European journal of psychotraumatology,
Journal Year:
2024,
Volume and Issue:
15(1)
Published: June 14, 2024
Background:
Posttraumatic
stress
disorder
(PTSD)
is
two
to
three
times
more
common
in
women
than
men.
To
better
understand
this
phenomenon,
we
need
know
why
men,
women,
and
possibly
individuals
with
other
sex/gender
identities
respond
differently
trauma.
stimulate
sex
gender
sensitive
research,
the
European
Journal
of
Psychotraumatology
(EJPT)
was
first
journal
adopt
a
policy.
In
addition,
call
for
papers
entitled
Integrating
Evaluating
Sex
Gender
Psychotrauma
Research
announced.
The British Journal of Psychiatry,
Journal Year:
2023,
Volume and Issue:
222(5), P. 196 - 203
Published: March 1, 2023
Background
Previous
meta-analyses
of
psychotherapies
for
children
and
adolescents
with
post-traumatic
stress
disorder
(PTSD)
did
not
investigate
whether
treatment
efficacy
is
diminished
when
patients
report
multiple
(versus
single)
traumas.
Aims
To
examine
psychological
interventions
paediatric
PTSD
Method
We
systematically
searched
PsycInfo,
MEDLINE,
Web
Science
PTSDpubs
on
21
April
2022
included
randomised
controlled
trials
(RCTs)
meeting
the
following
criteria:
(a)
random
allocation;
(b)
all
participants
presented
partial
or
full
PTSD;
(c)
primary
focus;
(d)
sample
mean
age
<19
years;
(e)
size
n
≥
20.
Trauma
frequency
was
analysed
as
a
dichotomous
(single
versus
≥2
traumas)
continuous
(mean
number
exposures)
potential
moderator
efficacy.
Results
Of
57
eligible
RCTs
(
=
4295),
51
were
in
quantitative
analyses.
Relative
to
passive
control
conditions,
found
effective
single-trauma-related
(Hedges’
g
1.09;
95%
CI
0.70–1.48;
k
8
trials)
multiple-trauma-related
1.11;
0.74–1.47;
12).
Psychotherapies
also
more
than
active
conditions
reducing
PTSD.
Comparison
regarding
single-event
possible
owing
scarcity
1)
available
trials.
Efficacy
differ
trauma
exposure
irrespective
its
operationalisation
subgroup
analyses
(e.g.
trauma-focused
cognitive–behavioural
therapy
only).
Conclusions
The
current
evidence
base
suggests
that
can
effectively
treat
populations
reporting
single
Future
need
involve
conditions.
European journal of psychotraumatology,
Journal Year:
2025,
Volume and Issue:
16(1)
Published: Feb. 6, 2025
To
mark
15
years
of
the
European
Journal
Psychotraumatology,
editors
reviewed
past
15-year
research
on
trauma
exposure
and
its
consequences,
as
well
developments
in
(early)
psychological,
pharmacological
complementary
interventions.
In
all
sections
this
paper,
we
provide
perspectives
sex/gender
aspects,
life
course
trends,
cross-cultural/global
systemic
societal
contexts.
Globally,
majority
people
experience
stressful
events
that
may
be
characterized
traumatic.
However,
definitions
what
is
traumatic
are
not
necessarily
straightforward
or
universal.
Traumatic
have
a
wide
range
transdiagnostic
mental
physical
health
limited
to
posttraumatic
stress
disorder
(PTSD).
Research
genetic,
molecular,
neurobiological
influences
show
promise
for
further
understanding
underlying
risk
resilience
trauma-related
consequences.
Symptom
presentation,
prevalence,
course,
response
experiences,
differ
depending
individuals'
age
developmental
phase,
sex/gender,
sociocultural
environmental
contexts,
socio-political
forces.
Early
interventions
potential
prevent
acute
reactions
from
escalating
PTSD
diagnosis
whether
delivered
golden
hours
weeks
after
trauma.
prevention
still
scarce
compared
treatment
where
several
evidence-based
complementary/
integrative
exist,
novel
forms
delivery
become
available.
Here,
focus
how
best
address
negative
outcomes
following
trauma,
serve
individuals
across
spectrum,
including
very
young
old,
include
considerations
ethnicity,
culture
diverse
beyond
Western,
Educated,
Industrialized,
Rich,
Democratic
(WEIRD)
countries.
We
conclude
with
providing
directions
future
aimed
at
improving
well-being
impacted
by
around
world.
The
EJPT
webinar
provides
90-minute
summary
paper
can
downloaded
here
[http://bit.ly/4jdtx6k].
Journal of korean Academy of Child and Adolescent Psychiatry,
Journal Year:
2025,
Volume and Issue:
36(2), P. 78 - 82
Published: April 1, 2025
Complex
post-traumatic
stress
disorder
(Complex
PTSD)
in
pediatric
patients
is
challenging
to
manage,
particularly
when
conventional
therapeutic
approaches
are
insufficient.
We
report
the
case
of
Miss
A,
a
15-year-old
girl
with
history
severe
neglect
and
abuse,
adopted
at
age
5,
who
presented
frequent
reliving
trauma
memories,
significant
emotional
dysregulation,
dissociative
episodes,
recurrent
self-harm,
aggression.
Her
treatment
was
complicated
by
comorbid
mild-grade
learning
disability
suspected
autism
spectrum
disorder.
Initial
management
promethazine,
melatonin,
lorazepam,
later
aripiprazole
fluoxetine
provided
limited
relief.
Following
hospital
readmission,
guanfacine,
an
alpha-2
adrenergic
agonist,
initiated.
A
demonstrated
marked
reduction
aggression,
suicidal
thoughts,
suggesting
that
guanfacine
may
offer
benefits
for
managing
PTSD
such
cases.
This
underscores
difficulties
treating
conditions,
highlights
as
potential
adjunct
therapy.
However,
further
research
required
validate
its
efficacy
safety.
European journal of psychotraumatology,
Journal Year:
2025,
Volume and Issue:
16(1)
Published: April 14, 2025
Background:
Apps
have
the
potential
to
support
psychological
treatments
by
providing
psychoeducation,
increasing
homework
compliance,
and
generalizing
therapeutic
skills
outside
of
sessions.
However,
there
are
few
apps
developed
specific
evidence-based
treatment
for
PTSD
adolescents.Objective:
This
paper
shares
experiences
developing
an
app
complement
Trauma-Focused
Cognitive
Behavioral
Therapy
(TF-CBT).
It
also
describes
adolescents'
therapists'
perceived
usefulness
effect
'My
everyday
life'
on
posttraumatic
stress
symptoms
(PTSS).Methods:
We
did
a
needs
assessment
with
adolescents,
therapists,
TF-CBT
trainers,
followed
programming
beta-testing.
carried
out
mixed
methods
study
59
adolescent
patients
(aged
13-18
years)
their
therapists.
Using
triangulation
design,
we
combined
quantitative
data
use
changes
in
PTSS
qualitative
from
interviews
10
adolescents
therapists
who
described
app.Results:
The
includes
mental
health
self-monitoring,
coping
tools,
goal-setting
functionality.
most
used
features
were
psychoeducation
breathing
exercises.
Few
actively
monitoring
progress
feature.
Both
found
beneficial
use,
though
some
unsure
about
how
integrate
it
TF-CBT.
Adolescents
reported
significant
improvement
during
as
complement.
post-treatment
(n
=
13)
not
report
significantly
different
compared
without
access
app,
but
lacked
power
draw
strong
conclusions.Conclusions:
can
be
useful
receiving
may
benefit
clearer
guidelines
treatments.
Digital
tools
promising
avenue
supporting
implementation
treatment.
European Journal of Trauma & Dissociation,
Journal Year:
2024,
Volume and Issue:
8(1), P. 100383 - 100383
Published: Jan. 10, 2024
Complex-PTSD
causes
distressing
symptoms.
NICE
guidelines
recommend
a
phased
treatment
approach,
but
there
are
often
gaps
within
services
providing
psychological
treatments
for
CPTSD.
A
pilot
service
in
East
Anglia
aimed
to
fill
current
provision.
An
online
CPTSD
group
intervention
was
developed,
focusing
on
phase
one
of
trauma
treatment:
stabilisation.
This
project
evaluate
the
stabilisation
by
exploring
if
attendance
associated
with
changes
symptoms,
and
explore
participant
experiences.
Participants
attended
12-week,
two-hour,
weekly
programme,
held
via
MS
Teams.
Three
additional
individual
sessions
were
offered
before,
during
after
group.
Sixty-six
participants
completed
programme;
whom
40
four
pre-post
outcome
measures
(DERS,
PTCI,
TMQQ,
ITQ),
25
an
anonymous
feedback
survey.
Paired
t-tests
comparing
measure
scores
showed
statistically
significant
differences
across
all
measures,
medium
effect
sizes.
Lower
seen
completion,
indicating
reduced
Participant
indicated
most
(83%)
expressed
preference
delivery
68%
found
beneficial.
Attendance
symptom
reduction
positive
feedback.
appears
be
first
online,
mixed-gender
evaluation.
Ultimately
results
promising,
though
suggest
further
research
is
warranted
establish
such
groups
would
provide
effective
CTPSD
help
reduce
NHS
waitlists.
Service
recommendations
discussed.
British Journal of Clinical Psychology,
Journal Year:
2024,
Volume and Issue:
unknown
Published: July 16, 2024
Abstract
Objectives
Rates
of
PTSD
are
up
to
12
times
higher
in
care‐experienced
young
people
(CEYP)
compared
their
peers.
Trauma‐focused
CBTs
(tf‐CBT)
the
best‐evidenced
treatment
for
youth
with
PTSD,
yet,
practice,
CEYP
often
struggle
access
this
treatment.
We
worked
alongside
services
understand
barriers
and
facilitators
implementation
cognitive
therapy
(a
type
tf‐CBT)
CEYP.
Design
This
was
an
active,
open
trial.
Methods
recruited
28
mental
health
teams
across
England,
including
general
CAMHS,
targeted
CAMHS
social
care‐based
teams.
From
these
teams,
participants
were
243
professionals,
from
a
wide
variety
professional
backgrounds.
Following
recruitment/intervention
training,
participated
rolling
three
monthly
focus
groups
individual
interviews,
what
helped
hindered
implementation.
Data
analysed
using
framework
analysis
conducted
CFIR
2.0.
Results
Almost
half
able
implement,
but
only
approximately
one
quarter
CEYP,
specifically.
Universal
that
discussed
by
almost
all
particularly
highlighted
service
structures
poor
resourcing
as
major
delivery
well
complexities
person
network.
Unique
factors
differentiated
who
did
not
implement
included
commissioning
practices,
culture
team,
leadership
engagement
style,
development
supervision
structures.
Conclusions
Findings
offer
key
considerations
leads,
commissioners
policy‐makers
enhance
treatments
like
CT‐PTSD,
BMC Psychiatry,
Journal Year:
2023,
Volume and Issue:
23(1)
Published: Sept. 4, 2023
Abstract
Background
There
is
ongoing
debate
regarding
the
treatment
of
severe
and
multiple
traumatized
children
adolescents
with
post-traumatic
stress
disorder
(PTSD).
Many
clinicians
favor
a
phase-based
approach
(i.e.,
stabilization
phase
prior
to
trauma-focused
therapy)
over
immediate
psychological
treatment,
despite
lack
scientific
evidence.
Research
on
effects
different
approaches
needed
for
(symptoms
complex)
PTSD
resulting
from
repeated
sexual
and/or
physical
abuse
during
childhood.
Objective
This
paper
describes
rationale,
study
design,
methods
MARS-study,
two-arm
randomized
controlled
trial
(RCT)
that
aims
compare
results
those
determine
whether
not
worse
than
in
reducing
symptoms.
Methods
Participants
are
individuals
between
12
18
years
who
meet
diagnostic
criteria
due
abuse,
or
domestic
violence
will
be
blindly
allocated
either
condition.
In
condition,
participants
receive
sessions
Dutch
version
Skill
Training
Affective
Interpersonal
Regulation
(STAIR-A),
followed
by
EMDR
therapy.
The
two
groups
compared
several
outcome
variables
before
mid-treatment
(only
condition),
after
(post-treatment),
six
months
post-treatment
(follow-up).
main
parameter
presence
severity
symptoms
(Clinician-Administered
Scale
Children
Adolescents,
CAPS-CA).
secondary
complex
(Interpersonal
Problems
as
measured
Experiences
Close
Relationship-Revised,
ECR-RC;
Emotion
Difficulties
Scale,
DERS;
Self
Esteem
Rosenberg
RSES),
changes
anxiety
mood
(Revised
Anxiety
Depression
Scale;
RCADS),
posttraumatic
cognitions
(Child
Posttraumatic
Cognitions
Inventory,
CPTCI),
general
psychopathology
Behavior
Checklist,
CBCL),
Quality
Life
(Youth
Outcome
Questionnaire,
Y-OQ-30).
Furthermore,
parental
(Opvoedingsvragenlijst,
OBVL)
patient-therapist
relationship
(Feedback
Informed
Treatment,
FIT)
measured,
whereas
monitored
each
session
both
conditions
(Children’s
Revised
Impact
Event
CRIES-13).
Discussion
Treating
history
childhood
great
importance.
However,
there
consensus
among
trauma
experts
optimal
approach.
current
may
have
important
implications
selecting
effective
options
working
experience
exposure
interpersonal
traumatic
events
Trial
registrations
was
registered
“National
Register
(NTR)”
number
NTR7024.
registry
obtained
International
Clinical
Registry
Platform
(ICTRP)
can
accessed
through
ICTRP
Search
Portal
(
https://trialsearch.who.int/
).
