ARQ National Psychotrauma Centre


Persistence of stress sensitization following deployment in soldiers with a history of early life trauma

Background: Stress sensitization, i.e., increased responsiveness to stressful life events has been found in high trauma exposed adults within the first 18 months following trauma exposure (Smid et al., 2012) as well as in young children (Grasso, Ford, & Briggs-Gowan, 2012). However, it is unclear whether stress sensitization may persist over time. We hypothesized that soldiers exposed to high levels of early life trauma would be at risk of persistence of stress sensitization 2 years following deployment.

Organization and Execution of Current Practices of Deployment-related Mental Health Support

Mental Health support (MHS) is an integral part of the whole chain of events within militaryorganizations. Several countries are delivering this support for troops that are active in the currentoperation in Afghanistan (ISAF). Between 2009-2010 TNO Defense, Safety and Security, part of theNetherlands Organization of Applied Scientific Research (TNO), executed a project named Assessment ofOrganization and Execution of Current Practices of Deployment-related MH Support (DRMHS).

Lessons learned from Dutch deployed surgeons and anesthesiologists to Afghanistan: 2006-2010

INTRODUCTION: Care for battle casualties demands special skills from surgeons and anesthesiologists. The experiences of Dutch military surgeons and anesthesiologists that deployed to South Afghanistan provided an opportunity to evaluate predeployment training and preparation of military medical specialistsMETHOD: A survey was conducted among all surgeons and anesthesiologists (n = 40) that deployed to South Afghanistan between February 2006 and November 2010.

In memoriam: Edward J. Frischholz, PhD, January 14, 1956-May 10, 2014

We sadly lost our friend and colleague Edward J. (“Fast Eddie”) Frischholz, PhD, at the young age of 58. He died of heart failure, a complication of septic shock. He was a passionate advocate for the field of hypnosis, a tough monitor of its quality, a fine clinician, and an excellent researcher/statistician.

Executive function in posttraumatic stress disorder (PTSD) and the influence of comorbid depression

BackgroundPosttraumatic stress disorder (PTSD) has been associated with neurocognitive deficits, such as impaired verbal memory and executive functioning. Less is known about executive function and the role of comorbid depression in PTSD.

ESTSS and ISTSS: 'heterozygous twins'

The development of traumatic stress studies during the past decades has much profited from professionals from the United States and from Europe. However, these professional societies, the International Society for Traumatic Stress Studies and the European Society for Traumatic Stress Studies (ESTSS) still struggle to find an equal common pathway. This is a personal retrospective view of Berthold Gersons, past president of ESTSS on behalf of the 20th anniversary of ESTSS.

Efficacy of oxytocin administration early after psychotrauma in preventing the development of PTSD: study protocol of a randomized controlled trial

BackgroundCurrently few evidence based interventions are available for the prevention of PTSD within the first weeks after trauma. Increased risk for PTSD development is associated with dysregulated fear and stress responses prior to and shortly after trauma, as well as with a lack of perceived social support early after trauma. Oxytocin is a potent regulator of these processes. Therefore, we propose that oxytocin may be important in reducing adverse consequences of trauma.

Do soldiers seek more mental health care after deployment? Analysis of mental health consultations in the Netherlands Armed Forces following deployment to Afghanistan

BACKGROUND: Military deployment to combat zones puts military personnel to a number of physical and mental challenges that may adversely affect mental health.

Dissociative disorders in DSM-5

The rationale, research literature, and proposed changes to the dissociative disorders and conversion disorder in the fifth edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5) are presented. Dissociative identity disorder will include reference to possession as well as identity fragmentation, to make the disorder more applicable to culturally diverse situations. Dissociative amnesia will include dissociative fugue as a subtype, since fugue is a rare disorder that always involves amnesia but does not always include confused wandering or loss of personality identity.