The research aims to 2 new forms of treatment for patients with comorbid PTSD as a result of multiple and repeated abuse in childhood to assess and compare Imaginary Exposure. The expectation is that these new forms of treatment will lead to a better end-state functioning, less dropout and a higher valuation for feasibility of therapists. The expectation is that Body Focused Rescripting superior to Imaginary Rescripting. Hypotheses treatment study (1): Effects 1. We expect treatment effects on t
Conditions
Interventions
In this study the effectiveness of three treatments for chronic PTSD after interpersonal trauma in childhood will be investigated, namely (1) imaginal exposure (IE), (2) Imaginary Rescripting (ImRes)
Bradley, Greene, Russ, Dutra & West, 2005
Cloitre, 2009
Seidler & Wagner, 2006)
Sponsors
PSYQ Haaglanden
Carel Reinierszkade 197
2593 HR Den Haag
Nederland
Tel: 088 3573900
Email: psychotrauma-onderzoek@psyq.nl
Eligibility
Inclusion criteria
Inclusion criteria: PTSD patients from mainstream mental health. The sample consists of 156 patients with a primary diagnosis of PTSD and comorbid disorders reported to various treatment programs PsyQ Psychotrauma and Personality Problems The Hague, Rotterdam and Spijkenisse. The various Psychotrauma treatment programs are mainly patients with a primary diagnosis of PTSD, is also expected that around 50% of patients at intake to meet the inclusion criteria (total inflow Indoor 1, 5 years). Participants are victims of repeated or chronic interpersonal trauma in childhood (eg sexual or physical abuse) at an age younger than 16 years. Participants are 18 years or older.
Exclusion criteria
Exclusion criteria: 1. Psychiatric problems that may interfere with the study participation or that require more intensive care than can be offered in the present study , including dementia, psychotic symptoms, depression with suicidal ideation, full blown borderline personality disorder, substance dependence, dissociative identity disorder IV no fixed residence, major financial problems, no aid figure, problems with police and law, current abuse; 2. Current use of tranquillizers; 3. On as IV no fixed residence, major financial problems, no aid figure, problems with police and law, current abuse.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 1. Anger Expression Scale (AEQ); 2. State-Trait Anger Inventory (ZAV); 3. Guilt scale (Kubany); 4. Shame scale (Smucker); 5. Grief / consolation / happiness scale. | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Symptom levels/clinical problems typically associated with PTSD following early onset chronic interpersonal trauma, namely (a) the PTSD symptom severity , assessed with the Clincan-administerd PTSD scale (Caps; Blake et al., 1995) and the Post Traumatic Diagnostic Scale (PDS; Foa, Cahman, Jaycox & Perry, 1997)' 2. Symptom levels of Depression assessed with the Beck Depression Inventory (BDI II, Beck, Rush, Shaw & Emery, 1079); 3. Emotion Regulation Difficulties, assessed with the Difficulties in Emotion Regulation Scale (DERS; Gratz & Roemer,2004); 4. Self-image (Self-Ideal Discrepancy) (MSGO-Revised, W. Van Beek, 2009; 5. Brief Symptom Inventory (de Beurs)); 6. Variables shown to be involved in the maintenance of PTSD that be expected to be rreduced as a consequence of succesful teratment, namely: A. Negative trauma related appraisals, assesed with the Posttraumatic Cognitions Inventory ( PTCI: van Emmerik, Schoorl, Kamphuis & Emmelkamp, 2006); B. SMI modi List (web version). 7. Predictors: A. Dissociation trait (DIS-Q): Vanderlinden, Van Dyck, Vandereycken, Vertommen; B. Tonic immobility scale: Original version of Forsyth, Marx, Fuse, Heidt & Gallup, 2000, Dutch translation, Van Minnen & Hagenaars, 2009. 12 items on a 6 point scale with responses consistently possible an experience in which patients were unwanted persuaded or forced into sexual activity without consent. 8. HVR (heart rate variability); 9. Personality disorders SCID-II; 10. Questionnaire for the therapeutic relationship: Working Alliance Inventory, patient version (WAI-P); 11. Questionnaire for therapists: Working Alliance Inventory, therapists version (WAI-T). | — |
Contacts
Public ContactP.M. Jong, de
Outcome results
None listed