Evidence-Based Behavioral Epidemiology Clearly Defined
Abstract
Introduction: Efficacy of empirical data in behavioral health occurs when constants are measured and changed and legitimacy of the data occurs when it is generated by the client. The constant in behavioral health is the clients’ emotional state. Measuring, monitoring and improving this constant is what brings about the efficacy of an intervention. (The SR® Solution)
Objectives: Clearly present and define evidence-based behavioral epidemiology with Subconscious Restructuring® (SR®) paradigm and EHR based protocol.
Design: Three case studies and one group study addressing PTSD, depression, anxiety, anger, sleep, suicidal ideation, eating behavior and relationship satisfaction using EHR based SR® paradigm.
Clients: Case Study 1: 27 year old former Marine with TBI/PTSD. Case Study 2: 40 year old female mental health professional with depression. Case Study 3: 33 year old male first responder with PTSD. Group Study: 14 combat duty veterans diagnosed with PTSD.
Intervention: SR® paradigm. Case Study 1: two, two-hour sessions. Case study 2: One four hour session. Case Study 3: Two, two hour sessions and two one hour sessions. Group Study: Two individual sessions per client, two-hours each.
Main Outcome Measures: 12 point “Emotional Checklist,” 5 point “Behavior Control Checklist” and 5 point “Relationship Satisfaction Scale.”
Percent Improvements: Case Study 1: depression 78%, anxiety 71%, anger 83%, sleep 66%, suicidal ideation 83%, Negative Self Talk 66%, eating behavior 85%, relationship satisfaction, 55%. Case Study 2: depression 81%, anxiety 60%, anger 77%, sleep 80%, suicidal ideation 80% eating behavior 80%, relationship satisfaction, 21%. Case Study 3: depression 82%, anxiety 80%, anger 80%, and sleep 90% eating behavior 0%, relationship satisfaction, 44%. Group Study: depression 45%, anxiety 42%, anger 50%, sleep 37%, suicidal ideation 61%, eating behavior 36%, relationship satisfaction, 22%.
Conclusions: Interrupting and restructuring a subconscious process before it manifests into an aberrant emotional state eliminates the need for background history, diagnosis or analysis of external variables and events. The same process which enables the subconscious to continually repeat a traumatic experience or reproduce a disruptive emotional state is used as a tool to assert control over an emotional state and behavior.