A clinician's guide to the 2023 VA/DoD Clinical Practice Guideline for Management of Posttraumatic Stress Disorder and Acute Stress Disorder

Journal of Traumatic Stress, Год журнала: 2024, Номер 37(1), С. 19 - 34

Опубликована: Янв. 7, 2024

Abstract A clinical practice guideline (CPG) is a rigorously established set of recommendations based on currently available evidence about the efficacy, safety, acceptability, and feasibility interventions to assist with decision‐making. The 2023 Department Veterans Affairs /Department Defense Clinical Practice Guideline for Management Posttraumatic Stress Disorder Acute described herein. CPG are accompanied by algorithm, which incorporates principles evidence‐based practice, shared decision‐making, functional contextual assessments goals outcomes. An overview combined discussion questions that clinicians patients may face in implementing suggestions how effectively work CPG.

Язык: Английский

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The Virtual Ukraine Project

Опубликована: Янв. 10, 2025

Chapter Twelve The Virtual Ukraine Project Trauma Therapy in Warzones with Reality Albert "Skip" Rizzo, RizzoSearch for more papers by this authorCezar Giosan, Cezar GiosanSearch authorGeorge Deac, George DeacSearch authorOlya Zaporozhets, Olya ZaporozhetsSearch authorOksana Syvak, Oksana SyvakSearch authorSvetlana Dragayeva, Svetlana DragayevaSearch authorEhud Bodner, Ehud BodnerSearch authorShel Mann, Shel MannSearch authorJessica Stone, Jessica StoneSearch author Book Editor(s):Jessica First published: 10 January 2025 https://doi.org/10.1002/9781394278480.ch12 AboutPDFPDF ToolsRequest permissionExport citationAdd to favoritesTrack citation ShareShareShare a linkShare onEmailFacebookxLinkedInRedditWechat Summary This chapter details the "Virtual Project," utilizing virtual reality (VR) address psychological impacts of War on military personnel and civilians. Leveraging VR's advancements, project integrates immersive environments clinical intervention mental health support. It outlines four primary initiatives: (i) adapting BRAVEMIND Exposure (VRET) system posttraumatic stress disorder (PTSD) treatment reflect Ukrainian context, creating relevant therapeutic exposure; (ii) employing digital version Sandtray therapy children affected Adverse Childhood Experiences (ACEs), allowing narrative play emotional expression; (iii) developing metaverse-enabled social support application, facilitating clinician-driven peer-supported group processes displaced individuals, offering platform shared experiences; (iv) integrating Sanctuary , VR application mindfulness meditation relaxation techniques, serving as supplementary tool trauma management. Highlighting potential therapy, emphasizes importance collaborative efforts among scientists, clinicians, software developers tailor applications needs those conflict. result will be comprehensive set tools care conflict zones that demonstrates innovative, accessible, culturally sensitive possibilities. REFERENCES 8agora . ( 2024 ). Our vision https://www.8agora.com Google Scholar Beidel D. C. Frueh B. Neer S. M. Bowers A. Trachik Uhde T. W. & Grubaugh 2019 management virtual-reality augmented exposure combat-related PTSD: A randomized controlled trial Journal Anxiety Disorders 61 64 – 74 10.1016/j.janxdis.2017.08.005 PubMedWeb Science®Google Lejuez 2017 efficacy therapy: pilot investigation three-week intensive outpatient program PTSD 50 23 32 10.1016/j.janxdis.2017.05.001 Bhushan Kotz K. McCall J. Wirtz Gilgoff R. Dube Powers Olson-Morgan Galeste Patterson Harris L. Burke N. Office California Surgeon General 2020 Roadmap resilience: General's Report Experiences, Toxic Stress, Health https://osg.ca.gov/wp-content/uploads/sites/266/2020/12/Roadmap-For-Resilience_CA-Surgeon-Generals-Report-on-ACEs-Toxic-Stress-and-Health_12092020.pdf Bouchard P. Stiegler Padmanabhanunni Pretorius 2023 Psychotraumatology war Ukraine: question victims who are refugees or remain Annales Médico-psychologiques, Revue Psychiatrique 181 1 ), 12 15 10.1016/j.amp.2022.04.006 Bryant Schnurr Pedlar 2022 Addressing civilian combatants Lancet Psychiatry 9 5 346 347 10.1016/S2215-0366(22)00097-9 Cardeli E. Abdi Ellis H. 2018 psychosocial impact families In Violence lives children: Prevention (pp. 189 210 Praeger/ABC-CLIO Colborne 2015 struggles rise CMAJ: Canadian Medical Association 187 17 1275 10.1503/cmaj.109-5160 PubMedGoogle Difede Rothbaum O. Rizzo Wyka Spielman Reist Roy Jovanovic Norrholm Cukor Olden Glatt Lee F. Enhancing disorder: imaginal cognitive enhancer: Translational 10.1038/s41398-022-02066-x Dr. Margaret Lowenfeld Trust world technique https://lowenfeld.org/the-world-technique Foa Hembree 2007 Prolonged Emotional processing traumatic experiences therapist guide Oxford University Press 10.1093/med:psych/9780195308501.001.0001 Kozak 1986 fear: corrective information Psychological Bulletin 99 20 35 10.1037/0033-2909.99.1.20 CASPubMedWeb Folke Roitmann Poulsen Andersen Feasibility Danish veterans post-traumatic mixed method study Cyberpsychology, Behavior, Social Networking 26 6 425 431 10.1089/cyber.2022.0236 Giosan Support groups metaverse refugees: Identifier NCT06142032. https://clinicaltrials.gov/study/NCT06142032 ICRC International Committee Red Cross April 1). 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Koffman 2004 Combat duty Iraq Afghanistan, problems, barriers New England Medicine 351 13 22 10.1056/NEJMoa040603 Jacob Neuner Maedl Schaal Elbert 2014 Dissemination psychotherapy spectrum disorders postconflict settings: Rwanda Psychotherapy Psychosomatics 83 354 363 10.1159/000365114 Kaczkurkin Cognitive-behavioral anxiety disorders: An update empirical evidence Dialogues Clinical Neuroscience 3 337 10.31887/DCNS.2015.17.3/akaczkurkin Loucks Yasinski Maples-Keller Post Zwiebach Fiorillo Goodlin You can do that?!: due sexual 55 63 10.1016/j.janxdis.2018.06.004 Mann FireflyVR: Illuminating path https://fireflyvr.com Manjin reality-enhanced extinction phobias Neurotherapeutics 14 554 563 10.1007/s13311-017-0534-y Pavlov 1927 Conditioned reflexes: physiological activity cerebral cortex Translated edited GV Anrep Reger G. Gahm Swanson Duma 2009 Soldier evaluation Telemedicine e-Health 101 104 10.1089/tmj.2008.0050 Koenen-Woods Zetocha Smolenski Holloway Edwards-Stewart Skopp Mishkind 2016 Randomized prolonged using vs. active soldiers deployment-related Consulting Psychology 84 11 946 959 10.1037/ccp0000134 2010 Iraq/Afghanistan: Development early Annals York Academy Sciences (NYAS) 1208 114 125 10.1111/j.1749-6632.2010.05755.x Hartholt Mozgai 2021 Establishment methodologies from front lines Afghanistan COVID-19 Greenleaf Roberts Fine (Eds.), Applied healthcare: Case studies perspectives 163 188 Cool Blue Media Settling score: enhance trauma-focused Rich V. Kumar Farley Handbook media psychology: science practice 213 APA 10.1007/978-3-031-56537-3_14 Koenig Is ready primetime? Neuropsychology 31 8 877 899 10.1037/neu0000405 Pair McNerney Eastlund Manson Gratch Hill Swartout 2005 Design development Westwood (Ed.), Technology informatics 407 413 IOS Shilling advance prevention, assessment, European sup5 1414560 10.1080/20008198.2017.1414560 Hodges Ready Graap Alarcon 2001 Vietnam 62 617 622 10.4088/JCP.v62n0808 Price Gerardi Dunlop Davis Bradley Duncan Ressler randomized, double-blind D-cycloserine alprazolam combined OEF/OIF American 171 640 648 10.1176/appi.ajp.2014.13121625 Hamblen Wolf Coller Collie Fuller Holtzheimer Kelly U. Lang McGraw Morganstein Norman Papke Petrakis Riggs Sall Shiner Wiechers Kelber acute Synopsis US Department Veterans Affairs Defense guideline Internal 177 https://www.acpjournals.org/doi/full/10.7326/M23-2757 10.7326/M23-2757 Strong Supporting https://soldierstrong.networkforgood.com/projects/203508-supporting-mental-health-in-ukraine-with-virtual-reality Stone App®© https://jessicastonephd.com/virtual-sandtray Tabb Waite Alberto Gardner Gentile Corbin Examining associations between adverse childhood symptoms young survivors urban violence Urban 4 669 679 10.1007/s11524-022-00628-4 Turner Brown Scheid handbook health: contexts, theories, systems 200 212 Cambridge Web van't Wout-Frank Arulpragasam Faucher Aiken Shea Jones Greenberg Philip transcranial direct current stimulation JAMA e235661 Advance online publication. https://doi.org/10.1001/jamapsychiatry.2023.5661 10.1001/jamapsychiatry.2023.5661 Virry Transforming nature https://www.virryhealth.com What is Sandtray? https://www.virtualsandtray.org Mental Reality: Power Immersive Worlds ReferencesRelatedInformation

Язык: Английский

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Effect of oxytocin nasal spray pretreatment on postoperative acute stress disorder in patients with accidental traumatic fracture: a single-centre prospective randomised controlled clinical trial study protocol

BMJ Open, Год журнала: 2025, Номер 15(1), С. e090167 - e090167

Опубликована: Янв. 1, 2025

Patients undergoing surgical procedures are often prone to developing acute stress disorder (ASD) postoperatively. Presently, oxytocin nasal spray has shown significant potential in the treatment of stress-related neuropsychiatric diseases. However, there few reports on use postoperative ASD, a condition that can potentially develop into high-risk factor for post-traumatic disorder. This study aims investigate effect pretreatment with ASD patients accidental trauma and fracture provide new clinical insights prevention ASD. is single-centre, double-blind, randomised controlled trial. The trial recruit 328 traumatic fractures who underwent treatment. Participants will be randomly categorised two groups: control group (0.9% normal saline spray, 1 mL) an (oxytocin mL/40 IU) at ratio 1:1 using random number table method. primary outcome incidence days 1-3. Secondary outcomes include patient resilience, anxiety, depression pain scores exploratory results concentrations response indicators such as malondialdehyde, cortisol superoxide dismutase saliva before first intervention 1-3 after surgery. was approved by research ethics committee General Hospital Western Theater Command (identifier: 2024EC3-ky014). findings this disseminated peer-reviewed journal national or international paediatric guide future practice. ChiCTR2400082612.

Язык: Английский

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Evaluating Evidence‐Based Psychotherapy Utilization Patterns Among Suicide‐Risk‐Stratified Veterans Diagnosed With Posttraumatic Stress Disorder

Clinical Psychology & Psychotherapy, Год журнала: 2025, Номер 32(1)

Опубликована: Янв. 1, 2025

ABSTRACT Posttraumatic stress disorder (PTSD) is a prevalent psychiatric condition, particularly among US Veterans. PTSD‐diagnosed patients are more likely to experience suicidal ideation, suicide attempts and death by when compared non‐PTSD‐diagnosed patients. The Department of Veterans Affairs (VA) emphasizes evidence‐based psychotherapy (EBP) for PTSD, including prolonged exposure cognitive processing therapy. This study focuses on how risk impacts PTSD evaluating utilization nondifferentiated EBP in national sample VA diagnosed with who died 2017–2018. used dataset received the year before (cases) had comparable diagnoses, demographics during same interval remained alive (controls). Cases controls were matched (high, moderate low). tracked analyzed cases control rates across risk‐tiers. final included high‐risk (cases = 171; 2052), moderate‐risk 428; 4280) low‐risk 53; 529) was markedly low, especially cases. Higher proportions moderate‐ sessions than Even efforts promote EBPs, usage remains limited, die suicide. Further research needed understand barriers improve delivery better support reduce their risk.

Язык: Английский

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Canadian Network for Mood and Anxiety Treatments 2024 Clinical Practice Guideline for the Management of Perinatal Mood, Anxiety, and Related Disorders: Guide de pratique 2024 du Canadian Network for Mood and Anxiety Treatments pour le traitement des troubles de l'humeur, des troubles anxieux et des troubles connexes périnatals

The Canadian Journal of Psychiatry, Год журнала: 2025, Номер unknown

Опубликована: Фев. 12, 2025

Background The Canadian Network for Mood and Anxiety Treatments (CANMAT) publishes clinical practice guidelines mood anxiety disorders. This CANMAT guideline aims to provide comprehensive guidance the pregnancy postpartum (perinatal) management of mood, related Methods convened a core editorial group interdisciplinary academic clinicians persons with lived experience (PWLE), 3 advisory panels PWLE perinatal health mental clinicians. We searched systematic reviews prevention treatment interventions depressive, bipolar, anxiety, obsessive–compulsive post-traumatic stress disorders (January 2013–October 2023). prioritized evidence from randomized controlled trials (RCTs), except safety medications where large high-quality observational studies were due absence RCT data. Targeted searches individual conducted when limited or absent. Recommendations organized by lines based on CANMAT-defined levels quality, supplemented consensus balance efficacy, safety, tolerability feasibility considerations. Results covers 10 sections in question-and-answer format that maps onto patient care journey: case identification; organization delivery care; non-pharmacological (lifestyle, psychosocial, psychological), pharmacological, neuromodulation complementary alternative medicine interventions; high-risk situations; father co-parent. Equity, diversity inclusion considerations are provided. Conclusions guideline's detailed evidence-based recommendations key information promote effective safe healthcare. It is hoped will serve as valuable tool Canada around world help optimize outcomes area health.

Язык: Английский

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MDMA-Assisted Therapy for Post-Traumatic Stress Disorder: Regulatory Challenges and a Path Forward

CNS Drugs, Год журнала: 2025, Номер unknown

Опубликована: Фев. 15, 2025

Язык: Английский

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Comparing Suicide Rates for Cognitive Processing Therapy Versus Prolonged Exposure Therapy for Posttraumatic Stress Disorder

American Journal of Psychotherapy, Год журнала: 2025, Номер unknown

Опубликована: Март 12, 2025

This study aimed to compare suicide mortality rates for patients receiving two evidence-based psychotherapy (EBP) protocols posttraumatic stress disorder (PTSD): cognitive processing therapy (CPT) and prolonged exposure (PE).

Язык: Английский

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Assessment policy of post-traumatic stress disorder in aviation and its practical application using turbulence-triggered trauma as an example

Frontiers in Public Health, Год журнала: 2025, Номер 13

Опубликована: Март 18, 2025

The U.S. Federal Aviation Administration (FAA) recently provided detailed instructions on how Medical Examiners (AMEs) should assess and evaluate pilots for post-traumatic stress disorder (PTSD). European, Australian International Civil Organization guidelines the assessment of PTSD in aviation are general do not address unique specific circumstances a flight crew per se. starting point FAA's guidance is an already-established clinical diagnosis since it known that compromises safety has been related to fatal accidents. According guidance, undertaken based whether condition symptomatic medicated, or more than 2 years have elapsed showing symptoms receiving medication. Classification Diseases (ICD) criteria disorders changed between versions ICD-10 soon-to-be-released ICD-11. new ICD-11 discussed this article context health. Additionally, PTSD, potentially caused by incident turbulence, mental There currently no published studies turbulence-caused trauma. We identified potential factors which pilots' cabin crew's stressors incidents severe extreme turbulence. Three recommendations provided: (1) harmonize practices internationally; (2) healthcare professionals taking care traumatized follow-up guide takes local conditions into account, ensures identification patients who require treatment as early possible; (3) health consider diagnostic information may be useful aviation-related

Язык: Английский

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Acceptance and Commitment Therapy for Posttraumatic Psychopathology: A Group-Based Telehealth Intervention

American Journal of Psychotherapy, Год журнала: 2025, Номер unknown

Опубликована: Апрель 9, 2025

Transdiagnostic treatments are needed to address the diverse manifestations and effects of trauma-related psychopathology. Acceptance commitment therapy (ACT) is a promising intervention, although little known about its application among trauma-exposed civilians. A single-arm pilot study evaluated outcomes virtual, group-based ACT intervention for trauma delivered through training clinic. Five female clients (mean age=42.6 years) with history criterion completed an 11-week skills group repeated measures assessing posttraumatic related psychopathology symptoms (e.g., depression, anxiety, stress disorder [PTSD]), emotion regulation, quality life, growth, experiential avoidance. Paired-samples t tests were used assess pre- postintervention effects. All suggesting high acceptability. Analyses demonstrated significant reductions in depression (d=1.16, p=0.03) anxiety (d=0.95, p=0.05) but not PTSD symptoms; effect sizes changes large. Significant large increases effective use regulation strategies (d=1.02, p=0.04) growth (d=1.18, also observed. Experiential avoidance, hypothesized treatment mechanism ACT, decreased from (d=1.22, p=0.03). Findings provide initial evidence acceptability beneficial clinical transdiagnostic consequences traumatic stress.

Язык: Английский

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The Psychotherapy in MDMA-Assisted Psychotherapy

JAMA Psychiatry, Год журнала: 2024, Номер unknown

Опубликована: Окт. 2, 2024

This Viewpoint discusses the critical yet overlooked role of psychotherapy component in assessing validity trials midomafetamine/3,4-methylenedioxymethamphetamine (MDMA)–assisted for posttraumatic stress disorder.

Язык: Английский

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