Intensive multidisciplinary treatment of severe somatoform disorder: a prospective evaluation

Chronic severe somatoform disorder (SFD) is resistant to treatment. In a prospective observational study, we evaluated an intensive multidisciplinary treatment focusing on body-related mentalization and acceptance. Patients included in the study were 183 (146 women, 37 men) of 311 eligible patients with chronic severe SFD, referred consecutively to a specialized tertiary care center between 2002 and 2009. Primary outcome measures were somatic symptoms (SCL-90) and health-related quality of life (EuroQol 5-Dimensional [EQ-5D]).

Memories of Holocaust-related traumatic experiences, sense of coherence, and survivors' subjective well-being in late life: some puzzling findings

Background and Objectives: This study explores the nexus of relationships between memories of Holocaust-related early traumatic events, survivors’ sense of coherence (SOC), and subjective well-being (SWB) in late life. Design: The basic design of this study, based 106 survivors (54% female), was cross-sectional. Methods: Participants underwent an extensive in-depth clinical interview relating to their Holocaust experiences and responded to measures of SOC and SWB.

Resource loss, self-efficacy, and family support predict posttraumatic stress symptoms: a 3-year study of earthquake survivors

Background and Objectives: Social support and self-efficacy are regarded as coping resources that may facilitate readjustment after traumatic events. The 2009 Cinchona earthquake in Costa Rica serves as an example for such an event to study resources to prevent subsequent severity of posttraumatic stress symptoms. Design: At Time 1 (1–6 months after the earthquake in 2009), N = 200 survivors were interviewed, assessing resource loss, received family support, and posttraumatic stress response.

Narrative and Silence: How Former Refugees Talk about Loss and Past Trauma

Using narrative methodology this paper analyses the life stories of 25 former refugees from two African countries, resettled in Australia. Study findings demonstrated a salient divergence between the stories of the two communities; within which there were also individual differences in structure and content of participants’ narratives. Five narrative types were identified along a continuum from detailed disclosure to near-complete silence about traumatic events and experiences.

Bridging a translational gap: using machine learning to improve the prediction of PTSD

Abstract
Background
Predicting Posttraumatic Stress Disorder (PTSD) is a pre-requisite for targeted prevention. Current research has identified group-level risk-indicators, many of which (e.g., head trauma, receiving opiates) concern but a subset of survivors. Identifying interchangeable sets of risk indicators may increase the efficiency of early risk assessment. The study goal is to use supervised machine learning (ML) to uncover interchangeable, maximally predictive combinations of early risk indicators.

Anxiety sensitivity, catastrophic misinterpretations and panic self-efficacy in the prediction of panic disorder severity: Towards a tripartite cognitive model of panic disorder

The present study examined the contribution of three main cognitive factors (i.e., anxiety sensitivity, catastrophic misinterpretations of bodily symptoms, and panic self-efficacy) in predicting panic disorder (PD) severity in a sample of patients with a principal diagnosis of panic disorder. It was hypothesized that anxiety sensitivity (AS), catastrophic misinterpretation of bodily sensations, and panic self-efficacy are uniquely related to panic disorder severity.

Computerised therapies for anxiety and depression in children and young people: A systematic review and meta-analysis

One quarter of children and young people (CYP) experience anxiety and/or depression before adulthood, but treatment is sometimes unavailable or inadequate. Self-help interventions may have a role in augmenting treatment and this work aimed to systematically review the evidence for computerised anxiety and depression interventions in CYP aged 5–25 years old. Databases were searched for randomised controlled trials and 27 studies were identified.

Neural correlates of inhibition and contextual cue processing related to treatment response in PTSD

Thirty to fifty percent of posttraumatic stress disorder (PTSD) patients do not respond to treatment. Understanding the neural mechanisms underlying treatment response could contribute to improve response rates. PTSD is often associated with decreased inhibition of fear responses in a safe environment. Importantly, the mechanism of effective treatment (psychotherapy) relies on inhibition and so-called contextual cue processing. Therefore, we investigate inhibition and contextual cue processing in the context of treatment.

From shell shock to PTSD: proof of war’s traumatic history

2015 marks several important First World War anniversaries: the centenary of the first use of poison gas in January; the centenary of the Gallipoli landings and the Armenian genocide in April. It is also 100 years since The Lancet published Charles S. Myers’ article, A Contribution to the Study of Shell Shock.

The study of shell shock

Brief Cognitive-Behavioral Therapy Effects on Post-Treatment Suicide Attempts in a Military Sample: Results of a Randomized Clinical Trial With 2-Year Follow-Up

Objective: The authors evaluated the effectiveness of brief cognitive-behavioral therapy (CBT) for the prevention of suicide attempts in military personnel. Method: In a randomized controlled trial, active-duty Army soldiers at Fort Carson, Colo., who either attempted suicide or experienced suicidal ideation with intent, were randomly assigned to treatment as usual (N=76) or treatment as usual plus brief CBT (N=76). Assessment of incidence of suicide attempts during the follow-up period was conducted with the Suicide Attempt Self-Injury Interview.

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