Prognostic value of a two-dimensional trauma-neglect model: Two-year course of the Dutch Friesland study cohort

IF 1.5 4区医学 Q2 PSYCHIATRY

European Journal of Psychiatry Pub Date : 2025-01-22 DOI:10.1016/j.ejpsy.2025.100291

Sanne Swart , Marleen Wildschut , Willemien Langeland , Adriaan W. Hoogendoorn , Nel Draijer

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引用次数: 0

Abstract

Background and objectives

This study tested the prognostic value of a two-dimensional trauma-neglect model by determining clinically relevant change in symptomatology of patients with (comorbid) trauma-related disorders, dissociative disorders and personality disorders after 2-year follow-up

Methods

Our cohort consisted of 150 patients who were referred to specialized treatment programs for trauma-related disorders, dissociative disorders or personality disorders. We determined clinically relevant change using the Relevant Change Index and used logistic regression analysis to test the prognostic value of the trauma-neglect model.

Results

Our results showed that severity of a trauma-related diagnosis predicted clinically relevant change in dissociative symptoms, but not in other symptomatology. The number of personality disorders did not predict clinically relevant change in symptomatology.

Conclusions

We found little support for the prognostic value of the trauma-neglect model, and, contrary to our expectation, the severity of symptoms did not predict course in a negative way.

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二维创伤忽视模型的预后价值：荷兰弗里斯兰研究队列的两年课程

背景与目的本研究通过确定（共病）创伤相关障碍、解离性障碍和人格障碍患者的临床相关症状变化，检验二维创伤-忽视模型的预后价值。方法我们的队列包括150名接受创伤相关障碍、解离性障碍或人格障碍专科治疗的患者。我们使用相关变化指数来确定临床相关变化，并使用逻辑回归分析来检验创伤忽视模型的预后价值。结果创伤相关诊断的严重程度可以预测分离症状的临床相关变化，但不能预测其他症状。人格障碍的数量不能预测临床相关症状的改变。结论：我们发现创伤-忽视模型的预后价值很少得到支持，而且与我们的预期相反，症状的严重程度并没有以消极的方式预测病程。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

European Journal of Psychiatry PSYCHIATRY-

CiteScore

2.90

自引率

0.00%

发文量

审稿时长

43 days

期刊介绍： The European journal of psychiatry is a quarterly publication founded in 1986 and directed by Professor Seva until his death in 2004. It was originally intended to report “the scientific activity of European psychiatrists” and “to bring about a greater degree of communication” among them. However, “since scientific knowledge has no geographical or cultural boundaries, is open to contributions from all over the world”. These principles are maintained in the new stage of the journal, now expanded with the help of an American editor.