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Narrative Exposure Therapy for Posttraumatic Stress Disorder associated with repeated interpersonal trauma in patients with Severe Mental Illness: a mixed methods convergent design

Narrative Exposure Therapy for Posttraumatic Stress Disorder associated with repeated interpersonal trauma in patients with Severe Mental Illness: a mixed methods convergent design - NET for PTSD in SMI-patients

Status
Active, not recruiting
Phases
Unknown
Study type
Observational
Source
NL-OMON
Registry ID
NL-OMON42436
Enrollment
25
Registered
2015-12-28
Start date
2016-04-22
Completion date
Unknown
Last updated
2024-04-23

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

schizofrenie en andere psychotische stoornissen, bipolaire stoornis, depressie, persoonlijkheidsstoornis posttraumatic stress disorder (PTSD)

Interventions

None listed

Sponsors

Radboud Universitair Medisch Centrum
Lead Sponsor

Eligibility

Age
18 Years to 99 Years

Inclusion criteria

Inclusion criteria: (1) SMI outpatients who receive NET and have one of the following primary diagnoses: schizophrenia (295.90), schizoaffective disorder (295.70), bipolar disorder type I (296.40-46 or 296.50-56), type II (296.89), major depressive disorder (296.20-26 or 296.30-36) according to M.I.N.I.-plus or personality disorder (301.xx) according SCID-II, and each has a GAF-score = two years.

Exclusion criteria

Exclusion criteria: (1) The provision of other trauma focused treatment in the past year, (2) the existence of a antisocial personality disorder, (3) the existence of a dissociative disorder, or (4) the provision of involuntary treatment following Mental Health Law.

Design outcomes

Primary

MeasureTime frame
Quantitative parameters and outcomes: The existence of PTSD before and after providing NET according to CAPS-5 Changes in: severity of PTSD and dissociative symptoms after providing NET according to CAPS-5 and DES. Changes in: primary disorder symptoms according to HoNOS, care needs according to CAN, quality of life according to MANSA, and care consumption in minutes before, during, and after NET treatment (retrieved from the electronic record).

Secondary

MeasureTime frame
Qualitative parameters and outcomes: The semi-structured interview is based on a topic list and will focus on the experience of NET and its meaning for the participants. The interview also will pay attention to the effect of NET in terms of changes in: symptoms, daily functioning, care needs and perceived quality of life. Topic list: The themes are derived from the following sensitizing concepts: (1) experiences with NET, changes in: (2) symptoms, (3) care needs, (4) perceived quality of life, and (5) influencing factors and meaning. Experiences during NET • Therapeutic relationship • Lifeline • Narration • Exposure • Effects in daily life Symptoms before, during and after NET PTSD • Intrusion symptoms • Avoidance • Negative alterations in cognitions and mood • Alterations in arousal and reactivity • Depersonalization and derealisation (dissociative subtype) Existing SMI • Primary symptoms of psychotic, bipolar, depressive or personality disorder Changes in care needs • decreased care needs (which areas of life) • persisting care needs (which areas of life) Changes in quality of life • perceived quality of life (which aspects) • effects on daily life functioning Influencing factors and meaning • success • failure • significance for perceived daily life functioning • significance for meaningfulness

Countries

Netherlands

Outcome results

None listed

Source: NL-OMON (via WHO ICTRP)