PTSD, Complex PTSS, child abuse, adverse childhood experiences
Conditions
Interventions
Skills Training in Affective and Interpersonal Regulation (STAIR-A):
In Phase I of the phase-based treatment we will use an adapted version of the Skills Training in Affective and Interpersonal Regul
Dutch version Bijen et al., 2017). The goals of this treatment are to address problems in affect and interpersonal regulation as they negatively impact on daily life, and to prepare the patient for th
Sponsors
ZonMw
Eligibility
Inclusion criteria
Inclusion criteria: 1. Meeting the criteria for PTSD, assessed with the Clinical-Administered PTSD Scale for Children and Adolescents (CAPS-CA) 2. Reporting a history of repeated physical and/or sexual abuse and/or domestic violence by a caretaker, family member, or person in authority 3. Availability of a non-offending adult caregiver for the treatment, as the inclusion of a caregiver is part of the treatment design 4. Motivation and ability of the patient and the caregiver to attend weekly treatment sessions 5. Safe living circumstances to minimize the risk of retraumatization during the study 6. Patients’ and caregivers’ have sufficient command of the Dutch language to participate in the treatment
Exclusion criteria
Exclusion criteria: 1. Acute suicidal behavior or suicidal ideations requiring immediate hospitalization 2. Severe head trauma indicated by a score <9 on the Glasgow Coma Scale [17] as known from the patient’s medical history, to avoid brain dysfunction or retrograde amnesia of the traumatic event due to head injury 3. Concurrent psychotherapy during the study 4. Current severe mental disorder in the patient’s main caregiver (as evaluated by the responsible clinician), such as psychosis, severe episode of depression, or severe substance abuse, to assure the ability of the caregiver to participate in the treatment 5. A sibling of the patient already participating in the study (to avoid the transference of treatment effects if siblings are randomized in different conditions) 6. Intellectual disabilities (IQ < 70)
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Severity of Post Traumatic Stress Disorder (PTSD) symptoms. | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary parameters include the presence of a PTSD diagnosis, severity of Complex PTSD symptoms and comorbid symptoms (i.e., anxiety, depression, general psychopathology), dissociation, health-related quality of life and drop out during treatment in both conditions. Parental stress. | — |
Contacts
Public ContactRik Knipschild
Outcome results
None listed