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Online cognitive-behavioural therapy for traumatically bereaved people: study protocol for a randomised
Lonneke Lenferink1,2, Jos de Keijser3, Maarten Eisma3
1Clinical Psychology and Experimental Psychopathology, University of Groningen, Groningen, The Netherlands l.i.m.lenferink@rug.nl.
Online cognitive-behavioural therapy (CBT) effectively reduces symptoms of persistent complex bereavement disorder (PCBD), post-traumatic stress disorder (PTSD), and depression in individuals bereaved by traumatic death. This online CBT intervention offers a promising treatment for traumatic grief.
Area of Science:
- Psychology
- Clinical Psychology
- Psychiatry
Background:
- Traumatic death can lead to persistent complex bereavement disorder (PCBD), post-traumatic stress disorder (PTSD), and depression.
- Grief-specific cognitive-behavioural therapy (CBT) has shown effectiveness in treating these conditions.
Purpose of the Study:
- To evaluate the effectiveness of online CBT compared to a waitlist control for individuals bereaved by a traumatic death.
- To investigate reductions in PCBD, PTSD, and depression symptoms.
Main Methods:
- A two-arm, open-label, parallel randomized controlled trial.
- Participants (Dutch adults bereaved by traffic accidents) completed questionnaires at pre-treatment, 12, and 20 weeks.
- Multilevel modeling was used for analysis.
Main Results:
- Online CBT significantly reduced PCBD, PTSD, and depression symptoms compared to the waitlist control.
- Symptom reduction was associated with decreased negative cognitions and avoidance behaviors.
- The therapeutic alliance quality was explored for its effect on outcomes and dropout rates.
Conclusions:
- Online CBT is an effective treatment for individuals experiencing PCBD, PTSD, and depression following a traumatic death.
- The findings support the accessibility and efficacy of online interventions for traumatic grief.
- Further research could explore the role of therapeutic alliance in online grief counseling.
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