Trauma-focused cognitive behavioral therapy or eye movement desensitization and reprocessing: what works in children with posttraumatic stress symptoms? A randomized controlled trial

To prevent adverse long-term effects, children who suffer from posttraumatic stress symptoms (PTSS) need treatment. Trauma-focused cognitive behavioral therapy (TF-CBT) is an established treatment for children with PTSS. However, alternatives are important for non-responders or if TF-CBT trained therapists are unavailable. Eye movement desensitization and reprocessing (EMDR) is a promising treatment for which sound comparative evidence is lacking. The current randomized controlled trial investigates the effectiveness and efficiency of both treatments.

Read more

Diagnosing and Treating Complex Trauma

The book introduces a layered model for diagnosing and treating complex trauma in four parts. Part One introduces the concept of complex trauma, its historical development and the various theories about trauma. The authors introduce a layered model that describes the symptoms of complex trauma, and conclude with a discussion on the three-phase model.
Part Two describes the diagnostic options available that make use of a layered model of complex trauma.

Read more

Accessibility and effectiveness of mental health care for older adults

Introduction
The treatment of mental health disorders in older adults, as for all age groups, is important
because of the negative consequences of these disorders. Several (policy) measures have
been taken to optimize mental health care, but it is not self-evident that older adults
with mental disorders will receive this care; nor is it known whether older adults really
benefit from the mental health care they actually receive.
This chapter examines the prevalence of mental disorders in older adults, factors

Read more

Evaluating the feasibility of complex interventions in mental health services : standardised measure and reporting guidelines.

Abstract
Background
The feasibility of implementation is insufficiently considered in clinical guideline development, leading to human and financial resource wastage.
Aims
To develop (a) an empirically based standardised measure of the feasibility of complex interventions for use within mental health services and (b) reporting guidelines to facilitate feasibility assessment.
Method

Read more

Sleep structure and emotional memory processing in police officers and combat veterans with PTSD

Disturbed sleep is one of the key symptoms of posttraumatic stress disorder (PTSD) and may contribute to the genesis and maintenance of PTSD. Our previously published study*, executed in healthy subjects, suggests that adaptive changes occur in sleep architecture, after emotional experiences, that benefit emotional housekeeping and the attenuation of emotional responses to negative emotional experiences. Little is known, however, about the relation between sleep and emotional memory processing in PTSD.

Read more

Effects of oxidative stress on fatty acid- and one-carbon-metabolism in psychiatric and cardiovascular disease comorbidity

ObjectiveCardiovascular disease (CVD) is the leading cause of death in severe psychiatric disorders (depression, schizophrenia). Here, we provide evidence of how the effects of oxidative stress on fatty acid (FA) and one-carbon (1-C) cycle metabolism, which may initially represent adaptive responses, might underlie comorbidity between CVD and psychiatric disorders.MethodWe conducted a literature search and integrated data in a narrative review.ResultsOxidative stress, mainly generated in mitochondria, is implicated in both psychiatric and cardiovascular pathophysiology.

Read more

Seven-Year Follow-Up Study of Symptoms in Asylum Seekers and Refugees With PTSD Treated With Trauma-Focused Groups

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.

Read more

Screening and treatment of posttraumatic stress disorder in patients with substance use disorders

Roughly, one out of four patients with a substance use disorder (SUD) also meets criteria for PTSD. Both disorders seem to be highly intertwined. Two chapters of this thesis focus on the development of a screening questionnaire to detect PTSD within substance abuse treatment centers. For this purpose, a PTSD screener from the United States army was used, the Primary Care posttraumatic stress disorder screen (PC-PTSD). Based on the results of this study a new screener was assembled and cross-validated: the Jellinek-PTSD screening questionnaire (J-PTSD).

Read more

Mental Disorders as Causal Systems: A Network Approach to Posttraumatic Stress Disorder

Debates about posttraumatic stress disorder (PTSD) often turn on whether it is a timeless, cross-culturally valid natural phenomenon or a socially constructed idiom of distress. Most clinicians seem to favor the first view, differing only in whether they conceptualize PTSD as a discrete category or the upper end of a dimension of stress responsiveness. Yet both categorical and dimensional construals presuppose that PTSD symptoms are fallible indicators reflective of an underlying, latent variable.

Read more

Quality improvement collaboratives and the wisdom of crowds: spread explained by perceived success at group level

Abstract

Read more

Pages