European journal of psychotraumatology, Journal Year: 2022, Volume and Issue: 13(2)
Published: Nov. 23, 2022
Research indicates that intensive trauma-focused therapy can be effective in alleviating symptoms of post-traumatic stress disorder (PTSD) and borderline personality (BPD). However, these studies have relied on self-report BPD follow-up data are scarce.
Language: Английский
Current Neuropharmacology, Journal Year: 2023, Volume and Issue: 22(4), P. 557 - 635
Published: May 3, 2023
Abstract: This narrative state-of-the-art review paper describes the progress in understanding and treatment of Posttraumatic Stress Disorder (PTSD). Over last four decades, scientific landscape has matured, with many interdisciplinary contributions to its diagnosis, etiology, epidemiology. Advances genetics, neurobiology, stress pathophysiology, brain imaging have made it apparent that chronic PTSD is a systemic disorder high allostatic load. The current state includes wide variety pharmacological psychotherapeutic approaches, which are evidence-based. However, myriad challenges inherent disorder, such as individual barriers good outcome, comorbidity, emotional dysregulation, suicidality, dissociation, substance use, trauma-related guilt shame, often render response suboptimal. These discussed drivers for emerging novel including early interventions Golden Hours, interventions, medication augmentation use psychedelics, well targeting nervous system. All this aims improve symptom relief clinical outcomes. Finally, phase orientation recognized tool strategize position step progression pathophysiology. Revisions guidelines systems care will be needed incorporate innovative treatments evidence emerges they become mainstream. generation well-positioned address devastating disabling impact traumatic events through holistic, cutting-edge efforts research.
Language: Английский
Citations
95
European journal of psychotraumatology, Journal Year: 2022, Volume and Issue: 13(1)
Published: May 3, 2022
Background The psychological treatment of comorbid post-traumatic stress disorder (PTSD) and substance use (SUD) is clinically challenging, outcomes are often poor.Objective This paper describes a systematic review meta-analysis which sought to establish the current efficacy for number established approaches adults adolescents, in comparison interventions SUD alone, or other active approaches, following pre-registered protocol.Method followed PRISMA Cochrane Collaboration guidelines. Data extraction risk bias judgements using criteria were undertaken by all authors. Primary PTSD severity post-treatment. quality findings was assessed GRADE. Following comprehensive search, conducted 13 September 2021, 27 studies included.Results We found relatively high level dropout across studies. In our main comparisons, we no benefits present-focused aimed at improving coping skills beyond those SUD-only interventions. modest trauma-focused intervention plus post-treatment (standardized mean difference (SMD) = −0.36, 95% confidence interval (CI) −0.64, −0.08), 6–13 months (SMD −0.48, CI −0.81, −0.15) alcohol −0.23, −0.44, −0.02). There cognitive restructuring as group, but effect integrated behavioural therapy (ICBT) −0.33, −0.62, −0.04). evidence some benefit over from single study reduction incentivized attendance another study. Most very low quality.Conclusion that ICBT can improve individuals, many patients do not fully engage with average effects modest.HIGHLIGHTS For PTSD, strongest CBT-based modest.There little any added on use, standard addiction treatments, included intervention.Dropout
Language: Английский
Citations
71
Journal of Traumatic Stress, Journal Year: 2024, Volume and Issue: 37(2), P. 205 - 216
Published: Jan. 28, 2024
Eye movement desensitization and reprocessing (EMDR) therapy is an evidence-based psychotherapy for posttraumatic stress disorder (PTSD), with support from more than 30 published randomized controlled trials (RCTs) demonstrating its effectiveness in both adults children. Most international clinical practice guidelines recommend EMDR as a first-line treatment PTSD. This paper describes the current state of evidence therapy. We begin brief description theoretical framework. Next, we summarize scientific efficacy, effectiveness, safety discuss applicability across cultures diverse populations. conclude suggestions future directions to develop research base applications
Language: Английский
Citations
19
Journal of Anxiety Disorders, Journal Year: 2025, Volume and Issue: 110, P. 102963 - 102963
Published: Jan. 5, 2025
Language: Английский
Citations
2
Frontiers in Psychiatry, Journal Year: 2022, Volume and Issue: 13
Published: July 22, 2022
Children exposed to adverse childhood experiences (ACEs) and pervasive interpersonal traumas may go on develop PTSD and, in most cases, will further undergo a significant shift their developmental trajectory. This paper examines contemporary research Developmental Trauma (DT), which is inextricably linked disruptions social cognition, physiological behavioral regulation, parent-child attachments. trauma associated with early of abuse or neglect leads multi-faceted longstanding consequences underscores critical periods development, complex stress-mediated adaptations, multilevel, trans-theoretical influences the diagnostic formulation treatment traumatized children, adolescents, adults. Psychological medical correlates Disorder are considered, directions for future discussed.
Language: Английский
Citations
47
Social Sciences, Journal Year: 2025, Volume and Issue: 14(3), P. 124 - 124
Published: Feb. 20, 2025
Research shows that victimization rates in forensic mental health care are high for both female and male patients. However, gender differences have been found types patterns of (more sexual abuse more complex trauma women), cognitive appraisal, response to traumatic events. Gender-responsive treatments focusing on designed adhere these differences; however, despite promising research results, interventions yet be introduced many settings. This study examined how is addressed current clinical practice Dutch care, whether professionals knowledgeable trauma, gender-responsive factors such as self-esteem, self-efficacy, social relations, coping skills considered treatment We used a mixed-method design consisting an online survey 33 semi-structured interviews with The results suggested could address structurally, aware factors. Early start was deemed important but not according Based this study, guidelines were developed gender-responsive, trauma-informed work care.
Language: Английский
Citations
1
BMC Psychology, Journal Year: 2024, Volume and Issue: 12(1)
Published: March 9, 2024
Abstract Background Trauma-focused therapies (TFTs) are first-line treatments for posttraumatic stress disorder (PTSD). However, TFTs under-utilised, partly due to clinicians’ and patients' fear that TFT is too challenging or harmful. We review the qualitative studies on how adults with PTSD experience enhance understanding of user perspectives, therapeutic processes, outcomes. Methods PubMed, PsychINFO PTSDPubs were searched between October 1st November 30th, 2021. Study quality assessments undertaken, analysed using a descriptive-interpretative approach. Nine included. Results The analysis resulted in identification four key domains, representing temporal sequence stages: Overcoming ambivalence towards TFT, Experience treatment elements, Motivation dropout/retention, Perceived changes post-treatment. Conclusion Although many participants reported high levels distress considered dropping out, only minority did eventually drop out most patients expressed hardships therapy necessary improvement. Establishing safe environment working was essential retention. This serves dual purpose, shed light diverse experiences found be important satisfaction, elucidate common patterns. results can used preparing training therapists. Studies had moderate quality, more non-responders dropouts non-veteran population needed further our utility limitations TFTs.
Language: Английский
Citations
7
Psychotherapy and Psychosomatics, Journal Year: 2024, Volume and Issue: 93(3), P. 203 - 215
Published: Jan. 1, 2024
<b><i>Introduction:</i></b> Complex PTSD (CPTSD) is a relatively new condition in ICD-11. This pilot randomised controlled trial aimed to compare four-module intervention developed target all symptoms of ICD-11 CPTSD, namely Enhanced Skills Affective and Interpersonal Regulation (ESTAIR) with treatment as usual (TAU). The purpose the study was assess feasibility, safety, acceptability, preliminary outcomes at end 3-month follow-up. <b><i>Methods:</i></b> A total <i>N</i> = 56 eligible veterans CPTSD were either ESTAIR (<i>n</i> 28) or TAU 28). Linear mixed models conducted severity, primary outcome, measured by International Trauma Questionnaire (ITQ). <b><i>Results:</i></b> Treatment dropout low equivalent (18% vs. 11%; <i>χ</i><sup>2</sup> (1) 1.19, <i>p</i> 0.275), retention high, supporting feasibility study. No serious adverse effects very few occurred, none which deemed related provided significantly greater reduction severity across time for ITQ (<i>p</i> < 0.001) DSO symptoms. pre-to-post effect sizes large (PTSD <i>d</i> 1.78; 2.00). Remission probable diagnosis post-treatment substantially compared only 13.6% versus 84% retaining diagnosis. <b><i>Conclusion:</i></b> indicates potential efficacy well its acceptability.
Language: Английский
Citations
7
European journal of psychotraumatology, Journal Year: 2022, Volume and Issue: 13(1)
Published: March 31, 2022
Complex posttraumatic stress disorder (CPTSD) describes the results of complex, prolonged, and/or inescapable trauma, and is typified by avoidance, re-experiencing, sense threat, affect dysregulation, negative self-concept, interpersonal disturbances. Additionally, CPTSD highly comorbid with other common psychopathologies.
Language: Английский
Citations
25
Psychological Trauma Theory Research Practice and Policy, Journal Year: 2022, Volume and Issue: 15(1), P. 100 - 109
Published: May 13, 2022
Although there is mounting evidence that massed treatment for PTSD both feasible and effective, many questions remain about the optimal length of intensive programs (ITPs), as well role adjunctive services, such psychoeducation, mindfulness, yoga. Our setting recently transitioned from a three-week ITP to two-week program. Adjunctive services were reduced, but amount individual CPT between remained similar. The present study examined effectiveness based on twice daily sessions evaluated program's noninferiority an established using Bayesian analytical approach.
Language: Английский
Citations
24