufficient therapeutic effects. Further research is needed to examine the generalizability of our findings.
format	article
author	Noriko Kato Masaya Ito Yutaka J. Matsuoka Masaru Horikoshi Yutaka Ono
author_facet	Noriko Kato Masaya Ito Yutaka J. Matsuoka Masaru Horikoshi Yutaka Ono
author_sort	Noriko Kato
title	Application of the Unified Protocol for a Japanese Patient with Post-Traumatic Stress Disorder and Multiple Comorbidities: A Single-Case Study
title_short	Application of the Unified Protocol for a Japanese Patient with Post-Traumatic Stress Disorder and Multiple Comorbidities: A Single-Case Study
title_full	Application of the Unified Protocol for a Japanese Patient with Post-Traumatic Stress Disorder and Multiple Comorbidities: A Single-Case Study
title_fullStr	Application of the Unified Protocol for a Japanese Patient with Post-Traumatic Stress Disorder and Multiple Comorbidities: A Single-Case Study
title_full_unstemmed	Application of the Unified Protocol for a Japanese Patient with Post-Traumatic Stress Disorder and Multiple Comorbidities: A Single-Case Study
title_sort	application of the unified protocol for a japanese patient with post-traumatic stress disorder and multiple comorbidities: a single-case study
publisher	MDPI AG
publishDate	2021
url	https://doaj.org/article/7e42571bc1be445f83971d7a3816d0ee
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Application of the Unified Protocol for a Japanese Patient with Post-Traumatic Stress Disorder and Multiple Comorbidities: A Single-Case Study

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