Risk of relapse after antidepressant discontinuation in anxiety disorders, obsessive-compulsive disorder, and post-traumatic stress disorder : systematic review and meta-analysis of relapse prevention trials

Objectives To examine the risk of relapse and time to relapse after discontinuation of antidepressants in patients with anxiety disorder who responded to antidepressants, and to explore whether relapse risk is related to type of anxiety disorder, type of antidepressant, mode of discontinuation, duration of treatment and follow-up, comorbidity, and allowance of psychotherapy.

 

Design Systematic review and meta-analyses of relapse prevention trials.

 

Read more

Scope, Scale, and Dose of the World’s Largest School-Based Mental Health Programs

Untreated mental health problems are among the most disabling, persistent, and costly health conditions.

Because they often begin in childhood and continue into adulthood, there has been growing interest in preventive mental health programs for children.

In recent years, several such programs have been implemented at regional, state, or national scale, and although many experimental studies have documented positive outcomes of individual programs, this article represents the first attempt to systematically compare the largest programs in terms of scope, scale, and dose.

Read more

Setting the stage for recovery. Improving veteran PTSD treatment effectiveness using statistical prediction

Over half a million Dutch veterans participated in almost a hundred war and peace keeping missions since 1940. During past deployments, veterans promoted peace and stability in conflict situations, endeavoured to win the hearts and minds of local communities and improved the lives of those affected in warzone circumstances. These men and women operated under harsh conditions that placed them at the vanguard of human violence and tragedy.

Read more

Intensive prolonged exposure treatment for adolescent complex posttraumatic stress disorder : a single-trial design

Background

The current study evaluated the effectiveness and safety of intensive prolonged exposure (PE) targeting adolescent patients with complex posttraumatic stress disorder (PTSD) and comorbid disorders following multiple interpersonal trauma.

Read more

Dance/Movement therapy and resilience building with female asylum seekers and refugees : a phenomenological practice based research

This phenomenological study aims to better understand the applicability of Dance/Movement therapy for traumatised women asylum seekers and refugees. It explores if and how bodily engagement could support an existing resilience based treatment model employed at a centre for transcultural psychiatry in the Netherlands. The sessions focused on moving the body and included the use of music, props, mirroring techniques, body awareness and movement exploration exercises. Participation in the sessions was associated with self-reported alleviation of stress and addressed vulnerabilities.

Read more

Oxytocin receptor gene polymorphisms, attachment, and PTSD : Results from the National Health and Resilience in Veterans Study

The human oxytocin system is implicated in social behavior and stress recovery. Polymorphisms in the oxytocin receptor gene (OXTR) may interact with attachment style to predict stress-related psychopathology like posttraumatic stress disorder (PTSD). The objective of this study was to examine independent and interactive effects of the OXTR single nucleotide polymorphism (SNP) rs53576, which has been associated with stress reactivity, support-seeking, and PTSD in prior studies, and attachment style on risk for PTSD in a nationally representative sample of 2163 European-American (EA) U.S.

Read more

Intranasal Oxytocin May Prevent PTSD

Administering a commonly available hormone via a nasal spray could help prevent the development of posttraumatic stress disorder (PTSD) and reduce symptoms in those who already have the condition, results of several clinical studies suggest.

Intranasal oxytocin significantly reduced the likelihood of the development of PTSD among patients in an emergency department (ED) who had a high degree of baseline trauma symptoms, said Miranda Olff, PhD, Department of Psychiatry, Academic Medical Center, University of Amsterdam, the Netherlands.

 

Read more

Day patient treatment for traumatic grief: preliminary evaluation of a one-year treatment programme for patients with multiple and traumatic losses

Background: Bereaved individuals who have lost a loved one under traumatic circumstances can develop symptoms of Persistent Complex Bereavement Disorder (PCBD) and/or Posttraumatic Stress Disorder (PTSD). This is particularly common in refugees, as they frequently have been confronted with multiple traumatic losses. For patients with severe PTSD and traumatic grief a treatment programme was developed, embedding individual traumatic grief focused therapy in a group-based multidisciplinary day patient treatment programme.

Read more

Grief following homicidal loss

Homicidally bereaved individuals have to deal with the notion that their loved one

is deliberately taken from them: the death is caused by the premeditated action of

another individual, most often unexpected. While the psychological consequences

for the people left behind are assumed to be great, few studies systematically

examined psychopathology following homicidal bereavement. The aim of this

dissertation was threefold. First of all, adaptation to homicidal loss was examined,

Read more

The Use of Virtual Reality Technology in the Treatment of Anxiety and Other Psychiatric Disorders

Learning objectives: After participating in this activity, learners should be better able to:

• Evaluate the literature regarding the effectiveness of incorporating virtual reality (VR) in the treatment of psychiatric disorders

• Assess the use of exposure-based intervention for anxiety disorders

Read more

Pages