Psychometrics and Validity of the Dutch Experiences in Close Relationships–Revised (ECR–r) in an Outpatient Mental Health Sample

The Experiences in Close Relationships-Revised (ECR-r) is a self-report instrument to assess adult attachment style that seems to have appropriate psychometric qualities. The ECR-r has been most widely studied in student and community samples. In this study we report factor structure, reliability, and construct validity of the Dutch translation of the ECR-r in an outpatient mental health sample (N = 262). The original factor structure could satisfactorily be replicated, the reliability of the ECR-r was also stable over time, and there was good evidence for its construct validity

Dissociative disorders in DSM-5

The rationale, research literature, and proposed changes to the dissociative disorders and conversion disorder in the fifth edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5) are presented. Dissociative identity disorder will include reference to possession as well as identity fragmentation, to make the disorder more applicable to culturally diverse situations. Dissociative amnesia will include dissociative fugue as a subtype, since fugue is a rare disorder that always involves amnesia but does not always include confused wandering or loss of personality identity.

'I Wouldn't Start From Here'—An Alternative Perspective on PTSD From the ICD-11: Comment on Friedman

This commentary briefly summarizes some of the criticism directed at the diagnosis of posttraumatic stress disorder (PTSD) according to the Diagnostic and Statistical Manual of Mental Disorders (5th ed.) including the issues of complexity and comorbidity, and offers a rationale for attempting a simpler approach to diagnosis that can be used in minimally resourced, non-English-speaking countries.

Police officers : a high-risk group for the development of mental health disturbances? A cohort study.


Objectives Policing is generally considered a high-risk profession for the development of mental health problems, but this assumption lacks empirical evidence. Research question of the present study is to what extent mental health disturbances, such as (very) severe symptoms of anxiety, depression and hostility are more prevalent among police officers than among other occupational groups.

Design Multicomparative cross-sectional study using the data of several cross-sectional and longitudinal studies in the Netherlands.

Efficacy of group treatment for posttraumatic stress disorder symptoms : A meta-analysis

This study conducted a meta-analysis of published randomized clinical group trials for adult survivors of trauma to examine the efficacy of the group format. Effect sizes for posttraumatic stress disorder (PTSD) severity outcome were examined. Sixteen studies were included, with a total of 1686 participants.

Treatment of sexual trauma dissolves contamination fear: case report

In patients with co-morbid obsessive–compulsive disorder (OCD) and posttraumatic stress disorder (PTSD), repetitive behavior patterns, rituals, and compulsions may ward off anxiety and often function as a coping strategy to control reminders of traumatic events. Therefore, addressing the traumatic event may be crucial for successful treatment of these symptoms.
In this case report, we describe a patient with comorbid OCD and PTSD who underwent pharmacotherapy and psychotherapy.

Intimate Partner Violence in Rwanda: The Mental Health of Victims and Perpetrators

Exposure to intimate partner violence (IPV) is a common feature of women living in low- and middle-income countries. Several studies have shown a significant association between IPV against women and mental health in both developed and in low- and middle-income countries. In postconflict settings, the relationship between IPV and mental health is likely more complex, given the high levels of violence experienced by the population as a whole.

The role of major depression in neurocognitive functioning in patients with posttraumatic stress disorder

Posttraumatic stress disorder (PTSD) and major depressive disorder (MDD) frequently co-occur after traumatic experiences and share neurocognitive disturbances in verbal memory and executive functioning. However, few attempts have been made to systematically assess the role of a comorbid MDD diagnosis in neuropsychological studies in PTSD.

Hotspots in Trauma Memories and Their Relationship to Successful Trauma-Focused Psychotherapy: A Pilot Study

Imaginal exposure is an essential element of trauma-focused psychotherapies for posttraumatic stress disorder (PTSD). Exposure should in particular focus on the “hotspots,” the parts of trauma memories that cause high levels of emotional distress which are often reexperienced. Our aim was to investigate whether differences in the focus on hotspots differentiate between successful and unsuccessful trauma-focused psychotherapies. As part of a randomized trial, 45 PTSD patients completed brief eclectic psychotherapy for PTSD.

Bouncing forward of young refugees : a perspective on resilience research directions

War and persecution around the world force children and adolescents to leave their own country. In 2011, more than 876,000 people worldwide appealed for refugee status, 34% of whom were younger than 18 years (United Nations High Commissioner for Refugees, 2012). Many of these young refugees will grow up to be a part of Western society, shaping its future. Young refugees need to rapidly adapt to changing societal conditions.