physical abuse, sexual abuse, PTSD, Narrative Exposure Therapy (NET), severe mental illness (SMI) Flexible Assertive Community Treatment (FACT), intervention study, indepht interviews, repeated measures, mixed methods Lichamelijke mishandeling, seksueel geweld, PTSS, Narratieve Exposure Therapie (NET), Ernstige Psychische Aandoeningen (EPA), FACT, diepte interviews, herhaalde metingen, gemengde methoden
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Adult SMI patients with one of the following primary diagnoses: schizophrenia, schizo-affective, bipolar, or major depressive disorder(verified by M.I.N.I. plus) or personality disorder (verified with SCID-II) and 2. a history of repeated interpersonal trauma (emotional, physical and/or sexual abuse) according LEC-5 and 3. comorbid PTSD according CAPS-5 and 4. a GAF-score two years and 5. receiving FACT
Exclusion criteria
Exclusion criteria: (1) a high suicidality score on the M.I.N.I.-plus and/or a recent suicide attempt; (2) a current manic period; (3) the existence of dissociative identity disorder; (4) the existence of a antisocial personality disorder, (5) severe alcohol or drug dependence (likely to interfere with attendance as assessed by the M.I.N.I-plus and routine outcome monitoring); (6) severe intellectual impairment (estimated IQ < 70) or; (7) insufficient competency in the Dutch language , (8) The provision of other trauma focused treatment in the past year, and (9) the provision of involuntary treatment following Mental Health Law.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Quantitative outcomes: 1a) existence and 1b) severity of dissociative symptoms (DES); 2a) existence and 2b) severity of PTSD (CAPS-5); Qualitative outcomes: Participants’ experiences with NET, perceived influencing factors for success or failure of NET. Sensitizing concepts are: experiences with NET during treatment and in daily life, experienced changes in symptoms, care needs, quality of life, daily life functioning, and possible influencing factors for success or failure. | — |
Secondary
| Measure | Time frame |
|---|---|
| Quantitative outcomes: 3) care needs (CAN); 4) psychiatric symptoms (HoNOS); 5) Quality of life (MANSA); and 6) care consumption. | — |
Contacts
GGNet, poli complex trauma,