The use of prolonged exposure therapy to help patients with post-traumatic stress disorder

Post-traumatic stress disorder (PTSD) is a chronic psychiatric disorder characterized by intrusive re-experiencing symptoms, avoidance behaviors, elevated arousal, and changes in cognition and mood. Nearly all individuals with PTSD suffer from at least one additional psychiatric diagnosis. Prolonged exposure is one of several evidence-based treatments for PTSD that has been efficacious for PTSD sufferers with a range of comorbid disorders. In this review, we first discuss the prevalence of PTSD comorbidity and the challenges that it presents to clinicians working with traumatized patients.

The Role of Eye Movement Desensitization and Reprocessing (EMDR) Therapy in Medicine: Addressing the Psychological and Physical Symptoms Stemming from Adverse Life Experiences

A substantial body of research shows that adverse life experiences contribute to both psychological and biomedical pathology. Twenty-four randomized controlled trials support the positive effects of eye movement desensitization and reprocessing therapy in the treatment of emotional trauma and other adverse life experiences relevant to clinical practice. Twelve randomized studies of the eye movement component noted rapid decreases in negative emotions and/or vividness of disturbing images

The Relevance of Resources for Resilience at Different Organizational Levels within the Military Deployment Cycle

AbstractIn the current study, the relative importance of different resources for psychological resilience of service members is investigated. The study employs a model of psychological resilience developed for the Netherlands Armed Forces, which identifies 25 resources for resilience at 5 different levels (individual, home front, team, leader, organization).

The role of complex PTSD in mediating childhood maltreatment and substance abuse severity among youth seeking substance abuse treatment

Research has indicated that childhood maltreatment is associated with youth substance use problems, however, this association is not yet fully understood. Consistent with theories that describe substance use problems as reflecting impaired self-regulation abilities, we hypothesized that complex posttraumatic stress disorder (Complex PTSD), reflecting disruptions in the development of self-regulatory capacities, would mediate the association between maltreatment and substance use problem severity.

The need for careful study design when investigating the benefits of psychological interventions for trauma survivors: a commentary on Renner, Bänninger-Huber, Peltzer (2011)

Methodological concerns are explored and questions raised about the validity of conclusions reached in a recent article by Renner, B+ñnninger-Huber and Peltzer (2011). These authors reported treatment outcomes of Chechen asylum seekers and refugees with Posttraumatic Stress Disorder (PTSD), anxiety and depression following treatment with Group Cognitive Behavioural Therapy (CBT), a Culture- Sensitive and Resource Oriented Peer Group (CROP), Eye Movement Desensitization and Reprocessing (EMDR), and a wait-list condition.

The one-carbon-cycle and methylenetetrahydrofolate reductase (MTHFR) C677T polymorphism in recurrent Major Depressive Disorder, influence of antidepressant use and depressive state?

AbstractBackgroundAn important biological factor suggested in the pathophysiology of (recurrent) Major Depressive Disorder (MDD) concerns a polymorphism in a gene encoding for the MTHFR-enzyme of the one-carbon (1-C)-metabolism.

The heterogeneity of long-term grief reactions

Background Individuals experience the loss of a spouse in varied ways. There is growing recognition of major depressive disorder and complicated grief as distinct post-bereavement disorders. However, most studies focusing on these different courses of functioning have not examined pre-loss functioning. Methods We used data from a prospective population based study to examine depression and grief among conjugally bereaved older adults.

The effect of trauma-focused therapy on the altered T cell distribution in individuals with PTSD. Evidence from a randomized controlled trial

Posttraumatic stress disorder (PTSD) is associated with a reduced ratio of na+»ve cytotoxic T lymphocytes, an increased ratio of memory cytotoxic T lymphocytes, and a reduced proportion of FoxP3+ regulatory T lymphocytes. This study investigated whether these immunological alterations are reversible through an evidence-based psychotherapeutic treatment. Therefore, 34 individuals with PTSD were randomly assigned to either a treatment condition of 12 sessions Narrative Exposure Therapy (NET) or a waitlist control (WLC) group.

The efficacy of psychosocial interventios for adults in contexts of ongoing man-made violence - A systematic review

ABSTRACTCompared to psychosocial programs implemented in post-conflict settings those executed in areas of ongoing conflicts may have different effects. Their evidence of efficacy has never been systematically reviewed. We searched PubMed, PsychInfo and the Dutch Tropical Institute Literature Portal from inception to31 January 2013 to identify studies on community-oriented psychosocial and psychiatric/clinical services for adults during ongoing manmade conflict or its direct aftermath. Of 6358 articles screened, 16 met our inclusion criteria.

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