Guided Internet-Based Treatments in Psychiatry pp 121-141 | Cite as
Online Structured Writing Therapy for Post-traumatic Stress Disorder and Complicated Grief
Abstract
Post-traumatic stress disorder (PTSD) and complicated grief are related disorders for which well-described and effective cognitive-behavioural therapeutic procedures exist that are firmly rooted in theoretical work. As a result, several research groups have been able to successfully translate these procedures into e-mental health applications for the prevention, detection and treatment of the disorders. This chapter reviews online structured writing therapy (oSWT), a standardised therapist-guided Internet-based cognitive-behavioural treatment (ICBT) for post-traumatic stress disorder and complicated grief, which can be fully delivered online, without face-to-face contact between the patient and therapist. This protocol integrates three principal elements of trauma-focused therapy: (1) exposure through self-confrontation, (2) cognitive reappraisal and (3) strengthening of social support. A unique characteristic of oSWT is that it implements these three elements through writing assignments. In the past two decades, oSWT has been validated in a series of controlled studies and in routine clinical practice, with positive results. This chapter reviews these efficacy and effectiveness trials, elaborates on the details of the therapeutic procedures of the treatment protocol and identifies future research themes.
Keywords
Bereavement Cognitive behaviour therapy Computer-assisted therapy Post-traumatic stress disorders therapy Structured writing assignments Trauma and stressor-related disorders Internet Treatment protocolAbbreviations
- BSI
Brief symptom inventory
- DASS
Depression anxiety stress scale
- ICBT
Internet-based cognitive behaviour therapy
- IES
Impact of event scale
- LIWC
Linguistic inquiry and word count
- oSWT
Online structured writing therapy
- PTSD
Post-traumatic stress disorder
- SWT
Structured writing therapy
- WAI
Working alliance inventory
- WLC
Waiting-list/delayed treatment condition
Notes
Acknowledgements and Disclosure of Conflict of Interest
The authors would like to acknowledge Bart Schrieken of Interapy PLC, for his valuable contributions. At present, both authors have no financial ties to this company.
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