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J Behav Ther Exp Psychiatry. 2009 Mar;40(1):50-8. doi: 10.1016/j.jbtep.2008.04.001. Epub 2008 Apr 10.

Single-case experimental studies of a self-help manual for traumatic stress in earthquake survivors.

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Section of Trauma Studies, Division of Psychological Medicine, Institute of Psychiatry, King's College London, University of London, England, UK.


Studies showed that earthquake-related posttraumatic stress disorder could be reduced by a single session of therapist instructions for self-exposure to fear cues. Eight single-case experimental studies examined whether such instructions were as effective when delivered through a self-help manual after an initial assessment. After two baseline assessments conducted at the participants homes, the manual was delivered to the participants, who were then assessed at week 10 (post-treatment) and at 1-, 3-, and 6-month post-treatment. After minimal improvement during the baseline, treatment achieved marked improvement in seven survivors, leading to effect sizes comparable to those obtained by therapist-delivered treatment. Self-help appears to be a promising approach in cost-effective survivor care.

[Indexed for MEDLINE]

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