Understanding resilience: New approaches for preventing and treating PTSD

Experimental Neurology, Год журнала: 2016, Номер 284, С. 119 - 132

Опубликована: Июль 13, 2016

Язык: Английский

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Posttraumatic Stress Disorder in Older Adults: A Conceptual Review

Clinical Gerontologist, Год журнала: 2018, Номер 42(4), С. 359 - 376

Опубликована: Ноя. 13, 2018

Objectives: We provide a review of the literature on posttraumatic stress disorder (PTSD) in older adults, focusing largely U.S. military veterans two primary areas: 1) assessment and diagnosis 2) non-pharmacological treatment PTSD late life.Methods: performed search using PubMed Academic Search Premier (EBSCO) databases reviewed reference sections selected papers. also drew our own clinical perspectives reflections seven expert mental health practitioners.Results: Rates are lower compared with younger adults. The presence sub-syndromal/partial is important may impact patient functioning. Assessment requires awareness adaptation for potential differences experience expression Psychotherapies late-life appear safe, acceptable efficacious cognitively intact although there relatively few controlled studies. Treatment adaptations likely warranted adults co-morbidities (e.g., chronic illness, pain, sensory, or cognitive changes).Conclusions: an consideration empirical database, particularly regarding psychotherapy, limited.Clinical Implications: trauma history symptoms essential, lead to increased recognition treatment.

Язык: Английский

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Understanding Resilience and Preventing and Treating PTSD

Harvard Review of Psychiatry, Год журнала: 2018, Номер 26(3), С. 158 - 174

Опубликована: Май 1, 2018

Resilience is defined as the dynamic ability to adapt successfully in face of adversity, trauma, or significant threat. Some key early studies resilience were observational children. They followed by research adults, testing interventions promote different populations, and a recent upsurge on underlying genomic neurobiological mechanisms. Neural molecular preclinical models are also increasingly identifying active stress adaptations resilient animals. Knowledge gained from animal human can be harnessed develop new preventive enhance at-risk populations. Further, treatment focused enhancing potentially modifiable protective factors that consistently linked psychological enrich currently available for individuals with posttraumatic disorder (PTSD). Translating our expanding knowledge neurobiology additionally promises yield novel therapeutic strategies treating this disabling condition. This review summarizes vast field spanning genomic, psychosocial, levels, discusses how findings have led lead PTSD.

Язык: Английский

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Tele‐analysis: the use of media technology in psychotherapy and its impact on the therapeutic relationship

Journal of Analytical Psychology, Год журнала: 2017, Номер 62(3), С. 372 - 394

Опубликована: Май 15, 2017

A growing number of approaches in psychotherapy make use internet- and other media-based interactions. This paper discusses the impact on therapist-client relationship using media technology gives an overview current state debate. It is suggested that technical conditions internet-based interactions produce new forms social relationships differ significantly from face-to-face-interactions unconscious, nonverbal cues get lost. Research therapeutic interaction making 'discourse linguistic' methods presented. The loss has implications for general especially treatment patients who have difficulties relying a secure relationship. Emotional security interactional transmitted to much greater extent by than verbal content; psychoanalytic are specialized refer this level interaction. Two alternative scenarios discussed based theories Winnicott Lacan: risk illusionary, idealized image possibility cyberspace can be used psychological development as transitional space.

Язык: Английский

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Efficacy and Feasibility of a Therapist-Guided Internet-Based Intervention for Older Persons with Childhood Traumatization: A Randomized Controlled Trial

American Journal of Geriatric Psychiatry, Год журнала: 2017, Номер 25(8), С. 878 - 888

Опубликована: Март 2, 2017

Язык: Английский

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Traumatische Erfahrungen in der älteren deutschen Bevölkerung

Zeitschrift für Gerontologie und Geriatrie, Год журнала: 2014, Номер 47(3), С. 194 - 201

Опубликована: Март 1, 2014

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Turning wounds into wisdom: Posttraumatic growth over the course of two types of trauma-focused psychotherapy in patients with PTSD

Journal of Affective Disorders, Год журнала: 2017, Номер 227, С. 424 - 431

Опубликована: Ноя. 10, 2017

Язык: Английский

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Internet-based cognitive-behavioural writing therapy for reducing post-traumatic stress after severe sepsis in patients and their spouses (REPAIR): results of a randomised-controlled trial

BMJ Open, Год журнала: 2022, Номер 12(3), С. e050305 - e050305

Опубликована: Март 1, 2022

Objectives To investigate the efficacy, safety and applicability of internet-based, therapist-led partner-assisted cognitive-behavioural writing therapy (iCBT) for post-traumatic stress disorder (PTSD) symptoms after intensive care sepsis in patients their spouses compared with a waitlist (WL) control group. Design Randomised-controlled, parallel group, open-label, superiority trial concealed allocation. Setting Internet-based intervention Germany; location-independent via web-portal. Participants Patients whom at least one had presumptive PTSD diagnosis (PTSD-Checklist (PCL-5)≥33). Initially planned sample size: 98 dyads. Interventions ICBT group: 10 assignments over 5-week period; WL waiting period. Primary secondary outcome measures outcome: pre–post change symptom severity (PCL-5). Secondary outcomes: remission PTSD, depression, anxiety somatisation, relationship satisfaction, health-related quality life, premature termination treatment. Outcomes were applied pre post treatment 3, 6 12 months follow-up. Results Twenty-five dyads representing 34 participants randomised analysed (ITT principle). There was no evidence difference PCL-5 iCBT (mean −0.96, 95% CI (−5.88 to 3.97), p=0.703). No adverse events reported. confirmed iCBT. Conclusions reduce sepsis, first time addressing both spouses. It applicable safe given population. efficacy on severity. Due small size our findings remain preliminary but can guide further research, which is needed determine if modified approaches post-intensive may be more effective. Trial registration number DRKS00010676.

Язык: Английский

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Internet-based cognitive–behavioural writing therapy for reducing post-traumatic stress after intensive care for sepsis in patients and their spouses (REPAIR): study protocol for a randomised-controlled trial

BMJ Open, Год журнала: 2017, Номер 7(2), С. e014363 - e014363

Опубликована: Фев. 1, 2017

Introduction As a consequence of sepsis and intensive care, considerable proportions patients but also their spouses develop post-traumatic stress disorder (PTSD). However, only very small number receive psychotherapeutic treatment. Internet-based cognitive–behavioural writing therapy (IB-CBWT) has proven to be an effective treatment option for PTSD. It seems fit the specific needs this cohort overcome barriers. Aim REPAIR trial is examine efficacy, safety applicability IB-CBWT PTSD in after care sepsis. Methods analysis Participants will assigned randomly either or wait-list (WL) control group. The group receives PTSD, actively involving partners participants. guided by therapist comprises two written assignments per week over 5 period. After completing assignments, participants obtain individual responses from therapist. WL waiting period weeks. primary outcome symptom severity self-rated Checklist Diagnostic Statistical Manual Fifth Edition at end time, respectively. Secondary outcomes are remission depression, anxiety, somatisation measured Brief Symptom Inventory-18, marital satisfaction Relationship Assessment Scale, health-related quality life EQ-5D-5L, feasibility (ie, dropout rate). performed according intent-to-treat principle. Ethics dissemination study conducted principles Good Clinical Practice been approved ethics committee Friedrich-Schiller University Jena, Germany. Results disseminated scientific conferences, published peer-reviewed journals, provided consumers healthcare. Trial registration Pre-results, DRKS00010676.

Язык: Английский

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What Factors are Associated with Posttraumatic Growth in Older Adults? A Systematic Review

Clinical Gerontologist, Год журнала: 2022, Номер unknown, С. 1 - 18

Опубликована: Фев. 9, 2022

Objectives Posttraumatic growth (PTG) is of increased theoretical and clinical interest. However, less known about PTG in older adults specifically. This systematic review aimed to identify domains where studied for adults; investigate factors associated with consider how these might differ between historical later life traumas.Methods Online databases were searched quantitative studies examining outcomes aged ≥ 60 years.Results 15 subject a narrative synthesis.Conclusions Older can experience substantial levels PTG, from traumas during or across the lifespan, wartime traumas. Traumas be diverse, some found equivalent different lifespan. Social processes may key variable adults. Additional psychosocial are found; however, diverse findings reflect no overall model, this consistent variations other literature.Clinical Implications Clinical considerations discussed. As studies, not widely generalizable directions further research highlighted. PROSPERO: CRD42020169318.

Язык: Английский

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