Sanne Swart , Marleen Wildschut , Willemien Langeland , Adriaan W. Hoogendoorn , Nel Draijer
{"title":"Prognostic value of a two-dimensional trauma-neglect model: Two-year course of the Dutch Friesland study cohort","authors":"Sanne Swart , Marleen Wildschut , Willemien Langeland , Adriaan W. Hoogendoorn , Nel Draijer","doi":"10.1016/j.ejpsy.2025.100291","DOIUrl":null,"url":null,"abstract":"<div><h3>Background and objectives</h3><div>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</div></div><div><h3>Methods</h3><div>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.</div></div><div><h3>Results</h3><div>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.</div></div><div><h3>Conclusions</h3><div>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.</div></div>","PeriodicalId":12045,"journal":{"name":"European Journal of Psychiatry","volume":"39 3","pages":"Article 100291"},"PeriodicalIF":2.5000,"publicationDate":"2025-01-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"European Journal of Psychiatry","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S0213616325000023","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"PSYCHIATRY","Score":null,"Total":0}
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.
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.