posttraumatic stress disorder PTSD
Conditions
Interventions
Dialectical behavioural therapy + prolonged exposure (DBT-PE): our clinical
DBT-PE program is very similar to the treatment program in Mannheim. Our team
has been fully trained in all details of the
in addition to individual trauma
therapy there are numerous group modules that are targeted at increasing the
general coping skills of the participants. The program allows for a total of 25
individ
Sponsors
GGZ Friesland (Leeuwarden)
Eligibility
Age
18 Years to 99 Years
Inclusion criteria
Inclusion criteria: Inclusion criteria are: (1) age 18-65 years old; (2) meeting the DSM-IV-defined diagnosis criteria of PTSD related to childhood abuse before the age of 18; (3) meeting the diagnostic criteria for at least one of the following conditions: eating disorder, major depressive disorder, substance abuse, or meeting *4 DSM-IV criteria for borderline personality disorder.
Exclusion criteria
Exclusion criteria: Exclusion criteria for this research are a lifetime diagnosis of schizophrenia, the presence of psychotic symptoms, substance dependence, a body-mass-index * 17, antisocial personality disorder, intellectual disability defined by an IQ
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| KIP * Klinisch Interview PTSS/ CAPS - Clinical Administered PTSD Scale We will use the Dutch version of the CAPS to measure the presence and severity of PTSD. The CAPS is a semi-structured interview and consists of 30 items concerning the frequency and severity of the PTSD Symptoms, associated features and information about the onset and duration of the symptoms. The Dutch version of de CAPS is called the KIP: Clinical Interview for PTSD. The KIP has a good validity and a high interrater reliability, and is considered to be the gold standard diagnosing PTSD. The KIP will be administered at T0, T1 and T2. It will take about 90 minutes for the interview. DTS - Davidson Trauma Scale The Dutch version of the Davidson Trauma Scale will also be used to measure the presence and severity of PTSD. It is a 17-item self-report measure that assesses the 17 DSM IV symptoms of PTSD. Items are rated on a 5-point frequency (not at all - every day) and severity scale (not at all distressing - extremely stressing). Scores can also be calculated for each of the 3 PTSD symptom clusters (National Center for PTSD). The scale demonstrated good test*retest reliability and internal consistency. Concurrent validity was obtained against the SCID. Good convergent and divergent validity was obtained. The DTS showed predictive validity for response to treatment, as well as being sensitive to treatment effects The DTS will be administered at T0, T1 and T2. It takes about 10 minutes filling in the questionnaire at a computer. | — |
Secondary
| Measure | Time frame |
|---|---|
| SCID I * Structured Clinical Interview for DSM-IV Axis I Disorders The SCID I will be used to diagnose axis I disorders. It is a semi structured interview existing of 10 modules, representing axis I disorders, of which each symptom can be scored with 1 till 3, or a *?* if it is unclear whether the symptom is present. The interrater reliability is satisfying, provided that the interviewers are trained. The SCID I will be administered at T0. The interview takes about 60-90 minutes. SCID-II - Structured Clinical Interview for DSM-IV axis II Personality Disorders Part of the SCID-II will be used to diagnose borderline personality disorder (BPD). The SCID-II is a semi-structured DSM IV-based interview, examining the presence of personality disorders. We will only use the part concerning BPD. The SCID-II will be administered at T0 to differentiate between patients with or without BPD. It will take about 10-30 minutes, depending on the presence of BPD-criteria. BPDSI * Borderline Personality Disorder Severity Interview Bohus et al. (2013) used the Borderline Symptom List in their study, a self-report measuring borderline symptoms. There is no Dutch version and no comparable questionnaire with good psychometric data available in Netherlands. Therefore we choose to use the BPDSI, a tool to determine the severity of borderline personality disorder. The dimensional total score gives an indication of the frequency and nature of the borderline symptoms during a defined period. The reliability (0.93), and internal consistency (Cronbach's alpha = 0.85) are good, concurrent and construct validity are excellent. The BPDSI will be administered at T0, T1 and T2 only in the group that scored positive with the SCID-II in the presence of BPD. The interview takes about 90 minutes. This interview is suitable to measure changes in borderline symptomatology. Because the internal consistency of the subscales is good, we can use the subscale *parasuicidal* to score | — |
Countries
Netherlands
Outcome results
None listed