comorbide depressie en persoonlijkheidsproblematiek Posttraumatic stress disorder
Conditions
Interventions
Standard protocol interventions that have been in the mental health care but
not used in RCT investigated.
Sponsors
Parnassia Bavo Groep (Den Haag)
Eligibility
Age
18 Years to 99 Years
Inclusion criteria
Inclusion criteria: 1. Meeting DSM-IV criteria for PTSD 2. Having experienced repeated or chronic interpersonal trauma before age of 16 (e.g.sexual or fysical abuse) 3. At least 18 years of age 4. Having sufficient fluency in Dutch to complete treatment and research protocol 5. Participants using prescribed anti-depressant medication are required to be on a stable dose for at least 2 weeks before the beginning of the treatment and remain on this dose throughout the treatment.
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 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 |
|---|---|
| The main dependent variables are: The non-fear emotions, guilt, shame, anger and sadness to 4 composite measures constructed by the Primary outcome measures are. • Anger Expression Scale (AEQ) • State-Trait Anger Inventory (ZAV) • Guilt scale (Kubany) • Shame scale (Smucker) • Grief / consolation / happiness scale plus PTSD score en state trait anxiety inventory | — |
Secondary
| Measure | Time frame |
|---|---|
| Secundary study parameters are: (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) (b) Symptom levels of Depression assessed with the Beck Depression Inventory (BDI II, Beck, Rush, Shaw & Emery, 1079) (c) Emotion Regulation Difficulties, assessed with the Difficulties in Emotion Regulation Scale (DERS; Gratz & Roemer,2004)o (d) Self-image (Self-Ideal Discrepancy) (MSGO-Revised, W. Van Beek, 2009 (e) Brief Symptom Inventory (de Beurs)) (2) 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) (3) 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 responses consistently possible an experience in which patients were unwanted persuaded or forced into sexual activity without consent. • HVR (heart rate variability) • Personality disorders SCID-II • Questionnaire for the therapeutic relationship: Working Alliance Inventory, patient version (WAI-P) • Questionnaire for therapists: Working Alliance Inventory, therapists version (WAI-T) | — |
Countries
Netherlands
Outcome results
None listed