IES-E
(The Impact of Events, Extended Scale)
The IES-E is a validated, psychometrically tested scale which provides reliable clinical scores to help assess the level of distress due to the impact of a traumatic event or events.
The scale was further developed from the original IES scale (Horowitz, Wilner & Alvarez, 1979) so that symptoms related to arousal could be satisfactorily measured.
(Tehrani, Cox, Cox, 2002)
Scoring
The 23 questions measure the classic features associated with Post Traumatic Stress Disorder (PTSD); hyperarousal, avoidance and re-experiencing.
While a global score of 50 is considered indicative of PTSD, according to DSM IV diagnostic criteria (American Psychiatric Association, 2000) , it is important to pay attention to each of the above three domains.
It is often the case that a client may score high on one domain, although the global score is under 50, which could indicate considerable distress in that one area of the client's experience.
Psychological Trauma
Post-traumatic stress disorder (PTSD)
.... Re-experiencing;
....
Hyperarousal;
.... Nightmares/flashbacks;
.... Avoidance of things associated with the event
Depression
Anxiety
Phobias
.....Driver, passenger, pedestrian, social etc
Intrusive negative thoughts
Loss of confidence
Panic attacks
Anger and irritability
Breakdown in partner/family relations
Stress
Sleep difficulties
Adjustment problems - change in lifestyle; loss
Pain management
Obsessive/compulsive thoughts or actions
Misuse of alcohol.
Practice based evidence is central to the hgp approach.
Internationally recognised psychometric tests are introduced at assessment and at each domiciliary therapy session. These reveal the patient's psychological problems at the outset, provide session by session progress and illustrate an end of therapy result.
The results indicate that a clinically reliable change is effected in the majority of patients who access our service.
"The hgp model promotes a climate of positive change, enabling people to return to normal, day to day living, in the shortest possible time.
Our evidence-based treatment is delivered within a framework of sound knowledge, experience and accountability to the patients and referrers."
Wendy Amey
Managing director
CBT Rehabilitation Ltd