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Complex ptsd

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https://www.readbyqxmd.com/read/29143951/-matched-care-for-complex-ptsd-what-works-for-whom
#1
E Dorrepaal, K Thomaes, D J Veltman, A J L M van Balkom, N Draijer
No abstract text is available yet for this article.
2017: Tijdschrift Voor Psychiatrie
https://www.readbyqxmd.com/read/29143950/-the-effect-of-a-short-term-group-stabilisation-training-in-patients-with-complex-posttraumatic-stress-disorder
#2
G Beldman, H H L M Kessels, I W de Groot
The international guideline for complex posttraumatic stress disorder (ptsd) from the International Society for Traumatic Stress Studies (istss) recommends treatment in phases, starting with stabilisation treatment. Different forms of stabilisation training have been developed the past few years, one being short-term group stabilisation training.<br/> AIM: To map out the effects of the short-term group training.<br/> METHOD: The research implemented a pre-post design. The training consisted of five group sessions...
2017: Tijdschrift Voor Psychiatrie
https://www.readbyqxmd.com/read/29130379/trauma-complexity-and-child-abuse-a-qualitative-study-of-attachment-narratives-in-adult-refugees-with-ptsd
#3
Karin Riber
The present study aimed to identify trauma types over the life course among adult refugees and to explore their accounts of childhood maltreatment. A sample of 43 Arabic-speaking refugees with posttraumatic stress disorder (PTSD) attending a treatment context in Denmark were interviewed. Using a "Trauma Coding Manual" developed for this study, trauma types were identified in interview transcripts. In both men and women with Iraqi and Palestinian-Lebanese backgrounds, high levels of trauma complexity and high rates of childhood maltreatment were found (63%, n = 27)...
January 1, 2017: Transcultural Psychiatry
https://www.readbyqxmd.com/read/29126783/two-case-reports-using-simulated-reattachment-to-treat-persistent-complex-bereavement-disorder-and-ptsd
#4
Mark Rider
These case reports focus on a rapid treatment for persistent complex bereavement disorder and posttraumatic stress disorder (PTSD), which appears to activate the mirror neuron network. Simulated reattachment is a technique which has been found to repair phantom limb pain in just a few sessions. The same neuroplasticity that accomplishes phantom pain relief has been found to occur in the treatment of complicated grief and PTSD using similar methods. The simulated reattachment for the client in Case one was found to significantly reduce the symptoms of both complicated grief and obsessive-compulsive disorder (OCD) within one session...
October 6, 2017: Explore: the Journal of Science and Healing
https://www.readbyqxmd.com/read/29122149/direct-and-indirect-effects-of-exercise-on-posttraumatic-stress-disorder-symptoms-a-longitudinal-study
#5
James W Whitworth, Lynette L Craft, Shira I Dunsiger, Joseph T Ciccolo
OBJECTIVE: Emerging evidence suggests that exercise may have beneficial effects on posttraumatic stress disorder (PTSD), and that this relationship may be indirectly affected by sleep, pain, and alcohol/substance use. The present study examined the longitudinal direct and indirect effects of exercise on PTSD symptoms. METHOD: A national sample of 182 individuals, screening positive for PTSD, completed online assessments of PTSD symptoms, exercise behavior, psychological distress, sleep quality, and alcohol/substance use at baseline and three-month follow-up...
November 2017: General Hospital Psychiatry
https://www.readbyqxmd.com/read/29112079/acute-physiologic-stress-and-subsequent-anxiety-among-family-members-of-icu-patients
#6
Sarah J Beesley, Ramona O Hopkins, Julianne Holt-Lunstad, Emily L Wilson, Jorie Butler, Kathryn G Kuttler, James Orme, Samuel M Brown, Eliotte L Hirshberg
OBJECTIVES: The ICU is a complex and stressful environment and is associated with significant psychologic morbidity for patients and their families. We sought to determine whether salivary cortisol, a physiologic measure of acute stress, was associated with subsequent psychologic distress among family members of ICU patients. DESIGN: This is a prospective, observational study of family members of adult ICU patients. SETTING: Adult medical and surgical ICU in a tertiary care center...
November 3, 2017: Critical Care Medicine
https://www.readbyqxmd.com/read/29102248/nociceptin-and-the-nop-receptor-in-aversive-learning-in-mice
#7
Abdu Adem, Nather Madjid, Ulrika Kahl, Sarah Holst, Bassem Sadek, Johan Sandin, Lars Terenius, Sven Ove Ögren
The endogenous neuropeptide nociceptin (N/OFQ), which mediates its actions via the nociceptin receptor (NOP), is implicated in multiple behavioural and physiological functions. This study examined the effects of the NOP agonists N/OFQ and the synthetic agonist Ro 64-6198, the antagonists NNN and NalBzoH, as well as deletion of the Pronociceptin gene on emotional memory in mice. The animals were tested in the passive avoidance (PA) task, dependent on hippocampal and amygdala functions. N/OFQ injected intraventricularly (i...
October 25, 2017: European Neuropsychopharmacology: the Journal of the European College of Neuropsychopharmacology
https://www.readbyqxmd.com/read/29069251/reappraising-the-dimensional-structure-of-the-ptsd-checklist-lessons-from-the-dsm-iv-based-pcl-c
#8
Michael E Reichenheim, Aline G Oliveira, Claudia L Moraes, Evandro S Coutinho, Ivan Figueira, Gustavo Lobato
OBJECTIVE: The dimensional structure of posttraumatic stress disorder (PTSD) has been extensively debated, but the literature is still inconclusive and contains gaps that require attention. This article sheds light on hitherto unvisited methodological issues, reappraising several key models advanced for the DSM-IV-based civilian version of the PTSD Checklist (PCL-C) as to their configural and metric structures. METHODS: The sample comprised 456 women, interviewed at 6-8 weeks postpartum, who attended a high-complexity facility in Rio de Janeiro, Brazil...
October 19, 2017: Revista Brasileira de Psiquiatria
https://www.readbyqxmd.com/read/29057522/intensive-prolonged-exposure-treatment-for-adolescent-complex-posttraumatic-stress-disorder-a-single-trial-design
#9
Lotte Hendriks, Rianne A de Kleine, Mieke Heyvaert, Eni S Becker, Gert-Jan Hendriks, Agnes van Minnen
BACKGROUND: The current study evaluated the effectiveness and safety of intensive prolonged exposure (PE) targeting adolescent patients with complex posttraumatic stress disorder (PTSD) and comorbid disorders following multiple interpersonal trauma. METHODS: Ten adolescents meeting full diagnostic criteria for PTSD were recruited from a specialized outpatient mental health clinic and offered a standardized intensive PE. The intensive PE consisted of three daily 90-min exposure sessions delivered on five consecutive weekdays, followed by 3 weekly 90-min booster sessions...
November 2017: Journal of Child Psychology and Psychiatry, and Allied Disciplines
https://www.readbyqxmd.com/read/29049902/emotion-dysregulation-moderates-the-effect-of-cognitive-behavior-therapy-with-prolonged-exposure-for-co-occurring-ptsd-and-substance-use-disorders
#10
Denise A Hien, Teresa Lopez-Castro, Santiago Papini, Bernard Gorman, Lesia M Ruglass
A goal of clinical trials is to identify unique baseline characteristics that can inform treatment planning. One such target is emotion dysregulation (ED), which contributes to the maintenance of co-occurring posttraumatic stress disorder (PTSD) and substance use disorder (SUD) and may be a potential moderator of treatment response. We examined the moderating impact of ED severity on treatment outcomes in an urban, socioeconomically disadvantaged, and racially/ethnically diverse sample with complex trauma and severe SUDs...
October 16, 2017: Journal of Anxiety Disorders
https://www.readbyqxmd.com/read/29038691/a-network-analysis-of-anger-shame-proposed-icd-11-post-traumatic-stress-disorder-and-different-types-of-childhood-trauma-in-foster-care-settings-in-a-sample-of-adult-survivors
#11
Tobias M Glück, Matthias Knefel, Brigitte Lueger-Schuster
Background: Anger and shame are aspects that are specifically associated with psychopathology and maladaptation after childhood abuse and neglect. They are known to influence symptom maintenance and exacerbation; however, their interaction is not fully understood. Objective: To explore with network analysis the association and interaction of prolonged, complex interpersonal childhood abuse and neglect in institutional foster care settings [institutional abuse (IA)] with anger, shame, and the proposed 11th revision of the International Statistical Classification of Diseases and Related Health Problems (ICD-11) post-traumatic stress disorder (PTSD) symptoms in adult survivors...
2017: European Journal of Psychotraumatology
https://www.readbyqxmd.com/read/29038679/day-patient-treatment-for-traumatic-grief-preliminary-evaluation-of-a-one-year-treatment-programme-for-patients-with-multiple-and-traumatic-losses
#12
Annemiek de Heus, Sophie M C Hengst, Simone M de la Rie, A A A Manik J Djelantik, Paul A Boelen, Geert E Smid
Background: Bereaved individuals who have lost a loved one under traumatic circumstances can develop symptoms of Persistent Complex Bereavement Disorder (PCBD) and/or Posttraumatic Stress Disorder (PTSD). This is particularly common in refugees, as they frequently have been confronted with multiple traumatic losses. For patients with severe PTSD and traumatic grief a treatment programme was developed, embedding individual traumatic grief focused therapy in a group-based multidisciplinary day patient treatment programme...
2017: European Journal of Psychotraumatology
https://www.readbyqxmd.com/read/29029837/a-review-of-current-evidence-regarding-the-icd-11-proposals-for-diagnosing-ptsd-and-complex-ptsd
#13
REVIEW
Chris R Brewin, Marylène Cloitre, Philip Hyland, Mark Shevlin, Andreas Maercker, Richard A Bryant, Asma Humayun, Lynne M Jones, Ashraf Kagee, Cécile Rousseau, Daya Somasundaram, Yuriko Suzuki, Simon Wessely, Mark van Ommeren, Geoffrey M Reed
The World Health Organization's proposals for posttraumatic stress disorder (PTSD) in the 11th edition of the International Classification of Diseases, scheduled for release in 2018, involve a very brief set of symptoms and a distinction between two sibling disorders, PTSD and Complex PTSD. This review of studies conducted to test the validity and implications of the diagnostic proposals generally supports the proposed 3-factor structure of PTSD symptoms, the 6-factor structure of Complex PTSD symptoms, and the distinction between PTSD and Complex PTSD...
December 2017: Clinical Psychology Review
https://www.readbyqxmd.com/read/28992546/differences-in-posttraumatic-stress-characteristics-by-duration-of-exposure-to-trauma
#14
Aviva Goral, Mooli Lahad, Limor Aharonson-Daniel
Ongoing exposure of civilian populations to war and terror is associated with adverse responses beyond those specified in DSM-5 for PTSD. Current PTSD assessment practices are not fully sensitive to the complex symptomatic picture observed among individuals exposed to ongoing stress and are therefore limited for use in these situations. The current survey aimed to portray the posttraumatic characteristics most salient to ongoing exposure to political conflict. A questionnaire enquiring about various aspects of the posttraumatic consequences of ongoing exposure to political conflict as compared with those associated with a single exposure to trauma was disseminated to therapists throughout the country...
December 2017: Psychiatry Research
https://www.readbyqxmd.com/read/28991135/activity-of-paraoxonase-arylesterase-and-butyrylcholinesterase-in-peripheral-blood-of-gulf-war-era-veterans-with-neurologic-symptom-complexes-or-post-traumatic-stress-disorder
#15
David D Haines, John E Ottenweller, Benjamin F Dickens, Fadia Fouad Mahmoud, Paul H Levine
OBJECTIVE: Two groups of Gulf War era veterans, one exhibiting blurred vision, balance problems/dizziness, tremors/shaking, and speech difficulty and a second group with post-traumatic stress disorder (PTSD), but not the neurologic syndrome, were assessed for organophosphate-detoxifying enzyme paraoxonase/arylesterase (PON1) and its Q/R isoforms, butyrylcholinesterase (BuChE) and its U/A isoforms and cytokines. METHODS: Defibrinated peripheral blood was evaluated for enzymes and cytokines...
October 2017: Journal of Occupational and Environmental Medicine
https://www.readbyqxmd.com/read/28985876/the-readability-of-psychosocial-wellness-patient-resources-improving-surgical-outcomes
#16
Meredith A Kugar, Adam C Cohen, William Wooden, Sunil S Tholpady, Michael W Chu
BACKGROUND: Patient education is increasingly accessed with online resources and is essential for patient satisfaction and clinical outcomes. The average American adult reads at a seventh grade level, and the National Institute of Health (NIH) and the American Medical Association (AMA) recommend that information be written at a sixth-grade reading level. Health literacy plays an important role in the disease course and outcomes of all patients, including those with depression and likely other psychiatric disorders, although this is an area in need of further study...
October 2017: Journal of Surgical Research
https://www.readbyqxmd.com/read/28982279/describing-the-profile-of-a-population-of-uk-veterans-seeking-support-for-mental-health-difficulties
#17
Dominic Murphy, Rachel Ashwick, Emily Palmer, Walter Busuttil
BACKGROUND: Evidence suggests that veterans with mental health issues have poorer treatment outcomes than civilian counterparts. Understanding the difficulties faced by veterans could help focus treatments and improve outcomes. AIMS: To survey a representative sample of treatment-seeking veterans to explore their mental health needs. METHODS: A random sample of UK veterans who had engaged with a national mental health charity in the UK was drawn...
October 6, 2017: Journal of Mental Health
https://www.readbyqxmd.com/read/28981312/intimate-violence-as-it-relates-to-risky-sexual-behavior-among-at-risk-females
#18
Danielle C Hill, L A R Stein, Joseph S Rossi, Molly Magill, Jennifer G Clarke
OBJECTIVE: Rates of sexually transmitted infections (STIs) among adolescents are on the rise. The majority of adolescents who contract STIs do so through risky sexual behavior. Previous literature has identified multiple correlates of risky sexual behaviors among adolescents, including physical and sexual victimization, mental health concerns, and substance use. Few studies, however, have examined these relationships together in a comprehensive model. The primary purpose of this study was to examine whether relationship violence was related to risky sexual behavior, and whether mental health symptoms and substance use mediated this relationship...
October 5, 2017: Psychological Trauma: Theory, Research, Practice and Policy
https://www.readbyqxmd.com/read/28961596/longitudinal-changes-in-combat-related-posttraumatic-stress-disorder-among-operation-enduring-freedom-operation-iraqi-freedom-operation-new-dawn-veterans-with-hazardous-alcohol-use-the-role-of-avoidance-coping
#19
Joohyun Lee, Kyle Possemato, Paige C Ouimette
Military personnel who have experienced combat trauma are at risk for developing posttraumatic stress disorder (PTSD). A greater recognition of the complex array of vulnerability factors that contribute to PTSD severity has led researchers to examine other non-combat-related factors. This longitudinal study examined a number of pre-, peri-, and postdeployment factors hypothesized to contribute to PTSD symptomatology among returning Operation Enduring Freedom/Operation Iraqi Freedom/Operation New Dawn veterans presenting with at least subthreshold PTSD symptoms and hazardous alcohol use in a primary care setting...
October 2017: Journal of Nervous and Mental Disease
https://www.readbyqxmd.com/read/28961474/narrative-fragmentation-in-child-sexual-abuse-the-role-of-age-and-post-traumatic-stress-disorder
#20
Sarah Miragoli, Elena Camisasca, Paola Di Blasio
The present study aimed to assess the effects of age and PTSD on the narrative fragmentation in memories for child sexual abuse. Lexical complexity, cohesion and coherence were analyzed within a group of 86 allegations of children (M=10years; SD=3.7; range: 4-17) who were victims of sexual abuse. Results illustrated that age played an important role in establishing narrative coherence and predicted the level of orientation, the sequence of events and the level of evaluation of the event. Instead, PTSD was related to narrative coherence and cohesion...
November 2017: Child Abuse & Neglect
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