PTSS Post-traumatic stress disorder / Childhood traumas
Conditions
Interventions
Regular interventions from protocol operations that are in use in Mental Health
Care institutions but have as yet not been researched in RCT.
Sponsors
Parnassia Bavo Groep (Den Haag)
Eligibility
Age
18 Years to 99 Years
Inclusion criteria
Inclusion criteria: 1. Principal Diagnosis PTSD according to DSM-IV criteria. 2. Comorbid disorder on axis I and axis II 3. Interpersonal abuse (sexual, physical or mental abuse) within the primary support group in childhood before age 16. Age difference with the perpetrator is at least 5 years.
Exclusion criteria
Exclusion criteria: 1. Psychosis, severe depression with suicidal behavior, dissociative identity disorder, mental retardation. 2. On axis IV: no fixed residence, major financial problems, no aid figure, problems with police and law, current abuse, continuous abuse. 3. Medication (SSRIs) should be set before joining the trial. Preferably no use of benzodiazepines. No interim medication change.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Self report questionnaires: The non-fear emotions guilt, shame, anger and sorrow will be constructed to 4 composite measures that will serve as the primary outcome measures. * Anger Expression Scale (AEQ) * Self-expression and control questionnaire (ZECV) * State-Trait Anger Inventory (ZAV) * Guilt scale Kubany (translated version see annex) * Shame scale Smucker (translated version see annex) * Grief (Poms, Lobbestael) | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary outcomes * PDS: Severity and frequency of PTSD is measured with the Dutch version of the PSS-SR (Foa, Riggs, Dancu, & Rothbaum, 1993; Arntz, 1993). This contains 17 items that correspond to the DSM IV PTSD symptoms, each rated on a 0-3 point scale. * Dutch translation of the Clinician-Administered PTSD Scale (CAPS-DX) * PTCI: Dysfunctional trauma-related cognitions measured by the Posttraumatic Cognitions Inventory (Foa, Ehlers, Clark, Tolin & Orsillo, 1999, Van Emmerik, Schoorl, Kamphuis & Emmelkamp, 2006) * Symptom BSI (The Fair) * Difficulties in Emotion Regulation Scale (MANAGERS) translated version (Gratz and Roemer, 2004). * SMI mode List (web version) * Self-image (Self-Ideal Discrepancy) (MSGO-revised, W. Van Beek, 2009) Assessment of emotion activation, dissociation and habituation per session: * SUD scores: are determined every 10 minutes during the session * Dissociation rating scale at the beginning and end of the session * PDS * Emotion Scale: per emotion a 10 point scale * Predictors: * Dissociation trait (DIS-Q): Vanderlinden, van Dyck, Vandereycken, Vertommen * 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 possible responses during an experience in which patients were persuaded or forced into unwanted sexual activity without consent. * HVR (heart rate variability) * Personality disorders SCID-2 * Questionnaire for the therapeutic relationship: Working Alliance Inventory, patient version (WAI-P), therapists version (WAI-T) | — |
Countries
Netherlands
Outcome results
None listed