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.

 

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.

Comparative effectiveness and safety of cognitive behavioral therapy and pharmacotherapy for childhood anxiety disorders : a sytematic review and meta-analysis

IMPORTANCE

Childhood anxiety is common. Multiple treatment options are available, but existing guidelines provide inconsistent advice on which treatment to use.

 

OBJECTIVES

To evaluate the comparative effectiveness and adverse events of cognitive behavioral therapy (CBT) and pharmacotherapy for childhood anxiety disorders.

 

DATA SOURCES

The effects of intranasal oxytocin after trauma

Abstract

 

Rationale: Oxytocin has been suggested as promising pharma-cological strategy for prevention and medication-enhanced psychotherapy (MEP) for posttraumatic stress disorder (PTSD), by influencing neural fear responses, peripheral stress responses and socio-emotional functioning [1].

 

Cognitive therapy and eye movement desensitization and reprocessing for reducing psychopathology among disaster-bereaved individuals : study protocol for a randomized controlled trial

Background: Confrontation with a traumatic (e.g. disaster-related) loss is a risk factor for the

development of psychopathology, including symptoms of prolonged grief (PG), posttraumatic

stress (PTS), and depression. Although interventions have been developed for reducing

post-loss psychopathology, more research into the effectiveness of treatment is needed

to improve care for bereaved persons. Cognitive therapy (CT) and eye movement desensitization

and reprocessing (EMDR) have been shown to be effective in trauma-exposed

Do trauma-focussed psychological interventions have an effect on psychotic symptoms? : a systematic review and meta-analysis

There is growing recognition of the relationship between trauma, posttraumatic stress disorder (PTSD) and psychosis. There may be overlaps in causal mechanisms involved in the development of PTSD and psychosis following traumatic or adverse events. Trauma-focussed treatments found to be effective in treating PTSD may therefore represent a new direction in the psychological treatment of psychosis. This systematic review examined the literature on trauma-focussed treatments conducted with people with schizophrenia spectrum or psychotic disorders to determine effects on psychotic symptoms.

Perceived support at work after critical incidents and its relation to psychological distress : a survey among prehospital providers.

INTRODUCTION:

Prehospital providers are at increased risk for psychological distress. Support at work after critical incidents is believed to be important for providers, but current guidelines are in need of more scientific evidence. This study aimed to investigate: (1) to what extent prehospital providers experience support at work; (2) whether support at work is directly associated with lower distress and (3) whether availability of a formal peer support system is related to lower distress via perceived colleague support.

 

The role of clinical experience, diagnosis, and theoreticalorientation in the treatment of posttraumatic anddissociative disorders : A vignette and survey investigation

Controversy exists regarding the merits of exposure-based treatments for posttraumatic stress disorder (PTSD) versus a phased approach when prominent dissociative symptoms are present.

The first aim of this study was to examine the degree to which diagnosing dissociation in two traumatized patients' vignettes influenced clinicians' preference for phase-oriented treatment and whether clinicians' treatment experience contributed to their treatment preference.

A retrospective study of ketamine administration and the development of acute or post-traumatic stress disorder in 274 war-wounded soldiers

The objective of this study was to explore whether ketamine prevents or exacerbates acute or post-traumatic stress disorders in military trauma patients. We conducted a retrospective study of a database from the French Military Health Service, including all soldiers surviving a war injury in Afghanistan (2010–2012). The diagnosis of post-traumatic stress disorder was made by a psychiatrist and patients were analysed according to the presence or absence of this condition.

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