ARQ National Psychotrauma Centre

ABSTRACT

Background: Traumatic events can be related to severe transgressions or violations of moral boundaries. Moral injury (MI) has been described as ‘the lasting psychological, biological, spiritual, behavioral and social impact of perpetrating, failing to prevent, or bearing witness to acts that transgress deeply held moral beliefs and expectations.’ These events can provoke emotions such as remorse, guilt and shame, and affects someone’s self-image and identity.

Introduction: Qualitative studies have described the rather unique styles of Balinese people to adjust to adversity. No quantitative research assessing psychopathology among bereaved individuals has been performed yet. This study estimated the prevalence of prolonged grief disorder (PGD), posttraumatic stress disorder (PTSD) and depression among bereaved individuals after traffic deaths in Bali and the relations between subgroups sharing the same symptoms and cultural, socio-demographic characteristics and posttraumatic growth (PTG).
 

Bereavement may precipitate significant mental health problems. Prolonged grief disorder (PGD) is included in section 2 of the forthcoming DSM-5 text-revision (DSM-5-TR). Research using earlier criteria of disordered grief showed that bereaved people may have distinct symptom patterns—including high, low, and comorbid symptomatology.

Background

Sleep disturbances (SDs) are among the most distressing and commonly reported symptoms in posttraumatic stress disorder (PTSD). Despite increased attention on sleep in clinical PTSD research, SDs remain difficult to treat. In Phase 2 trials, 3,4-methylenedioxymethamphetamine (MDMA)–assisted psychotherapy has been shown to greatly improve PTSD symptoms. We hypothesized that MDMA-assisted psychotherapy would improve self-reported sleep quality (SQ) in individuals with PTSD and be associated with declining PTSD symptoms.

Background: The review of trauma screening tools for children and adolescents indicates a need for developmentally and linguistically appropriate, globally applicable, free, and easily accessible trauma screening instruments.

Objective: The aim of this study is to adapt the Global Psychotrauma Screen (GPS) for children and adolescents in the United States. 

In “Mobile Insight in Risk, Resilience, and Online Referral (MIRROR): Psychometric Evaluation of an Online Self-Help Test” (J Med Internet Res 2020;22(9):e19716) one correction was made. This does not affect the analysis nor does it affect the interpretation or presentation of the results in the study.

In the “Methods” section, under “Measures” and “Depression, Anxiety and Stress”, the following phrase appears:

Highlights

• Non-referent upward counterfactuals related positively to baseline psychopathology

• Self-referent upward counterfactuals related positively to future psychopathology

• Effects of self-referent upward counterfactuals about loss were unique to the event

• Prolonged grief treatments should focus on themes of guilt, regret and self-blame

Abstract

This paper is about the therapeutic approach to older people who suffer from war trauma experienced at an earlier age. Special attention is paid to posttraumatic re-experiencing and its role in treatment. First, a few examples of posttraumatic re-experiencing are described. These examples will be used to briefly illustrate some interpretation models, before devoting particular attention to one of them: the psychodynamic interpretation model. Then principles of therapy are discussed.

Objective: Prolonged grief disorder wasnewly included in ICD-11 and resembles persistent complex bereavement disorder, newly included in DSM-5.