A Brief Exposure-Based Treatment vs Cognitive Processing Therapy for Posttraumatic Stress Disorder : A Randomized Noninferiority Clinical Trial

Key Points

Question  Is a brief, exposure-based treatment noninferior to the more time-intensive cognitive processing therapy in the treatment of posttraumatic stress disorder?

Read more

Cotinine : a therapy for memory extinction in post-traumatic stress disorder

Post-traumatic stress disorder (PTSD) is a mental disorder that may develop after exposure to exceptionally threatening or unescapable horrifying events. Actual therapies fail to alleviate the emotional suffering and cognitive impairment associated with this disorder, mostly because they are ineffective in treating the failure to extinguish trauma memories in a great percentage of those affected. In this review, current behavioral, cellular, and molecular evidence supporting the use of cotinine for treating PTSD are reviewed.

Read more

Turning wounds into wisdom : Posttraumatic growth over the course of two types of trauma-focused psychotherapy in patients with PTSD

Abstract

Background

Treatment studies in PTSD patients have mostly focused on adverse psychopathological outcomes whereas positive outcomes have received less attention. Objectives of this study were to investigate posttraumatic growth in response to two different psychotherapies, to examine the relationship between symptom improvement and growth, and to determine if posttraumatic growth predicted treatment response.

Methods

Read more

The dissociative post-traumatic stress disorder (PTSD) subtype : A treatment outcome cohort study in veterans with PTSD

Abstract

Objectives

Dissociation is a prevalent phenomenon among veterans with post-traumatic stress disorder (PTSD) that may interfere with the effectiveness of treatment. This study aimed to replicate findings of a dissociative PTSD subtype, to identify corresponding patterns in coping style, symptom type, and symptom severity, and to investigate its impact on post-traumatic symptom improvement.

Read more

Associability-modulated loss learning is increased in posttraumatic stress disorder

Disproportionate reactions to unexpected stimuli in the environment are a cardinal symptom of posttraumatic stress disorder (PTSD). Here, we test whether these heightened responses are associated with disruptions in distinct components of reinforcement learning. Specifically, using functional neuroimaging, a loss-learning task, and a computational model-based approach, we assessed the mechanistic hypothesis that overreactions to stimuli in PTSD arise from anomalous gating of attention during learning (i.e., associability).

Read more

A single-session growth mindset intervention for adolescent anxiety and depression : 9-month outcomes of a randomized trial

Background

Single-session interventions (SSIs) show promise in the prevention and treatment of youth psychopathology, carrying potential to improve the scalability and accessibility of youth psychological services. However, existing SSIs have conferred greater benefits for youths with anxiety, compared to depression or comorbid problems, and their effects have generally waned over time – particularly for follow-ups exceeding 3 months.

Method

Read more

Longitudinal analyses of the DNA methylome in deployed military servicemen identify susceptibility loci for post-traumatic stress disorder

In order to determine the impact of the epigenetic response to traumatic stress on post-traumatic stress disorder (PTSD), this study examined longitudinal changes of genome-wide blood DNA methylation profiles in relation to the development of PTSD symptoms in two prospective military cohorts (one discovery and one replication data set).

Read more

Incentivizing Attendance to Prolonged Exposure for PTSD With Opioid Use Disorder Patients : A Randomized Controlled Trial

Objective: To determine whether contingent monetary incentives increase opioid use disorder patients' attendance to Prolonged Exposure (PE) therapy and whether attendance is associated with improvement in posttraumatic stress disorder (PTSD) and substance use disorder (SUD) outcomes.

Method: Patients (N = 58) with PTSD were offered PE or PE with incentives (PE + I; max $480) to attend PE sessions. Participants were assessed at baseline and weeks 6, 12, and 24 postrandomization.

Read more

Prevalence of Psychotropic Medication Use Among Dutch Military Personnel Between 2003 and 2012 and Its Comparison to the Dutch General Population

 

Background: The armed forces work under high pressure and in stressful environments and it is well known that being in the military is a risk factor for psychiatric problems. However, it remains unknown how prevalent psychotropic medication use is in military personnel.

 

Objective: To assess prevalence of psychotropic medication use in Dutch military personnel and compare to the Dutch general population.

 

Read more

Trauma-informed intercultural group supervision

Trauma-informed group supervision is a novel way of providing much-needed supervision to trauma helpers. We describe a structured group supervision method originally developed for Western trauma supervisors. Core features of the method are two identification rounds: first, identification with the client as a person and, second, identification with the position of the case presenter. We explain why we designed this structured identification approach and elaborate its main features. This method has been applied in many intercultural contexts and post-conflict regions of the world.

Read more

Pages