ARQ National Psychotrauma Centre

English

Screening for consequences of trauma – an update on the global collaboration on traumatic stress

This letter provides an update on the activities of “The Global Collaboration on Traumatic Stress” (GC-TS) as first described by Schnyder et al. in 2017. It presents in further detail the projects of the first theme, in particular the development of and initial data on the Global Psychotrauma Screen (GPS), a brief instrument designed to screen for the wide range of potential outcomes of trauma.

Which groups affected by Potentially Traumatic Events (PTEs) are most at risk for a lack of social support? A prospective population-based study on the 12-month prevalence of PTEs and risk factors for a lack of post-event social support

Objectives
Little is known about the 12-month prevalence of potentially traumatic events (PTEs) and to what extent the type of PTE is a risk factor for post-event lack of social support. In addition, it is largely unknown if pre-event mental health problems and loneliness, and demographics are risk factors for a lack of support. Aim of the present prospective study is to fill these gaps in evidence-based knowledge.
Methods

Randomised controlled trial of multi-modular motion-assisted memory desensitisation and reconsolidation (3MDR) for male military veterans with treatment-resistant post-traumatic stress disorder

Objective
To explore the potential efficacy of multi-modular motion-assisted memory desensitisation and
reprocessing (3MDR) in British military veterans with treatment-resistant, service-related PTSD.
Methods
Exploratory single-blind, randomised, parallel arm, cross-over controlled trial with nested process
evaluation to assess fidelity, adherence and factors that influence outcome.
Results

Post-Migration Stressors and Their Association With Symptom Reduction and Non-Completion During Treatment for Traumatic Grief in Refugees

Background: Resettled refugees exposed to trauma and loss are at risk to develop mental disorders such as posttraumatic stress disorder (PTSD) and persistent complex bereavement disorder (PCBD). Post-migration stressors have been linked to poor mental health and smaller treatment effects.

Aim: Our aim was to evaluate reductions in PTSD and PCBD symptoms and to explore the presence of post-migration stressors and their associations with symptom change and non-completion in a traumatic grief focused treatment in a cohort of refugees.

Traumatic loss and psychosis – reconceptualisingthe role of trauma in psychosis

Literature suggests that the occurrence of psychological trauma (PT) fromvariousnegativelifeexperiences beyond events mentioned in the DSM-criterion A, receives little to no attention whencomorbid with psychosis. In fact, despite research indicating the intricate interplay between PTand psychosis, and the need for trauma-focused interventions (TFI), there continue to be mixedviews on whether treating PT would worsen psychosis, with many practitioners hesitating toinitiate treatment for this reason.

Mobile Insight in Risk, Resilience and Online Referral (MIRROR) : Evaluating the usage and psychometric properties of an online self-help test after potentially traumatic events

Background: Most people who experience a potentially traumatic event (PTE) recover on their own. A small group of individuals develops psychological complaints but is often not detected in time or guidance to care is suboptimal. To identify these individuals and encourage them to seek help, a web-based self-help test called MIRROR– Mobile Insight in Risk, Resilience and Online Referral – was developed. MIRROR takes an innovative approach since it integrates both negative and positive outcomes of PTEs and time since the event, and provides direct feedback to the user.

Prolonged grief disorder following the Coronavirus (COVID-19) pandemic.

Highlights

 

• Prolonged grief disorder (PGD) cases will rise following the COVID-19 pandemic

• The pandemic shows similarities to natural disasters which increase PGD prevalence.

• The circumstances of death during the pandemic likely increase PGD prevalence.

• Evidence-based interventions for PGD should be made more accessible.

• Internet-based interventions for PGD should be further developed and disseminated.

 

Feasibility and predictors of change of Narrative Exposure Therapy for displaced populations : A repeated measures design

Background: Displaced victims of interpersonal violence, such as refugees, asylum seekers, and victims of sexual exploitation, are growing in numbers, and are often suffering from a posttraumatic stress disorder (PTSD). At the same time these victims are known to benefit less from trauma-focused therapy (TFT), and to be less compliant to treatment. The objective of this paper is to describe the rationale and research protocol of an ongoing trial that aims to evaluate different variables that might influence the feasibility of TFT for the study population.

Cognitive behavioural therapy and mindfulness for relatives of missing persons : a pilot study

Objectives: Relatives of long-term missing persons need to deal with uncertainties related to the disappearance. These uncertainties may give rise to ruminative thinking about the causes and consequences of the loss. Focusing on tolerating uncertainties in treatment of relatives of missing persons might foster recovery. Adding mindfulness to cognitive behavioural therapy might serve this aim. The feasibility and potential effectiveness of cognitive behavioural therapy with mindfulness were evaluated in a pilot study.

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