ARQ Centrum’45 (en)

gastroenterology, oncology, ophthalmology, and pulmonology from January 1, 2012, through January 1, 2014. Participants were eligible for clinical research studies, including observational studies and randomized clinical trials. Exposures Competence judgments by experts aware of the 4 relevant criteria—understanding, appreciation, reasoning, and choice—were used to establish the reference standard.

This is the protocol for a review and there is no abstract. The objectives are as follows:To assess the reliability and validity of the index tests for competence assessment versus the reference standard in people of any age.

Background: Political and social developments point at increasing marginalization of Muslim migrants, but little is known about its consequences for the mental health of this particular group. Aim: To explore the relationship between acculturation and psychological distress among first-generation Muslim migrants from Turkey and Morocco in the Netherlands. Methods: A cross-sectional study. Respondents were interviewed in their preferred language.

This month’s guest post is by Geert Smid. Geert is a psychiatrist with Foundation Centrum ’45, the Dutch national institute for specialized diagnosis and mental health treatment after persecution, war and violence. He is also a researcher at Arq Psychotrauma Expert Group. Geert completed his PhD on Delayed Posttraumatic Stress Disorder in 2011 with a number of beautiful publications. He’ll make your brain work a little on this very topic:

TO THE EDITOR: We read with interest the article by Cozza et al. on the accuracy of DSM-5 persistent complex bereavement disorder criteria (1).The study suggests that complicated grief criteria are more sensitive in detecting cases with griefrelated symptoms than persistent complex bereavement disorder or prolonged grief disorder criteria, without compromising specificity.However,we feel that the article’s findings fail to prove superiority of the complicated grief criteria set.

Dr Halvorsen quite rightly draws attention to the various definitions of clinically significant change, which all have their advantages and disadvantages. We especially agree with the comment that the threshold for clinically significant change should at least coincide with the threshold for reliable change (18.66 in our sample).

Objectives: Post Traumatic Stress Disorder (PTSD) is a significant health problem with as key symptoms aversive memory intrusions and overgeneralization of the traumatic event, as well as sleep disturbances. Interestingly, sleep has an important role in memory consolidation. In particular, sleep spindles in different cortical areas reflect reprocessing and consolidation of specific memory traces. Given their strong relationship with memory reprocessing during sleep and reported memory and sleep alterations in PTSD, sleep spindles may play a role in the aetiology of PTSD.

Background:

Abstract

Objective: To examine sustainability of symptom outcomes of a 1-year phase-based traumafocused, multimodal, and multicomponent group therapy in a day treatment program for posttraumatic stress disorder (PTSD) over an average period of 7 years.