Treating Multitraumatized, Socially Marginalized Children: Results of a Naturalistic Treatment Outcome Study

Although early-onset, repeated trauma is relatively common in socially marginalized populations and related to numerous negative outcomes, most empirically validated interventions are not especially well tailored to meet the complex and individualized needs of child and adolescent trauma survivors in such contexts. Integrative treatment of complex trauma (ITCT) was developed as a specialized treatment that is empirically informed, culturally sensitive, extendable beyond the short term, and customized to the specific social and psychological issues of each child.

Treatment effects on insular and anterior cingulate cortex activation during classic and emotional Stroop interference in child abuse-related complex post-traumatic stress disorder

Background Functional neuroimaging studies have shown increased Stroop interference coupled with altered anterior cingulate cortex (ACC) and insula activation in post-traumatic stress disorder (PTSD). These brain areas are associated with error detection and emotional arousal.

Trauma History and Psychopathology in War-Affected Refugee Children Referred for Trauma-Related Mental Health Services in the United States

There is an increasing need to deliver effective mental health services to refugee children and adolescents across the United States, however, the evidence base needed to guide the design and delivery of services is nascent. We investigated the trauma history profiles, psychopathology, and associated behavioral and functional indicators among war-affected refugee children presenting for psychological treatment. From the National Child Traumatic Stress Network's Core Data Set, 60 war-affected refugee children were identified (51.7% males, mean age = 13.1 years, SD = 4.13).

The ISTSS expert consensus treatment guidelines for complex PTSD in adults

Overview. ISTSS has developed guidelines for the treatment of PTSD, the first of whichwere produced in 2000 followed by a revision published in 2008 (Foa, Keane, Friedman &Cohen, 2008). The 2008 guidelines acknowledge that the PTSD framework does not includesalient symptoms and problems of individuals who are exposed to prolonged and repeatedtrauma such as childhood sexual abuse, domestic violence, and political violence, commonlyreferred to as Complex PTSD, and that these disturbances contribute to distressed lives anddisability.

Temperamental Traits and Severity of PTSD Symptoms: Data from Longitudinal Studies of Motor Vehicle Accident Survivors

The paper presents the results of a longitudinal study of two groups of participants of motor vehicle accidents (MVA). They were investigated twice: The first time after 1–6 months (N = 362) or 12–24 months (N = 337) after a MVA, and then 1 year after the initial assessment. We assumed that, among the environmental variables (severity of experienced trauma, trauma-related prolonged stressors, other traumatic event and social support), two temperamental traits, emotional reactivity and briskness, would be factors influencing the severity of posttraumatic stress disorder.

Protect: Process of Recognition and Orientation of Torture Victims in European Countries to Facilitate Care and Treatment

According to Council Directive 2003/9/EC of January 27th 2003 laying down minimum standards for the reception of asylum seekers, the Member States have to take into account the specific situation of vulnerable persons among other applicants who have been subjected to torture, rape or other serious forms of psychological, physical or sexual violence. This provision shall apply only to applicants recognized as having special needs, after an individual assessment of their situation.

Psychiatric comorbidity of patients on methadone maintenance treatment with a history of sexual abuse

AbstractThe aim of this study was to assess the prevalence of a history of sexual abuse and its relation to psychiatric comorbidity among former opiate addicts currently on methadone maintenance treatment (MMT). We evaluated the history of sexual abuse and current clinical obsessive compulsive disorder (OCD), dissociative identity disorder (DID), and complex posttraumatic distress disorder (cPTSD), and administered the Life Events Inventory Questionnaire among 125 MMT patients (76 females and 49 males).

Plasma brain-derived neurotrophic factor level may contribute to the therapeutic response to eye movement desensitisation and reprocessing in complex post-traumatic stress disorder: a pilot study

We investigated the relationship between plasma levels of brain-derived neurotrophic factor (BDNF) and nerve growth factor (NGF) and responses to eye movement desensitisation and reprocessing (EMDR) in complex post-traumatic stress disorder (complex PTSD). Before and after EMDR, plasma levels of neurotrophic factors and scores in the indices of self-questionnaires were obtained for eight men with complex PTSD. Baseline plasma levels of BDNF and NGF of responders and of non-responders were compared. The plasma BDNF levels of responders were higher than those of non-responders.

Family violence and mental health in adolescence: complex trauma as a developmental disorder

AIM: To highlight the harmfulness and pervasive of early and repeated exposure to family violence from the theoretical perspective of complex trauma as a developmental disorder. METHOD: A study carried out on a sample of 22 adolescents between the ages of 15 and 18, who have been entrusted to Il Faro Bologna, a Specialist Centre for child abuse and neglect. Specific areas of psychological functioning were examined. According to the NCTSN these areas are considered vulnerable to violence in primary relationships and crucial for future mental health.

Complex posttraumatic stress disorder in patients with borderline personality disorder and somatoform disorders

Disorders of Extreme Stress Not Otherwise Specified (DESNOS), also known as Complex posttraumatic stress disorder, was assessed in a sample (N = 472) of adult psychiatric patients with confirmed diagnoses of Borderline Personality Disorder (BPD), Somatoform Disorders (SoD), comorbid BPD + SoD, or Affective or Anxiety Disorders (Psychiatric Controls, PC).

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