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
European journal of psychotraumatology, Journal Year: 2021, Volume and Issue: 12(1)
Published: Jan. 1, 2021
Background: Eye movement desensitization and reprocessing (EMDR) therapy is a treatment meant to reduce vividness emotionality of distressing memories. There accumulating evidence that working memory taxation the core mechanism EMDR derives its effect by taxing (WM) with dual task while actively keeping disturbing in mind. From theoretical stance, based upon assumptions derived from WM theory, effectiveness could be improved several adaptations.Objectives: To test assumption integrating these elements into standard protocol would enhance therapy, this adapted version (i.e. 2.0), was compared laboratory setting. It hypothesized 2.0 more efficacious than EMDR, show greater decrease therapy. Our second hypothesis efficient variant needs less session time smaller number sets approximately 30 seconds taxation).Method: Non-clinical participants (N = 62, 79% female, mean age 35.21) autobiographical were randomly allocated receive either or 2.0. Emotionality measured pre- post-intervention, at 1- 4-week follow-up.Results: The results showed no difference between decreasing vividness, time. However, condition needed fewer those condition.Conclusion: notion partially supported showing reach same results. Future research clinical samples warranted.
Language: Английский
Citations
32
European journal of psychotraumatology, Journal Year: 2021, Volume and Issue: 12(1)
Published: Jan. 1, 2021
Background: Home-based psychotherapy delivered via telehealth has not been investigated in the context of intensive trauma-focused treatment for individuals with severe or Complex posttraumatic stress disorder (PTSD). Objective: To examine feasibility, safety and effectiveness an programme containing prolonged exposure, EMDR therapy, physical activities psycho-education, home-based telehealth. Method: The was carried out within four consecutive days during outbreak COVID-19 pandemic. sample consisted six (four female) patients suffering from PTSD resulting exposure to multiple traumatic events, mostly early childhood. Four them fulfilled diagnostic criteria complex PTSD. Outcome measures were Clinician-Administered Scale DSM-5 (CAPS-5), Checklist (PCL-5), International Trauma Questionnaire (ITQ). Results: CAPS-5 PCL-5 scores decreased significantly pre- post-treatment (Cohen's ds 1.04 0.93), follow-up 0.92 1.24). lost their status. No patient dropped out, no personal adverse events reliable symptom worsening occurred. Conclusions: results suggest that intensive, is feasible, safe effective, can be a viable alternative face-to-face treatment.Antecedentes: La psicoterapia desde la casa entregada por medio de telesalud ha sido investigada en el contexto del tratamiento intensivo centrado trauma para individuos con trastorno estrés postraumático (TEPT) severo o Complejo.Objetivo: Examinar factibilidad, seguridad y efectividad un programa que contiene exposición prolongada, terapia EMDR, actividades físicas psicoeducación, entregadas hogar.Método: El fue llevado cabo dentro cuatro días consecutivos durante brote pandemia COVID-19. muestra consistió seis pacientes (cuatro mujeres) sufrían TEPT Complejo como resultado eventos traumáticos múltiples, mayoría infancia temprana. Cuatro ellos cumplieron los criterios diagnósticos complejo. Las medidas fueron Escala Administrada Médico (CAPS-5 su sigla inglés), Lista Chequeo (PCL-5 Cuestionario Internacional (ITQ inglés).Resultados: Los puntajes disminuyeron significativamente pre al postratamiento (ds Cohen seguimiento perdieron estado diagnóstico Complejo. Ningún paciente abandonó tratamiento, hubo personales adversos empeoramiento confiable síntomas.Conclusiones: resultados sugieren entregado es factible, seguro efectivo, puede ser una alternativa persona.背景: 尚未在针对重度 (或复杂性) 创伤后应激障碍 (PTSD) 患者的聚焦创伤密集治疗的背景中, 考查通过家庭远程医疗提供的心理治疗。目的: 考查通过家庭远程医疗提供的包括延长暴露, EMDR治疗, 体育锻炼和心理教育在内的密集治疗计划的可行性, 安全性和有效性。方法: 在COVID-19疫情爆发期间连续四天进行治疗。样本由6名暴露于多种创伤事件 (主要在童年早期) 的 (重度) PTSD患者组成 (4名为女性) 。其中4人符合复杂性PTSD诊断标准。结果指标为临床DSM-5 PTSD量表 PTSD检查表 (PCL-5) 和国际创伤问卷 (ITQ) 。结果: CAPS-5和PCL-5评分从治疗前到治疗后 (Cohen’s d分别为1.04和0.93) 以及从治疗后到随访均显著下降 (Cohen的分位数为0.92和1.24) 。6名患者中有4名不再为PTSD或复杂性PTSD诊断状态。没有患者中途退出, 没有个人不良事件, 也没有可靠的症状恶化。结论: 结果表明, 通过家庭远程医疗对重度PTSD进行聚焦创伤密集治疗是可行, 安全且有效的, 可作为面对面进行的聚焦创伤密集治疗的一种可行替代。.
Citations
28
BJPsych Open, Journal Year: 2021, Volume and Issue: 7(6)
Published: Nov. 1, 2021
Background It is unclear whether people with post-traumatic stress disorder (PTSD) and symptoms of complex PTSD due to childhood abuse need a treatment approach different from approaches in the guidelines. Aims To determine phase-based more effective than an immediate trauma-focused childhood-trauma related (Netherlands Trial Registry no.: NTR5991). Method Adults following were randomly assigned either condition (8 sessions Skills Training Affect Interpersonal Regulation (STAIR), followed by 16 eye-movement desensitisation reprocessing (EMDR) therapy; n = 57) or immediately (16 EMDR 64). Participants assessed for PTSD, other forms psychopathology before, during after at 3- 6-month follow-ups. Results Data analysed linear mixed models. No significant differences between two treatments on any variable post-treatment follow-up found. Post-treatment, 68.8% no longer met diagnostic criteria. Self-reported significantly decreased both STAIR–EMDR therapy ( d 0.93) 1.54) pre- assessment, without difference conditions. drop-out rates conditions found (STAIR–EMDR 22.8% v. 17.2%). study-related adverse events occurred. Conclusions This study provides compelling support use alone as opposed needing preparatory intervention.
Language: Английский
Citations
28
Journal of Anxiety Disorders, Journal Year: 2021, Volume and Issue: 80, P. 102388 - 102388
Published: March 23, 2021
One reason for the inclusion of Complex Posttraumatic Stress Disorder (CPTSD) in 11th revision International Classification Diseases (ICD-11) was its suspected relevance treatment indications. We investigated whether CPTSD predicted and moderated outcomes Prolonged Exposure (PE), intensified PE (iPE) Skills Training Affective Interpersonal Regulation followed by (STAIR + PE). expected that would predict worse across treatments. Secondly, we lead to better effect STAIR compared iPE.We analyzed 149 patients with childhood-abuse related PTSD from a randomized clinical trial. diagnosis symptom severity were measured Trauma Questionnaire. The main outcome change clinician-assessed symptoms. Assessments took place at baseline, week 4, 8, 16 (post-treatment) 6-and 12-month follow-up. Analyses based on an intention-to-treat sample using mixed models.More than half (54 %) met criteria baseline. more severe symptoms higher comorbidity neither nor outcome.Inclusion limited childhood abuse. Replication is needed different samples.CPTSD associated comorbidity. did not indicate differential iPE.
Language: Английский
Citations
27
European journal of psychotraumatology, Journal Year: 2022, Volume and Issue: 13(2)
Published: Sept. 22, 2022
It is unknown whether remotely delivered intensive trauma-focused therapy not only an effective treatment for PTSD, but also Complex PTSD.
Language: Английский
Citations
22
Frontiers in Psychology, Journal Year: 2023, Volume and Issue: 14
Published: July 20, 2023
Introduction This randomized controlled trial examined the effectiveness of physical activity added to an intensive trauma-focused treatment (TFT) for post-traumatic stress disorder (PTSD) in comparison adding non-physical control activities. Methods A total 119 patients with PTSD were randomly assigned a condition (PA; n = 59) or (nPA; 60). The 8-day TFT programme consisted daily prolonged exposure, EMDR therapy, and psychoeducation, which was complemented activities versus mixtures guided (creative) tasks. As primary outcome, change clinician self-reported symptoms from pre-to post-treatment at 6 months follow-up measured. Results Intent-to-treat linear mixed-effects models showed no significant differences between PA nPA conditions on severity. Clinician significantly decreased both conditions, large effect sizes (e.g., CAPS-5 d pre-post 2.28). At post-treatment, 80.0% PA, 82.7% longer met diagnostic criteria PTSD. Regarding loss Complex diagnoses this 92.5% 95.0%, respectively. Conclusion Either additional activities, is very effective (Complex) PTSD, as reflected by status groups. Clinical registration Trialregister.nl Identifier: Trial NL9120.
Language: Английский
Citations
11
European journal of psychotraumatology, Journal Year: 2024, Volume and Issue: 15(1)
Published: May 21, 2024
Growing evidence indicates that daily delivery of evidence-based PTSD treatments (e.g. Cognitive Processing Therapy (CPT)), as part intensive treatment programmes (ITPs), is feasible and effective. Research has demonstrated a 2-week CPT-based ITP can produce equivalent outcomes to 3-week ITP, suggesting shorter also be highly However, the extent which length composition impact longer-term needs further study.
Language: Английский
Citations
4
Psychology and Psychotherapy Theory Research and Practice, Journal Year: 2025, Volume and Issue: unknown
Published: Jan. 14, 2025
Abstract Purpose Despite the proliferation of research into evidence based treatment for military PTSD there is little assignment criterion and still demonstrates low remission rates. Method Thirty participants in a randomized control trial comparing Prolonged Exposure (PE) Somatic Experiencing (SE) were interviewed on their experiences therapy responses assessed using descriptive phenomenological analysis approach to delineate central tenets two therapeutic approaches. Results indicated that from both therapies covered themes experience change, relationship process. Within these themes, SE PE reported similar experiences, such as predominance physiological or bodily also described nuanced differences, specifically pertaining characteristics. process terms learning language, applicable alternative scenarios conquering exposures order achieve respite symptoms. Conclusion The current findings have relevance presenting key elements distinct trauma determining appropriateness desired outcomes. They highlight commonalities differences between patient SE, response, expertise therapist characteristics treatments. Understanding unique PE, gold‐standard novel somatic‐based psychotherapy, will allow better preparation potentially aid assignment.
Language: Английский
Citations
0
Journal of Trauma & Dissociation, Journal Year: 2025, Volume and Issue: unknown, P. 1 - 19
Published: Jan. 18, 2025
An increasing number of studies have been investigating the co-occurrence posttraumatic symptoms and dissociation in trauma-exposed samples. As traumatized refugees are particularly susceptible to developing stress disorder (PTSD), aim this study was investigate relationship between PTSD a refugee sample. Cross-sectional data from clinical sample (N = 526) were collected. Latent class analysis (LCA) examined different classes PTSD, based on Clinician Administered Scale for DSM-5 (CAPS-5) items. Subsequently, it whether cumulative trauma, sexual trauma general psychopathology predicted membership. The LCA identified five classes. summarized as (1) "High PTSD," (2) "Moderate (3) with high loss interest," (4) moderate (5) "PTSD-DS." DS (10% sample) characterized by symptoms, well depersonalization derealization symptoms. majority (61.4%) group has exposed trauma. Overall endorsement extremely refugees. A evidencing dissociative subtype identified.
Language: Английский
Citations
0
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].
Language: Английский
Citations
0