A systematic literature review of factor analytic and mixture models of ICD-11 PTSD and CPTSD using the International Trauma Questionnaire

Journal of Anxiety Disorders, Journal Year: 2021, Volume and Issue: 79, P. 102381 - 102381

Published: March 1, 2021

Language: Английский

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Prevention and treatment of PTSD: the current evidence base

European journal of psychotraumatology, Journal Year: 2021, Volume and Issue: 12(1)

Published: Jan. 1, 2021

Post-traumatic stress disorder is a common condition that affects millions of people across the world. Up to date recommendations based on best available evidence are vital prevent and treat this debilitating condition. In issue, we bringing together series systematic reviews meta-analyses underpinned development 2018 International Society for Traumatic Stress Studies Guidelines. The strongest was found psychological treatments PTSD, in particular cognitive behavioural therapy with trauma focus (CBT-TF)(generic), processing (CPT), (CT), eye movement desensitisation reprocessing (EMDR) prolonged exposure (PE). For subgroup military personnel veterans, results were less impressive. Dropout from trauma-focused higher than other forms treatment PTSD adults. early interventions, CBT-TF, CT EMDR recommended. With regard pharmacological approaches, number them effective but low effect size. Of pharmacologically assisted psychotherapies, MDMA-assisted psychotherapy promising. Six complementary alternative approaches showed emerging evidence. We now have an base diverse range pharmacological, should facilitate their implementation lead more management affected by traumatic events.

Language: Английский

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Screening for consequences of trauma – an update on the global collaboration on traumatic stress

European journal of psychotraumatology, Journal Year: 2020, Volume and Issue: 11(1)

Published: April 27, 2020

This letter provides an update on the activities of "The Global Collaboration Traumatic Stress" (GC-TS) as first described by Schnyder et al. in 2017. It presents further detail projects theme, particular development and initial data Psychotrauma Screen (GPS), a brief instrument designed to screen for wide range potential outcomes trauma. English language ongoing studies several languages provide indication that GPS is feasible, reliable valid tool, tool may be very useful current pandemic coronavirus disease 2019 (COVID-19). Further multi-language cross-cultural validation needed. Since start GC-TS, new themes have been introduced focus coming years: a) Forcibly displaced persons, b) prevalence stress trauma related disorders, c) Socio-emotional across cultures, d) Collaborating make traumatic research "FAIR". The most recent theme added crises, currently focusing COVID-19-related projects.

Language: Английский

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Mental health responses to COVID-19 around the world

European journal of psychotraumatology, Journal Year: 2021, Volume and Issue: 12(1)

Published: Jan. 1, 2021

: The mental health impact of the COVID-19 crisis may differ from previously studied stressful events in terms psychological reactions, specific risk factors, and symptom severity across geographic regions worldwide.

Language: Английский

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The sense of self in the aftermath of trauma: lessons from the default mode network in posttraumatic stress disorder

European journal of psychotraumatology, Journal Year: 2020, Volume and Issue: 11(1)

Published: Oct. 23, 2020

Trauma can profoundly affect the sense of self, where both cognitive and somatic disturbances to self are reported clinically by individuals with posttraumatic stress disorder (PTSD). These captured eloquently clinical accounts, such as, 'I do not know myself anymore,' will never be able experience normal emotions again,' and, feel dead inside.' Self-related thoughts experiences represented neurobiologically a large-scale, cortical network located along brain's mid-line referred as default mode (DMN). Recruited predominantly during rest in healthy participants, DMN is also active self-referential autobiographical memory processing – processes which, collectively, thought provide foundation for stable that persists across time may available conscious access. In participants PTSD, however, shows substantially reduced resting-state functional connectivity compared individuals, greater reductions associated heightened PTSD symptom severity. Critically, describe frequently their traumatic have become intimately linked perceived perception which mediated, part, alterations DMN. Accordingly, identification rest, subliminal, trauma-related stimulus conditions, has potential offer critical insight into dynamic interplay between trauma- self-related PTSD. Here, we discuss DMN-related these pointing further towards significance findings relation past- present-centred therapies treatment

Language: Английский

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Preventing the onset of post traumatic stress disorder

Clinical Psychology Review, Journal Year: 2021, Volume and Issue: 86, P. 102004 - 102004

Published: March 20, 2021

Post-traumatic stress disorder (PTSD) is a common mental health condition that requires exposure to traumatic event. This provides unique opportunities for prevention are not available other disorders. The aim of this review was undertake systematic and evaluation randomized controlled trials (RCTs) interventions designed prevent PTSD in adults. Searches involving Cochrane, Embase, Medline, PsycINFO, PILOTS Pubmed databases were undertaken identify RCTs pre-incident preparedness post-incident until May 2019. Six 69 identified could be included meta-analyses. overall quality the evidence low. There emerging some may helpful but an absence any intervention can strongly recommended universal, selected or indicated before within first three months strongest results found cognitive-behavioural therapy with trauma focus (CBT-T) individuals diagnosis acute which supports calls detect treat significant symptoms rather than providing blanket preventative interventions. Further research required optimally configure existing effect develop novel address major public issue.

Language: Английский

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Trauma-informed responses in addressing public mental health consequences of the COVID-19 pandemic: position paper of the European Society for Traumatic Stress Studies (ESTSS)

European journal of psychotraumatology, Journal Year: 2020, Volume and Issue: 11(1)

Published: July 9, 2020

The COVID-19 pandemic has changed life in Europe and globally. affects both individuals the broader society across many domains, including physical psychological health, economy general welfare. measures taken to counteract have significantly altered daily and, along with threat of contracting coronavirus uncertainties surrounding future developments, created a complex system stressors negative impact on public mental health. This paper aims outline ESTSS strategy address health issues related focuses (1) trauma-informed policies, (2) capacity building, (3) collaborative research (4) knowledge-exchange. To facilitate implementation approach appropriate measures, developed toolkit recommendations psychosocial assistance be provided during different phases crisis its aftermath. promote offers certification programme based curriculum psychotraumatology corresponding on-line training European community professionals. assure evidence-based approaches methods tailored current circumstances, initiated pan-European project international cooperation aimed at studying consequences pandemic, focus trauma other stress-related reactions. foster knowledge-exchange, Journal Psychotraumatology (EJPT), official journal ESTSS, is publishing special issue COVID-19.La pandemia de ha cambiado la vida en Europa y todo el mundo. La afecta tanto los individuos como sociedad muchos ámbitos, incluida salud física psicológica, economía bienestar general. Las medidas tomadas para contrarrestar han alterado significativamente diaria y, junto con amenaza contraer las incertidumbres que rodean desarrollos futuros, crearon un complejo sistema estresores impacto negativo pública. En este artículo se pretende esbozar estrategia abordar problemas relacionados centra en: 1. Políticas informadas trauma, 2. capacitación, 3. investigación colaborativa, 4. e intercambio conocimientos. Para facilitar implementación enfoque basado apropiadas, desarrollado conjunto herramientas recomendaciones sobre asistencia psicosocial proporcionará durante diferentes fases sus consecuencias. fomentar ofrece programa certificación plan estudios psicotraumatología formación correspondiente comunidad europea profesionales mental. asegurar enfoques métodos basados evidencia adaptados circunstancias actuales, iniciado proyecto paneuropeo cooperación internacional, destinado estudiar consecuencias mental, psicológico otras reacciones relacionadas estrés. conocimiento, revista oficial publica número especial COVID-19.COVID-19疫情改变了欧洲乃至全球的生活。疫情影响着个人和整个社会, 涉及众多领域, 包括身心健康, 经济和一般福利。为应对疫情采取的措施已大大改变了人们的日常生活, 并且随着冠状病毒感染的威胁及未来发展的不确定性, 造成了一个复杂的应激源系统, 对公共心理健康产生了负面影响。本文旨在概述ESTSS解决COVID-19相关心理健康问题的策略, 并重点关注:1.创伤知情政策, 2.能力建设, 3.合作研究以及 4.知识交流。为了促进创伤知情方法和适当措施的实行, ESTSS开发了一套工具包, 包含可在危机不同阶段及之后提供的关心理健康和社会心理援助的建议。为了促进能力建设, ESTSS提供了基于精神创伤学课程的认证计划, 并向欧洲精神卫生专业人员社区提供了相应的在线培训。为了确保采取针对当前情况定制的循证方法, ESTSS与国际合作启动了一项泛欧研究项目, 旨在研究疫情的心理健康后果, 重点关注心理创伤和其他应激相关反应。为了促进知识交流, ESTSS的官方杂志《欧洲精神创伤学杂志》 (EJPT) 正在出版COVID-19相关特刊。.

Language: Английский

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New findings questioning the construct validity of complex posttraumatic stress disorder (cPTSD): let’s take a closer look

European journal of psychotraumatology, Journal Year: 2020, Volume and Issue: 11(1)

Published: Jan. 21, 2020

This commentary provides a broader context for interpreting evidence from Latent Class and Profile analyses on complex posttraumatic stress disorder (CPTSD) that was provided in recent contribution to the European Journal of Psychotraumatology. These data analytic strategies are not alone sufficient test construct validity CPTSD. They base their conclusion empirical finding substantial variation latent models obtained with different procedures interpretations fit models, as well interesting additional dispersion when individual patients' symptom counts severity scores PTSD CPTSD examined. However, results actually do provide support one feature validity, demonstrating discriminant by showing consistent differentiation between (with expectable both level persons). Even sample patients diagnosed PTSD, there may be Disorders Self Organization (DSO) sub-group low severity. More detailed examination which DSO symptoms sub-domains characterize is needed order clarify nature DSO/CPTSD construct. Other fully also described.

Language: Английский

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Evidence for the coherence and integrity of the complex PTSD (CPTSD) diagnosis: response to Achterhof et al., (2019) and Ford (2020)

European journal of psychotraumatology, Journal Year: 2020, Volume and Issue: 11(1)

Published: April 3, 2020

This letter to the editor responds a recent EJPT editorial and following commentary which express concerns about validity of ICD-11 complex PTSD (CPTSD) diagnosis. Achterhof colleagues caution that latent profile analyses class analyses, have been frequently used demonstrate discriminative CPTSD constructs, limitations cannot be relied on definitively determine Ford takes broader perspective introduces concept 'cPTSD' describes wide ranging set symptoms identified from studies related DSM-IV, DSM-V proposes is in question as it does not address multiple previous trauma-related disorders. We argue theory-driven, empirically supported construct has internal consistency conceptual coherence need explain nor resolve inconsistencies past formulations its validity. do agree with no one single statistical process can answer whether valid construct. reference several utilizing many different approaches implemented across countries, overwhelming majority unique conclude our own cautions research date identify important next steps.

Language: Английский

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Trauma-spectrum symptoms among the Italian general population in the time of the COVID-19 outbreak

European journal of psychotraumatology, Journal Year: 2021, Volume and Issue: 12(1)

Published: Jan. 1, 2021

Background: Recent evidence showed adverse mental health outcomes associated with the COVID-19 pandemic, including trauma-related symptoms. The Global Psychotrauma Screen (GPS) is a brief instrument designed to assess broad range of symptoms no available validation in Italian population.

Language: Английский

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