ARQ Centrum’45 (en)

English

Monitoring and Evaluating Psychosocial Intervention Outcomes in Humanitarian Aid

Existing tools for evaluating psychosocial interventions (un-validated self-reporting questionnaires) are not ideal for use in non-Western conflict settings. We implement a generic method of treatment evaluation, using client and counsellor feedback, in 18 projects in non-Western humanitarian settings. We discuss our findings from the perspective of validity and suggestions for future research. A retrospective analysis is executed using data gathered from psychosocial projects.

Nightmare Disorder, Psychopathology Levels, and Coping in a Diverse Psychiatric Sample.

Objective
Nightmares are associated with psychopathology and impaired coping in the general population. However, little is known about this association in a psychiatric population. In this study, we investigate whether patients with diverse psychiatric disorders have increased symptomatology and different coping styles if they suffer from comorbid nightmare disorder.
Method

Long-term treatment effects of imagery rehearsal therapy for nightmares in a population with diverse psychiatric disorders

Nightmares are a common problem with debilitating consequences. Meta-analyses have revealed that imagery rehearsal therapy (IRT), in which the storyline of the recurring nightmare is changed, is the treatment of choice for nightmares. In a randomized clinical trial, we recently demonstrated that IRT was also effective in a population of patients with diverse psychiatric disorders. In this trial, IRT showed moderate additional benefits over treatment as usual on nightmare distress, general psychopathology, and posttraumatic stress symptoms.

Attachment representation and sensitivity : the moderating role of posttraumatic stress disorder in a refugee sample

It has been hypothesized that adult attachment representations guide caregiving behavior and influence parental sensitivity, and thus affect the child's socio-emotional development. Several studies have shown a link between posttraumatic stress disorder (PTSD) and reduced parental sensitivity, so it is possible that PTSD moderates the relationship between insecure attachment representations and insensitivity.

Blurring of emotional and non-emotional memories by taxing working memory during recall.

Memories that are recalled while working memory (WM) is taxed, e.g., by making eye movements (EM), become blurred during the recall + EM and later recall, without EM. This may help to explain the effects of Eye Movement and Desensitisation and Reprocessing (EMDR) in the treatment of post-traumatic stress disorder (PTSD) in which patients make EM during trauma recall.

Blurring of emotional and non-emotional memories by taxing working memory during recall.

Poster presentation at annual meeting of Association for Psychological Science (APS), Washington DC, USA.
If memories are recalled while working memory is taxed, e.g., by making eye movements (EM), the recalled memories become blurred and remain blurred during later recall. This phenomenon may help to explain the effects of EMDR. Current study investigates the role of emotional arousal in these memory effects.

Adding Complexity: Assessing the dissociative subtype of PTSD

Poster session presented at the European Society for Traumatic Stress Studies (ESTSS), Vilnius, Lithuania.

Mental Health Consequences of War and Migration: The Case of Bosnia-Herzegovina

In the last two decades we have been confronted with new countries and altered maps in Europe with border changes, resettlements, ethnic cleansing, and migration. This migration has profoundly coloured the life of past European generations in the Danube region and beyond, it has affected our own lives, and will be part of the experience of our children.

The Effect of the Postdisaster Context on the Assessment of Individual Mental Health Scores

Many scholars question the immense variation in rates of mental health outcomes across disaster studies. This study explains this variation by putting forward 2 methodological problems that are inherent to the effect of a disaster context on mental health screening scores. The Hopkins Symptom Checklist-25 was administered in a flood-affected group (n = 318) and a nonaffected group (n = 304) in Uttar Pradesh, India. The affected group showed much higher mean scores on subscales of anxiety and depression.

Somatization in refugees: a review

Purpose: To present a review of the literature concerning medically unexplained physical symptoms in refugees.
Methods: We outline a variety of definitions and explanations of somatization, as well as the role of culture in the concept of disease. In addition, we present a review of the epidemiological literature about somatization in refugees.

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