The long-term course of anxiety disorders : An epidemiological perspective

Anxiety disorders are very common and impose a considerable burden for patients, relatives, and society. There are several anxiety disorders, all of which are known for their often persistent course. Nevertheless, there is a lack of knowledge about its longitudinal course trajectories, which hampers prevention strategies and adjustment of treatments according to prognosis. The aim of this thesis was to get more insight into the longitudinal multi-year naturalistic course of anxiety disorders and to identify the factors that are associated with this course.

 

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Summers of war : Affective volunteer tourism to former war sites in Europe

An important aspect of contemporary volunteer tourism is generated by the possibility of having personal, emotional and affective encounters and experiences. Volunteer summer camps on former war sites, organized by the German Action Reconciliation Service for Peace (ARSP), can be regarded as an expression of a contemporary form of tourism, which consists of the development of a personal, affective, and immersive approach to learning and volunteering on former war sites.

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Molecular genetic overlap between posttraumatic stress disorder and sleep phenotypes

Study Objectives: Sleep problems are common, serving as both a predictor and symptom of posttraumatic stress disorder (PTSD), with these bidirectional relationships well established in the literature. While both sleep phenotypes and PTSD are moderately heritable, there has been a paucity of investigation into potential genetic overlap between sleep and PTSD.

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Predicting future risk of PTSD

Data routinely collected in the emergency department after trauma have the potential to predict those at risk of later PTSD, which shows promise for computational psychiatry.

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Treatment gap in bereavement care : (Online) bereavement support needs and use after traumatic loss

People bereaved through road traffic accidents (RTAs) are at risk for severe and disabling grief (i.e., pathological grief). Knowledge about needs and use of bereavement care, including psychotherapy, pharmacotherapy, and support groups is limited. This study charted (correlates of) the needs and use of bereavement care in RTA bereaved people. Furthermore, while online grief treatment seems effective, it is unknown whether it is perceived as acceptable. Accordingly, we examined the acceptability of online treatment.

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Cognitive Therapy and EMDR for Reducing Psychopathology in Bereaved People After the MH17 Plane Crash : Findings From a Randomized Controlled Trial

Experiencing a sudden/violent loss of a significant other is a risk factor for developing persistent complex bereavement disorder (PCBD), depression, and/or posttraumatic stress disorder (PTSD). Cognitive therapy (CT) combined with eye movement desensitization and reprocessing (EMDR) might be an effective treatment for bereaved people with PCBD, depression, and/or PTSD symptoms after sudden/violent loss. We tested the effects of CT + EMDR versus waitlist controls in disaster-bereaved people.

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Psychological treatments for post-traumatic stress disorder in adults : a network meta-analysis

Background
Post-traumatic stress disorder (PTSD) is a potentially chronic and disabling disorder affecting a significant minority of people exposed to trauma. Various psychological treatments have been shown to be effective, but their relative effects are not well established.

Methods

We undertook a systematic review and network meta-analyses of psychological interventions for adults with PTSD. Outcomes included PTSD symptom change scores post-treatment and at 1–4-month follow-up, and remission post-treatment.

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Clustering of suicides in children and adolescents

Suicide is one of the major causes of death in young people, in whom suicide can occur in clusters. In this Review, we have investigated definitions and epidemiology of such clusters, the factors associated with them, mechanisms by which they occur, and means of intervening and preventing them. Clustering of suicidal behaviour is more common in young people (<25 years) than adults. Suicide clusters can occur as a greater number of episodes than expected at a specific location, including in institutions (eg, schools, universities, psychiatric units, and youth offender units). 

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Epigenome-wide meta-analysis of PTSD across 10 military and civilian cohorts identifies methylation changes in AHRR

Epigenetic differences may help to distinguish between PTSD cases and trauma-exposed controls. Here, we describe the results of the largest DNA methylation meta-analysis of PTSD to date. Ten cohorts, military and civilian, contribute blood-derived DNA methylation data from 1,896 PTSD cases and trauma-exposed controls. Four CpG sites within the arylhydrocarbon receptor repressor (AHRR) associate with PTSD after adjustment for multiple comparisons, with lower DNA methylation in PTSD cases relative to controls.

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Treating patients with severe mental illness with narrative exposure therapy for comorbid post-traumatic stress disorder

Background
Interpersonal trauma and post-traumatic stress disorder (PTSD) in patients with severe mental illness (SMI) negatively affect illness course. Narrative exposure therapy (NET) is effective in vulnerable patient groups, but its efficacy and applicability has not been studied in out-patients with SMI.

Aims
We aimed to evaluate the efficacy and applicability of NET in SMI on changes in PTSD, dissociation, SMI symptoms, care needs, quality of life, global functioning and care consumption. 

 

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