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  1. Book ; Online ; E-Book: Treating PTSD in first responders

    Bryant, Richard A.

    a guide for serving those who serve

    2021  

    Abstract: This book shows mental health providers how to understand PTSD in first responders, and outlines practical, evidence-based approaches to assess and treat PTSD in these populations. ...

    Author's details Richard A. Bryant
    Abstract This book shows mental health providers how to understand PTSD in first responders, and outlines practical, evidence-based approaches to assess and treat PTSD in these populations.
    Keywords Electronic books
    Language English
    Size 1 Online-Ressource (vii, 247 Seiten)
    Publisher American Psychological Association
    Publishing place Washington, DC
    Publishing country United States
    Document type Book ; Online ; E-Book
    Remark Zugriff für angemeldete ZB MED-Nutzerinnen und -Nutzer
    HBZ-ID HT021072910
    ISBN 978-1-4338-3710-4 ; 9781433835599 ; 1-4338-3710-2 ; 1433835592
    Database ZB MED Catalogue: Medicine, Health, Nutrition, Environment, Agriculture

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  2. Book ; Online: Byline, Richard Wright: Articles from the DAILY WORKER and NEW MASSES

    Bryant, Earle V

    2015  

    Language English
    Size Online-Ressource
    Publisher University of Missouri Press (Bibliovault)
    Publishing place Place of publication not identified
    Document type Book ; Online
    Note Description based upon print version of record
    ISBN 0826273173 ; 9780826220202 ; 9780826273178 ; 0826220207
    Database Library catalogue of the German National Library of Science and Technology (TIB), Hannover

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  3. Article: Scalable interventions for refugees.

    Bryant, Richard A

    Global mental health (Cambridge, England)

    2023  Volume 10, Page(s) e8

    Abstract: Refugees experience a greater rate of common mental disorders relative to most other populations, and there remains a need to address these needs. However, most refugees are hosted in low-and-middle-income countries, where there is a lack of resources ... ...

    Abstract Refugees experience a greater rate of common mental disorders relative to most other populations, and there remains a need to address these needs. However, most refugees are hosted in low-and-middle-income countries, where there is a lack of resources and mental health providers who can deliver mainstream mental health services. This situation has led to the emergence of scalable mental health interventions that can deliver evidence-based programs to refugees in need. Many countries hosting refugees have implemented programs that train local lay providers in interventions that can be delivered at scale. This review provides a narrative overview of these scalable interventions and critiques the evidence for their efficacy. It is noted that there are limitations to currently available scalable interventions, and there is a need for greater attention to determining the longer-term benefits of interventions, addressing the mental health needs of refugees who do not respond to these interventions, assisting refugees with more severe psychological disorders, and understanding the specific mechanisms that underpin observed benefits of these interventions.
    Language English
    Publishing date 2023-02-07
    Publishing country England
    Document type Journal Article ; Review
    ZDB-ID 2806466-5
    ISSN 2054-4251
    ISSN 2054-4251
    DOI 10.1017/gmh.2022.59
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article: Is Fear Extinction Impairment Central to Psychopathology?

    Bryant, Richard A

    Current topics in behavioral neurosciences

    2023  Volume 64, Page(s) 195–212

    Abstract: As discussed in this chapter, there have been enormous advances in our understanding of how anxiety disorders develop, are maintained, and can be treated. Many of these advances have been the result of translational studies using fear conditioning and ... ...

    Abstract As discussed in this chapter, there have been enormous advances in our understanding of how anxiety disorders develop, are maintained, and can be treated. Many of these advances have been the result of translational studies using fear conditioning and extinction models. Despite these successes, we recognize, as a field, that there are important limitations in the extent to which extinction can explain how anxiety disorders and behaviors remit. Clinically speaking, the outstanding challenge for treatment of anxiety disorders is to improve the current suboptimal success rates. Over the past 30 years, we have not improved our treatment success rates despite employing many pharmacological and pharmacological strategies. While extinction and related fear circuitry mechanisms most certainly appear to play a role in treatment of anxiety disorders, they are also apparently insufficient to fully accommodate the varied responses individuals exhibit with this treatment approach. Increasingly diverse and innovative approaches are needed that accommodate the multitude of change mechanisms involved in treating anxiety. However, this is not to suggest ignoring the key role that extinction and memory updating processes play in overcoming anxiety.
    MeSH term(s) Humans ; Fear ; Extinction, Psychological/physiology ; Conditioning, Classical/physiology ; Anxiety ; Anxiety Disorders
    Language English
    Publishing date 2023-09-05
    Publishing country Germany
    Document type Journal Article
    ISSN 1866-3370
    ISSN 1866-3370
    DOI 10.1007/7854_2023_439
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article: Post-traumatic stress disorder as moderator of other mental health conditions.

    Bryant, Richard A

    World psychiatry : official journal of the World Psychiatric Association (WPA)

    2022  Volume 21, Issue 2, Page(s) 310–311

    Language English
    Publishing date 2022-05-07
    Publishing country Italy
    Document type Journal Article
    ZDB-ID 2236130-3
    ISSN 2051-5545 ; 1723-8617
    ISSN (online) 2051-5545
    ISSN 1723-8617
    DOI 10.1002/wps.20975
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: The Relevance of the Five Elements of Resilience during the COVID-19 Pandemic.

    Bryant, Richard A

    Psychiatry

    2022  Volume 84, Issue 4, Page(s) 351–357

    MeSH term(s) COVID-19 ; Health Personnel ; Humans ; Pandemics ; Resilience, Psychological ; SARS-CoV-2
    Language English
    Publishing date 2022-01-21
    Publishing country United States
    Document type Journal Article ; Comment
    ZDB-ID 209433-2
    ISSN 1943-281X ; 0033-2747
    ISSN (online) 1943-281X
    ISSN 0033-2747
    DOI 10.1080/00332747.2021.2005428
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article ; Online: The nature of posttraumatic stress disorder in treatment-seeking first responders.

    Bryant, Richard A

    European journal of psychotraumatology

    2022  Volume 13, Issue 1, Page(s) 2011602

    Abstract: Background: Approximately 10% of first responders report posttraumatic stress disorder (PTSD). Although reports within first responders suggest that they have distinct symptom presentations, there is a need to understand how the clinical profiles of ... ...

    Abstract Background: Approximately 10% of first responders report posttraumatic stress disorder (PTSD). Although reports within first responders suggest that they have distinct symptom presentations, there is a need to understand how the clinical profiles of first responders may differ from others seeking treatment for PTSD.
    Objective: This study compared the PTSD symptom profiles of first responder and civilians seeking treatment for PTSD.
    Method: Participants self-referred to the Traumatic Stress Clinic (University of New South Wales, Sydney) for enrolment in out-patient treatment trials for PTSD. Participants comprised people of mean age 41.72 years (
    Results: First responders reported greater rates of dysphoric cluster of symptoms, including diminished interest, emotional numbing, and social detachment, and less psychological reactivity and avoidance of situations, than civilians with PTSD. Beyond PTSD symptoms, first responders also reported more severe levels of depression and suppressed anger.
    Conclusions: These findings indicate that treatment-seeking first responders present with a distinct clinical profile that is characterized by dysphoric symptoms. These symptoms can predict poor treatment response and require specific attention in treating PTSD in first responders.
    MeSH term(s) Adult ; Anxiety/psychology ; Australia ; Depression/psychology ; Diagnostic and Statistical Manual of Mental Disorders ; Emergency Responders/psychology ; Emergency Responders/statistics & numerical data ; Humans ; Interviews as Topic ; Self Report ; Stress Disorders, Post-Traumatic/diagnosis
    Language English
    Publishing date 2022-01-26
    Publishing country United States
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 2586642-4
    ISSN 2000-8066 ; 2000-8066
    ISSN (online) 2000-8066
    ISSN 2000-8066
    DOI 10.1080/20008198.2021.2011602
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article ; Online: Attachment processes in posttraumatic stress disorder: A review of mechanisms to advance theories and treatments.

    Bryant, Richard A

    Clinical psychology review

    2022  Volume 99, Page(s) 102228

    Abstract: Current conceptualisations of posttraumatic stress disorder (PTSD) are driven by biological, learning, and cognitive models that have shaped current treatments of the disorder. The strong influence of these models has resulted in a relative neglect of ... ...

    Abstract Current conceptualisations of posttraumatic stress disorder (PTSD) are driven by biological, learning, and cognitive models that have shaped current treatments of the disorder. The strong influence of these models has resulted in a relative neglect of social mechanisms that can influence traumatic stress. There is abundant evidence from experimental, observational, and clinical studies that social factors can moderate many of the mechanisms articulated in prevailing models of PTSD. In this review it is proposed that attachment theory provides a useful framework to complement existing models of PTSD because it provides explanatory value for social factors can interact with biological, learning, and cognitive processes that shape traumatic stress response. The review provides an overview of attachment theory in the context of traumatic stress, outlines the evidence for how attachment factors can moderate stress responses and PTSD, and considers how harnessing attachment processes may augment recovery from and treatment of PTSD. This review emphasizes that rather than conceptualizing attachment theory as an independent theory of traumatic stress, there is much to gain by integrating attachment mechanisms into existing models of PTSD to accommodate the interactions between cognitive, biological, and attachment processes.
    MeSH term(s) Humans ; Stress Disorders, Post-Traumatic/therapy ; Stress Disorders, Post-Traumatic/psychology ; Learning ; Object Attachment ; Risk Factors
    Language English
    Publishing date 2022-11-28
    Publishing country United States
    Document type Journal Article ; Review
    ZDB-ID 604577-7
    ISSN 1873-7811 ; 0272-7358
    ISSN (online) 1873-7811
    ISSN 0272-7358
    DOI 10.1016/j.cpr.2022.102228
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article ; Online: A critical review of mechanisms of adaptation to trauma: Implications for early interventions for posttraumatic stress disorder.

    Bryant, Richard A

    Clinical psychology review

    2021  Volume 85, Page(s) 101981

    Abstract: Although many attempts have been made to limit development of posttraumatic stress disorder (PTSD) by early intervention after trauma exposure, these attempts have achieved only modest success. This review critiques the biological and cognitive ... ...

    Abstract Although many attempts have been made to limit development of posttraumatic stress disorder (PTSD) by early intervention after trauma exposure, these attempts have achieved only modest success. This review critiques the biological and cognitive strategies used for early intervention and outlines the extent to which they have prevented PTSD. The major predictors of PTSD are reviewed, with an emphasis on potential mechanisms that may underpin the transition from acute stress reaction to development of PTSD. This review highlights that there is a wide range of biological and cognitive factors that have been shown to predict PTSD. Despite this, the major attempts at early intervention have focused on strategies that attempt to augment extinction processes or alter appraisals in the acute period. The documented predictors of PTSD indicate that a broader range of potential strategies could be explored to limit PTSD. The evidence that people follow different trajectories of stress response following trauma and there is a wide array of acute predictors of PTSD indicates that a flexible and tailored approach needs to be investigated to evaluate more effective early intervention strategies.
    MeSH term(s) Humans ; Stress Disorders, Post-Traumatic/therapy
    Language English
    Publishing date 2021-01-24
    Publishing country United States
    Document type Journal Article ; Research Support, Non-U.S. Gov't ; Review
    ZDB-ID 604577-7
    ISSN 1873-7811 ; 0272-7358
    ISSN (online) 1873-7811
    ISSN 0272-7358
    DOI 10.1016/j.cpr.2021.101981
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article ; Online: Improving the mental health of low- and middle-income countries.

    Bryant, Richard A

    Nature human behaviour

    2019  Volume 3, Issue 7, Page(s) 653–655

    MeSH term(s) Costs and Cost Analysis ; Delivery of Health Care/economics ; Delivery of Health Care/organization & administration ; Developing Countries ; Evidence-Based Practice/economics ; Evidence-Based Practice/organization & administration ; Health Services Accessibility ; Humans ; Implementation Science ; Mental Health ; Mental Health Services/economics ; Mental Health Services/organization & administration ; Program Evaluation ; World Health Organization
    Language English
    Publishing date 2019-04-22
    Publishing country England
    Document type Journal Article
    ISSN 2397-3374
    ISSN (online) 2397-3374
    DOI 10.1038/s41562-019-0598-2
    Database MEDical Literature Analysis and Retrieval System OnLINE

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