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Using Compassion Focused Therapy as an adjunct to Trauma-Focused CBT for Fire Service personnel suffering with trauma-related symptoms

Published online by Cambridge University Press:  29 November 2016

Elaine Beaumont ,
Mark Durkin ,
Sue McAndrew  and
Colin R. Martin
Elaine Beaumont*
Affiliation:
School of Nursing, Midwifery, Social Work & Social Sciences, University of Salford, Salford, Greater Manchester, UK
Mark Durkin
Affiliation:
Department of Health and Human Sciences, University of Bolton, Bolton, UK
Sue McAndrew
Affiliation:
School of Nursing, Midwifery, Social Work & Social Sciences, University of Salford, Salford, Greater Manchester, UK
Colin R. Martin
Affiliation:
Institute of Mental Health, Bucks New University, High Wycombe, Bucks, UK
*
*Author for correspondence: Ms. E. Beaumont, School of Nursing, Midwifery, Social Work & Social Sciences, Mary Seacole Building, University of Salford, Frederick Road, Salford, Greater Manchester, UK, M6 6PU (email: E.A.Beaumont@salford.ac.uk).
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Abstract

Individuals working for the emergency services often bear witness to distressing events. This outcome study examines therapeutic interventions for Fire Service personnel (FSP) experiencing symptoms of trauma, depression, anxiety and low levels of self-compassion. This study aims to investigate the effectiveness of using Compassion-Focused Therapy (CFT) as an adjunct to Trauma-Focused Cognitive Behavioural Therapy (TF-CBT) in reducing symptoms of trauma, anxiety and depression and increasing self-compassion. A convenience sample (n = 17) of participants, referred for therapy following a traumatic incident, were allocated to receive 12 sessions of either TF-CBT or TF-CBT coupled with CFT. The study employed a repeated-measures design. Data were gathered pre- and post-therapy, using three questionnaires: (1) Hospital Anxiety and Depression Scale; (2) Impact of Events Scale-R; (3) Self-Compassion Scale – Short Form. TF-CBT combined with CFT was more effective than TF-CBT alone on measures of self-compassion. Significant reductions in symptoms of depression, anxiety, hyperarousal, intrusion and avoidance and a significant increase in self-compassion occurred in both groups post-therapy. The study provides some preliminary evidence to suggest that FSP may benefit from therapeutic interventions aimed at cultivating self-compassion. Further research is warranted using a larger sample size and adequately powered randomized controlled trial, to detect statistically significant differences and to negate the risk of confound due to low numbers resulting in significant differences between groups at baseline. Using CFT as an adjunct to TF-CBT may help FSP, who bear witness to the distress of others, cultivate compassion for their own suffering.

Keywords

Compassion-Focused TherapyCompassionate Mind TrainingFire BrigadeFire Service personnelself-compassiontrauma-focused CBT
Type
Original Research
Information
the Cognitive Behaviour Therapist , Volume 9 , 2016 , e34
Copyright
Copyright © British Association for Behavioural and Cognitive Psychotherapies 2016 

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References

Recommended follow-up reading

Ehlers, A, Clark, DM (2000). A cognitive model of posttraumatic stress disorder. Behaviour Research and Therapy 38, 319–345.Google Scholar
Gilbert, P (2010). Compassion Focused Therapy. London: Routledge.Google Scholar
Lee, D (2012). The Compassionate Mind Approach to Recovering from Trauma Using Compassion Focused Therapy. Routledge: London Google Scholar

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