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

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 trau...

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Main Authors: Joana Proença Becker, Rui Paixão, Manuel João Quartilho
Format: Article
Language:English
Published: MDPI AG 2022-03-01
Series:Healthcare
Subjects:
Online Access:https://www.mdpi.com/2227-9032/10/3/530
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author Joana Proença Becker
Rui Paixão
Manuel João Quartilho
author_facet Joana Proença Becker
Rui Paixão
Manuel João Quartilho
author_sort Joana Proença Becker
collection DOAJ
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.
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spelling doaj.art-588412c3a7844afea35f9832b3c62d452023-11-24T01:23:01ZengMDPI AGHealthcare2227-90322022-03-0110353010.3390/healthcare10030530Dynamic Psychotherapy as a PTSD Treatment for Firefighters: A Case StudyJoana Proença Becker0Rui Paixão1Manuel João Quartilho2Faculty of Psychology and Educational Sciences, University of Coimbra, 3000-115 Coimbra, PortugalFaculty of Psychology and Educational Sciences, University of Coimbra, 3000-115 Coimbra, PortugalFaculty of Medicine, University of Coimbra, 3000-548 Coimbra, PortugalIn 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.https://www.mdpi.com/2227-9032/10/3/530dynamic psychotherapypost-traumatic stresscase studyfirefighters
spellingShingle Joana Proença Becker
Rui Paixão
Manuel João Quartilho
Dynamic Psychotherapy as a PTSD Treatment for Firefighters: A Case Study
Healthcare
dynamic psychotherapy
post-traumatic stress
case study
firefighters
title 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_short Dynamic Psychotherapy as a PTSD Treatment for Firefighters: A Case Study
title_sort dynamic psychotherapy as a ptsd treatment for firefighters a case study
topic dynamic psychotherapy
post-traumatic stress
case study
firefighters
url https://www.mdpi.com/2227-9032/10/3/530
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