Posttraumatic Stress Disorder
Conditions
Interventions
Standard protocol interventions called Imaginal Exposure and Imaginairy
Rescripting already been used in mental health care but for this special
group PTSS patients not studied in RCTs
Sponsors
Psychotherapy & Movement BV
Eligibility
Age
18 Years to 99 Years
Inclusion criteria
Inclusion criteria: 1. Meeting DSM-IV criteria for PTSD 2. Comorbidity with depression, anxiety disorder, ADHD, dissociative disorder, reactive psychotic disorder, alcohol/drugs consumption, borderline personality disorder and cluster C personality disorder are included. 3. Having experienced repeated or chronic interpersonal trauma before age of 16 (e.g. sexual, fysical or emotional abuse) by one or more perpetrators for example (foster), (step) parents, elder brother, sister, uncle.,aunt, nephew, niece, friend of parents, someone from the neigbourhood, school , sport, institution , church and give minimal two examples. Age difference is 5 years with the perpetrator. 4. At least 18 years of age till 85 years old. 5. Having sufficient fluency in Dutch to complete treatment and research protocol 6. Participants using prescribed anti-depressed medication are required to be a stable dose for at least 3 months before the beginning of the treatment and remain on this dose throughout the treatment. The same applies for benzodiazepinens with a maximum of 30 mg equivalents. 7.Signed informed consent
Exclusion criteria
Exclusion criteria: 1. Other treatments for one or more psychiatric disorders 2. Schizofrenia, active suicidality, dissociative identity disorder, mentally retarded 3. No fixed residence, major financial problems, , no aid figure, problems with justitice and law, current sexual en fysical abuse 4. Use of other psychofarmaca than SSRI's or start with medication within the study 5. Don't speak Dutch well enough.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Primary outcome measure: PTSD symptoms: * PDS (self-report): Severity of PTSD is measured by the Dutch version of the PDS (Foa, Riggs, Dancu, & Rothbaum, 1993; Arntz, 1993) contains 17 items that correspond to the DSM-IV PTSD symptoms, each rated on a 0 - 3-point scale. | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary outcomes : * Clinical Interview PTSD : Dutch translation of the Clinician - Administered PTSD Scale ( CAPS - DX , KIP ) in an interview ( conducted by a research assistant who is blind to the condition ) measuring severity of PTSD symptoms , contains 30 items , each rated at a 0-4 scale. Self-report questionnaires : * Anger Expression Scale ( AEQ ) : it measures how one behaves in general, when one is angry , 40 items , range 1-4 * State-Trait Anger Inventory ( ZAV ) : Measuring severity of anger : state and trait ; 20 items , range 1-4 * Guilt scale Kubany ( translated version ) , degree of guilt , 40 items , range 1-5 ( where non - extreme value ) * Shame scale Smucker ( translated version ) : degree of shame , 32 items , range 1-5 ( completely true - completely false) Other symptoms that occur in PTSD occur in childhood : * Complaints List ( Brief Symptom Inventory ( BSI ) , the Stock Exchange ) is a multi -dimensional list of complaints that represents the extent to which surveyed suffered from mental and / or physical symptoms during the past period , a score also the total number of complaints , symptoms total available and the severity of the symptoms present , nine subscales ( SOM , COG , INT, DEP , ANG , HOS , FOB , PAR , PSY ) , 53 items , range 0-4 (not at all to very much) . * Depression ( BDI - II ) ( Beck ) : severity of depression , 21 items , range 0-3 . * Difficulties in Emotion Regulation Scale ( DERS ) , translated version ( Gratz and Roemer , 2004) , measurement problems with emotion regulation , 21 items , range 1-5 . * PTCI : Dysfunctional trauma-related cognitions are measured by the Posttraumatic Cognitions Inventory ( Foa , Ehlers , Clark , Tolin & Orsillo , 1999, from Emmerich , Schoorl , Emmelkamp & Kamphuis , 2006) 36 items , range 1-7 * Self-image Rosenberg , measuring self-esteem, 20 items , range 1-4 Predictors : * Dissociation trait ( DIS - Q ) : Vanderlinden - of - Dyck Vertommen - Vandereyc | — |
Countries
Netherlands
Outcome results
None listed