Evaluating the feasibility of complex interventions in mental health services : standardised measure and reporting guidelines.

Abstract
Background
The feasibility of implementation is insufficiently considered in clinical guideline development, leading to human and financial resource wastage.
Aims
To develop (a) an empirically based standardised measure of the feasibility of complex interventions for use within mental health services and (b) reporting guidelines to facilitate feasibility assessment.
Method

Read more

Understanding terror and violence in the lives of children and adolescents

Millions of children each year are exposed to acute events that affect one individual or family at a time (e.g., car accidents, residential fire, street violence, sudden medical events) (Langeland & Olff, 2008). Less frequent, but with major impact, are terror attacks. Across the world, terrorist groups, single actor terrorists, and perpetrators of school shootings have attacked groups of children and youth in spaces thought to provide safety.

Read more

Use of Psychotropic Medication Groups in People with Severe Mental Illness and Stressful Childhood Experiences

Stressful childhood experiences (SCE) are associated with a variety of health and social problems. In people with severe mental illness (SMI) traumatic childhood experiences have been linked to more severe and treatment refractory forms of psychiatric symptoms, including psychotic symptoms. This study evaluates the use of psychotropic medication groups in a population of people with SMI and SCE, testing the association between SCE and prescription medication in an SMI population.

Read more

Traumatisierungen in der Entwicklung - unterschiedliche Verläufe stationärer Psychotherapie bei jugendlichen Patienten mit und ohne Traumatisierung

Summary Objective: Aim of the study was to examine differences between the course of inpatient treatment in adolescents with different extents of trauma history.Methods: Using multilevel analysis, we investigated the differences between the course of inpatient treatment in adolescents without trauma history, with emotional trauma and complex trauma.Results: Regarding the GSI of the SCL-90-R, patients with trauma history showed significantly more symptom reduction than patients without trauma history.

Read more

Treating intrusions, promoting resilience: an overview of therapies for trauma-related psychological disorders

The efficacy of psychotherapeutic approaches in the treatment of posttraumatic stress disorder (PTSD) can be regarded as empirically demonstrated. Overall, effect sizes appear to be higher for psychotherapy than for medication. Many well-controlled trials with a mixed variety of trauma survivors have demonstrated that trauma-focused cognitive-behavioral therapy (TF-CBT) is effective in treating PTSD. Prolonged exposure therapy (PE) is currently seen as the treatment with the strongest evidence for its efficacy.

Read more

Traumas complexes et identisation : le cas des enfants en situation de rue

Many children face adversity in their first years of life and are sometimes forced to a life without childhood. This is the case of some children in street situations. The stress of wandering has an impact on their psychological and emotional development and also on their identification process.

Read more

Trajectories of PTSD symptoms and predictive factors of trajectory membership: a step toward identifying veterans at risk

The article “Latent Trajectories of Trauma Symptoms and Resilience: The 3-Year Longitudinal Prospective USPER Study of Danish Veterans Deployed in Afghanistan” by Andersen and colleagues examines trajectories of posttraumatic stress disorder (PTSD) symptoms from predeployment to 2.5 years postdeployment and the predictive factors of trajectory membership among a sample of Danish soldiers deployed to Afghanistan. Iraq and Afghanistan veterans face a number of psychological, physical, and social challenges perideployment and postdeployment.

Read more

Trauma and dissociation: implications for borderline personality disorder

Psychological trauma can have devastating consequences on emotion regulatory capacities and lead to dissociative processes that provide subjective detachment from overwhelming emotional experience during and in the aftermath of trauma. Dissociation is a complex phenomenon that comprises a host of symptoms and factors, including depersonalization, derealization, time distortion, dissociative flashbacks, and alterations in the perception of the self. Dissociation occurs in up to two thirds of patients with borderline personality disorder (BPD).

Read more

Three decades of research in circuits and receptor systems in PTSD

Conclusion: There are no specific drugs for PTSD, except for the treatment of irritability and depressive features with SSRI. Atypical neuroleptics have been more recently been introduced as well as mood stabilizers. Other options are specific serotonergic agents such as 5-HT 1A antagonists, NA-blockers, CRF antagonists, GC-receptor antagonists, prazosin and á1-adrenergic blocker with nightmares, use of â-blockers early after trauma exposure are investigated.

Read more

Time does not heal all wounds: identifying children suffering from psychological trauma

Traumatic exposure is a common experience among children and may have severe and long lasting effects on child’s mental well-being and development. This dissertation reports on children who have been exposed to one or more potentially traumatic events during their lives and focuses on identifying those children suffering from psychological trauma. The results presented in this thesis expand current knowledge with regard to the definition of a traumatic event and the different traumatic stress profiles between single trauma and child maltreatment.

Read more

Pages