Although trauma exposure and posttraumatic stress disorder (PTSD) both have been linked to suicidal thoughts and behavior, the underlying basis for this relationship is not clear. In a sample of 357 trauma-exposed individuals from the general population, younger participant age, cumulative trauma exposure, and all three Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, PTSD clusters (reexperiencing, avoidance, and hyperarousal) were correlated with clinical levels of suicidality.

Children’s exposure to potentially traumatic events is related to negative mental health outcomes. To promote more positive outcomes, protective factors that can buffer the impact of these experiences need to be identified. The present study examined whether lower parental stress might function as a protective factor for children enrolled in a behavioral health system of care.

Background: The assessment of therapeutic adherence and competence is often neglected in psychotherapy research, particularly in children and adolescents; however, both variables are crucial for the interpretation of treatment effects.

Objective: Our aim was to develop, adapt, and pilot two scales to assess therapeutic adherence and competence in a recent innovative program, Developmentally Adapted Cognitive Processing Therapy (D-CPT), for adolescents suffering from posttraumatic stress disorder (PTSD) after childhood abuse.

Background: Compared to DSM-IV, the criteria for diagnosing posttraumatic stress disorder (PTSD) have been modified in DSM-5.

Objective: The first aim of this study was to examine how these modifications impact rates of PTSD in a sample of Congolese ex-combatants. The second goal of this study was to investigate whether PTSD symptoms were associated with perpetrator-related acts or victim-related traumatic events.

Background: The analysis of small data sets in longitudinal studies can lead to power issues and often suffers from biased parameter values. These issues can be solved by using Bayesian estimation in conjunction with informative prior distributions. By means of a simulation study and an empirical example concerning posttraumatic stress symptoms (PTSS) following mechanical ventilation in burn survivors, we demonstrate the advantages and potential pitfalls of using Bayesian estimation.

Background and Objectives: Potentially traumatic events may lead to different patterns of posttraumatic stress symptoms and posttraumatic growth. The objective of the present study was to identify subgroups with different patterns of posttraumatic reactions, and to determine whether these subgroups differed in terms of personal and social resources and indicators of adjustment. Design: This study used survey data collected 10 months after the 2011 Oslo bombing attack to investigate patterns of reactions among ministerial employees (N = 1970).

‘Psychotrauma’ is een hot item. Het lijkt wel of er steeds vaker sprake is van traumatische gebeurtenissen. “Dat is niet het geval”, stelt Rolf Kleber, hoogleraar psychotraumatologie aan de Universiteit Utrecht. “Vroeger waren er ook oorlogen, natuurrampen, aanslagen en ongelukken. Maar die kwamen minder in het nieuws. Sinds de jaren tachtig is de aandacht voor de gevolgen van traumatische ervaringen sterk toegenomen. Denk aan de Vietnam Veteranen in de VS en in Nederland de slachtoffers van gijzelingen.

In de praktijk is het vaak niet makkelijk om patiënten uit een niet-westerse cultuur te behandelen. Behalve dat de taal een barrière kan vormen, zijn er vanuit de transculturele psychotherapie twee obstakels bekend bij het behandelen van deze patiënten: de neiging tot somatiseren (een klachtenpresentatie met nadruk op lichamelijke klachten) en het ontbreken van een gemeenschappelijk ziekteverklaringsmodel tussen patiënt en therapeut. Samenhangend met het laatste obstakel, komt commitment aan de behandeling moeizaam tot stand.

The possible threat of radicalization among prison inmates has received widespread political and public attention in Europe. Several countries, including the Netherlands, seek to prevent prisoner radicalization by detaining violent extremist offenders together in segregated high-security facilities. However, it is unclear whether or not such policies are based on sound rationale. This study aims to conduct an in-depth evaluation of terrorism detention policy, based on extensive research among policy makers, prison staff, and prisoners in the Netherlands.

IMPORTANCE:

Despite the potential importance of understanding excess mortality among people with mental disorders, no comprehensive meta-analyses have been conducted quantifying mortality across mental disorders.

OBJECTIVE:

To conduct a systematic review and meta-analysis of mortality among people with mental disorders and examine differences in mortality risks by type of death, diagnosis, and study characteristics.

DATA SOURCES: