European Journal of Trauma & Dissociation最新文献

{"title":"Thérapie EMDR avant TSPT L'intérêt de traiter le Trouble Stress Aigu d'un événement récent","authors":"Desbiendras Nicolas","doi":"10.1016/j.ejtd.2024.100385","DOIUrl":"10.1016/j.ejtd.2024.100385","url":null,"abstract":"<div><p>Cet article est une recherche clinique basée sur notre pratique. Cette étude a examiné la possibilité de prendre en charge précocement en thérapie EMDR des patients ayant vécu des traumatismes. La thérapie EMDR (Eyes Movement Desensibilisation and Reprocessing) est une thérapie d'intégration neuro-émotionnelle par les mouvements oculaires pour traiter les traumatismes. L'objectif de cette étude est de voir si une prise en charge spécialisée précoce peut prévenir l'apparition du Trouble de Stress Post Traumatique (TSPT). Tous les patients (<em>N</em> = 31) ont été pris en charge quelques jours à quelques semaines après avoir vécu un événement traumatique. Ils ont été évalués avant et après thérapie avec un PCL-5. Les résultats montrent que 96.8 % des patients n'ont pas développé de TSPT et que pour 77.4 % des patients, 5 séances ou moins ont suffi avec une moyenne de 4.29 séances et un écart type de 2.08. La thérapie EMDR est recommandée pour la prise en charge du TSPT mais rien n'est jusqu’à maintenant précisé pour la prise en charge du Trouble Stress Aigu (TSA). Les éléments de cette étude nous permettent d'avancer que la thérapie EMDR serait une piste pour traiter de manière précoce les patients et prévenir l'apparition du TSPT.</p></div>","PeriodicalId":29932,"journal":{"name":"European Journal of Trauma & Dissociation","volume":"8 1","pages":"Article 100385"},"PeriodicalIF":2.1,"publicationDate":"2024-01-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139634419","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Validation of the Global Psychotrauma Screen for adolescents in Greece","authors":"Ioanna Koutsopoulou ,&nbsp;Emma Grace ,&nbsp;Evgenia Gkintoni ,&nbsp;Miranda Olff","doi":"10.1016/j.ejtd.2024.100384","DOIUrl":"10.1016/j.ejtd.2024.100384","url":null,"abstract":"<div><h3>Introduction</h3><p>Adolescents are vulnerable to traumatic exposure. However, there is a lack of developmentally appropriate, freely accessible, transdiagnostic screening instruments for trauma in adolescents. The purpose of this study was to examine the psychometric<span> potential of the Global Psychotrauma Screen Teen version (GPS-T) for the assessment of traumatic, dissociative, and other transdiagnostic symptoms among adolescents in Greece.</span></p></div><div><h3>Method</h3><p>This observational study was conducted with adolescents in Greece (<em>N</em> = 122) who completed a 55-item questionnaire.</p></div><div><h3>Results</h3><p><span>The results supported satisfactory internal consistency reliability, convergent validity, and divergent validity of the GPS-T. The construct validity findings suggested a three-factor structure of the GPS-T symptoms. The GPS-T domains had acceptable sensitivity and specificity with the cut-off scores of 3 for </span>PTSD and 2 for the dissociation, anxiety, and depression domains respectively. The GPS-T symptoms differed on four levels of severity.</p></div><div><h3>Conclusion</h3><p>The findings suggest that the GPS-T is appropriate for screening of traumatic, dissociative, and other transdiagnostic symptoms among adolescents in Greece. Future research should conduct a replication with larger samples and a test-retest phase.</p></div>","PeriodicalId":29932,"journal":{"name":"European Journal of Trauma & Dissociation","volume":"8 1","pages":"Article 100384"},"PeriodicalIF":2.1,"publicationDate":"2024-01-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139540690","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Investigating the schema modes in individuals with traumatic experiences through the lens of object relations model: A narrative review","authors":"Amos En Zhe Lian,&nbsp;Shubashini Mathialagan","doi":"10.1016/j.ejtd.2024.100380","DOIUrl":"https://doi.org/10.1016/j.ejtd.2024.100380","url":null,"abstract":"<div><h3>Background</h3><p>Young et al. (2003) proposed a theoretical concept, known as the schema modes, which suggests that past trauma could form maladaptive emotional states and the behavioural coping responses that are triggered by the activation of traumatic memory<span> (Johnston et al., 2009). Thus, the schema modes theory could be a suitable trauma theory for measuring the impacts of traumatic experiences on traumatised individuals. Currently, there are 14 types of schema modes.</span></p></div><div><h3>Methods</h3><p>This narrative review examined five studies that were published from 2003 to 2023, which investigated the types of schema modes in the population who has been traumatised. The review excluded any study that did not specify the types of schema modes or did not measure the traumatic experience based on the definition set up by DSM-5.</p></div><div><h3>Results</h3><p>The review identified four schema modes (a) Detached Protector, (b) Vulnerable Child, (c) Angry Child, and (d) Punitive Parent. Thus, these four schema modes are the common object-relations units that individuals developed after they experienced a traumatic event.</p></div><div><h3>Conclusions</h3><p>The current review employed the object-relations psychoanalytic model to analyse the identified schema modes and their relations to traumatic experiences. The study also provided some clinical guidance on working with these schema modes.</p></div>","PeriodicalId":29932,"journal":{"name":"European Journal of Trauma & Dissociation","volume":"8 1","pages":"Article 100380"},"PeriodicalIF":2.1,"publicationDate":"2024-01-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139480231","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Mental health screening in refugees communities: Ukrainian refugees and their post-traumatic stress disorder specificities","authors":"Sandra Figueiredo ,&nbsp;Allison Dierks ,&nbsp;Rui Ferreira","doi":"10.1016/j.ejtd.2024.100382","DOIUrl":"10.1016/j.ejtd.2024.100382","url":null,"abstract":"<div><p>Post-Traumatic Stress Disorder (PTSD) symptoms are often consequences of war conflicts that generate trauma in people, resulting from the loss of family, home and belonging. It is associated with the forced migration and lack of structured facilities or health professionals in the hosting country, as a result of varying degrees of clinical assessment and sociocultural intervention. To evaluate the lack of resources for refugees from Ukraine, as well for clinical and research purposes, this study examined the validity and psychometric properties of one Ukrainian adapted version of the PCL-5 (Check-List for PTSD) and the convergent validity for the four factor model of DSM-5 for PTSD. Varying reactions to war events and war zone characterization are among the variables expected to produce PTSD group differences in these refugees. Thus, PTSD was investigated in 77 Ukrainian refugees, who had resided in Portugal for a minimum of four weeks, and who answered the 20-item PCL-5 scored on a Likert scale. The PCL-5 revealed satisfactory convergent validity overall, and in the clusters of the four factor model, based on the DSM-5. Additionally, the role of the participants’ age, sex, education level, time of residence in the host country, and the average income before the russo-ukrainian war was evaluated. 34 of 77 met the criteria for PTSD with a good fit for the four factor model (as the original of DSM-5 for PTSD) after the Confirmatory Factorial Analysis (CFA) was conducted. Mediating factors found for PTSD: female, young adults, high-income in Ukraine, low level of education, married, solo migration. Further investigation into factor modeling and clinical practice are discussed.</p></div>","PeriodicalId":29932,"journal":{"name":"European Journal of Trauma & Dissociation","volume":"8 1","pages":"Article 100382"},"PeriodicalIF":2.1,"publicationDate":"2024-01-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2468749924000061/pdfft?md5=ff56d4deda1030f541c95fea7ed90e71&pid=1-s2.0-S2468749924000061-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139457270","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Evaluation of an online pilot ‘Complex trauma stabilisation’ group intervention in an adult mental health service","authors":"Ilana Foreman ,&nbsp;Aimee Shipp ,&nbsp;Melanie Staley ,&nbsp;Catherine Ford","doi":"10.1016/j.ejtd.2024.100383","DOIUrl":"10.1016/j.ejtd.2024.100383","url":null,"abstract":"<div><h3>Background</h3><p>Complex-PTSD causes distressing symptoms. NICE guidelines recommend a phased treatment approach, but there are often gaps within services providing psychological treatments for CPTSD. A pilot service in East Anglia aimed to fill gaps in current service provision. An online CPTSD group intervention was developed, focusing on phase one of trauma treatment: stabilisation.</p></div><div><h3>Aim</h3><p>This project aimed to evaluate the pilot online CPTSD stabilisation group intervention by exploring if group attendance was associated with changes in CPTSD symptoms, and to explore participant experiences.</p></div><div><h3>Method</h3><p>Participants attended a 12-session, two-hour, weekly group programme, held online via MS Teams. Three additional individual sessions were offered before, during and after the group. Sixty-six participants completed the programme; of whom 40 completed four pre-post outcome measures (DERS, PTCI, TMQQ, ITQ), and 25 completed an anonymous feedback survey.</p></div><div><h3>Results</h3><p>Paired <em>t</em>-tests comparing pre-post measure scores showed statistically significant differences across all measures, with medium effect sizes. Lower scores were seen after group completion, indicating the group was associated with reduced CPTSD symptoms. Participant feedback indicated most participants (83 %) expressed a preference for online delivery and 68 % found the intervention beneficial.</p></div><div><h3>Conclusions &amp; implications</h3><p>Attendance of the pilot online CPTSD stabilisation group intervention was associated with symptom reduction and positive feedback. This appears to be the first online, mixed-gender CPTSD stabilisation group evaluation. Ultimately results are promising, though suggest further research is warranted to establish if such groups would provide an effective treatment for CTPSD and help reduce NHS waitlists. Service recommendations are discussed.</p></div>","PeriodicalId":29932,"journal":{"name":"European Journal of Trauma & Dissociation","volume":"8 1","pages":"Article 100383"},"PeriodicalIF":2.1,"publicationDate":"2024-01-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2468749924000073/pdfft?md5=bee42a51a25b9bcf466c2f5a8c606d55&pid=1-s2.0-S2468749924000073-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139457667","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"L'expérience subjective des femmes de diverses origines ethniques victimes d'agressions sexuelles intrafamiliales pendant l'enfance: Deux études de cas","authors":"Tanni Datta ,&nbsp;Miguel M. Terradas","doi":"10.1016/j.ejtd.2024.100377","DOIUrl":"10.1016/j.ejtd.2024.100377","url":null,"abstract":"<div><h3>Introduction</h3><p>Child sexual abuse (under 18 years old) in women is a widespread problem in all communities, with many serious consequences. Although there are several studies concerning victims of sexual assault, few focuses on their experiences by taking ethnocultural aspects into account. Moreover, although internal attribution is common among victims, i.e., feelings of guilt and shame, few studies explore this aspect in victims from different ethno-cultural backgrounds. However, specific values in different cultures can influence the emotions victims feel and, thus their experiences.</p></div><div><h3>Objective</h3><p>This article aims to explore the experiences of victims of intrafamilial child sexual abuse from different ethno-cultural backgrounds.</p></div><div><h3>Method</h3><p>Two case studies were carried out. Data were collected through individual semi-structured interviews with two women from different ethnocultural backgrounds who were victims of intrafamilial child sexual abuse.</p></div><div><h3>Results</h3><p>The results reveal some similarities between the experiences of these two volunteers, despite their diverse backgrounds, notably concerning the relationship with their mother, gender roles, cultural differences, identity issues, sexuality, feelings of shame and guilt, and consequences of sexual assault.</p></div><div><h3>Conclusion</h3><p>This study highlights the importance of conducting more research on the subject to understand their experiences better. This will enable us to assess their needs better and provide appropriate support.</p></div>","PeriodicalId":29932,"journal":{"name":"European Journal of Trauma & Dissociation","volume":"8 1","pages":"Article 100377"},"PeriodicalIF":2.1,"publicationDate":"2024-01-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2468749924000012/pdfft?md5=759719e505d2c2b5c2e020bbd4a9963e&pid=1-s2.0-S2468749924000012-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139454511","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Social work service needs of persons with complex dissociative disorders","authors":"Hong Wang Fung ,&nbsp;Colin A. Ross","doi":"10.1016/j.ejtd.2024.100379","DOIUrl":"10.1016/j.ejtd.2024.100379","url":null,"abstract":"<div><p>The body of knowledge regarding the social work service needs of persons with complex dissociative disorders<span> (DDs) remains seriously limited. This paper presents two case reports of young women with a complex DD to illustrate the opportunities for social work intervention to improve quality of life outcomes. This study is the first to explore the social work service needs of persons with complex DDs. It is also the second paper in the literature to present a case report of persons with complex DDs from Hong Kong. Aspects of their social work service needs are discussed, including symptom management and social and interpersonal issues. We argue that even generalist social work practitioners can play an important role in supporting persons with complex DDs, especially when there is a lack of specialized treatment providers. A series of recommendations are made to educate social work professionals about trauma and dissociation. Persons with complex DDs should receive more attention from social work practitioners and researchers given the prevalence and costs of the disorders in the community.</span></p></div>","PeriodicalId":29932,"journal":{"name":"European Journal of Trauma & Dissociation","volume":"8 1","pages":"Article 100379"},"PeriodicalIF":2.1,"publicationDate":"2024-01-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139455331","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Posttraumatic Stress Disorder (PTSD), psychological flexibility and psychological adjustment problems: Turkish validation of the PTSD checklist for short form DSM‐5 (PCL‐5-S)","authors":"Murat Yıldırım ,&nbsp;Serkan Cengiz ,&nbsp;Izaddin Ahmad Aziz ,&nbsp;Arash Ziapour ,&nbsp;Mehmet Emin Turan","doi":"10.1016/j.ejtd.2024.100381","DOIUrl":"https://doi.org/10.1016/j.ejtd.2024.100381","url":null,"abstract":"<div><p><span>Despite the existence of abbreviated versions of the Posttraumatic Stress Disorder (PTSD) Checklist (PCL-5), the lack of evidence regarding the validation of this measure has become a limitation in research. This study examined the Turkish validation of the PCL-5, which is a recently developed measure of an optimal short‐form of the PTSD Checklist for DSM‐5. Also, the study aimed to investigate how psychological flexibility mediates the association between PTSD and psychological adjustment problems. This cross-sectional study consisted of 568 young adults (50.5 % males) aged between 18 and 60 years (</span><em>M</em> = 27.92, SD = 9.26). The results indicated that the PCL-5-S had good internal consistency reliability and high construct validity. The findings also revealed that PTSD was negatively associated with psychological flexibility and positively associated with psychological adjustment problems. Additionally, psychological flexibility was negatively associated with psychological adjustment problems. Furthermore, mediation findings showed that psychological flexibility partially mediated the association between PTSD and psychological adjustment problems. These findings suggest that the PCL-5-S is a valid and reliable instrument for assessing the presence of PTSD symptoms in Turkish populations. Furthermore, intervention programs targeting psychological flexibility could be developed to reduce the symptoms of psychological maladjustment problems by addressing PTSD symptoms.</p></div>","PeriodicalId":29932,"journal":{"name":"European Journal of Trauma & Dissociation","volume":"8 1","pages":"Article 100381"},"PeriodicalIF":2.1,"publicationDate":"2024-01-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139406065","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Forecasts regarding mental disorders in people in the post-war period","authors":"Liana Spytska","doi":"10.1016/j.ejtd.2024.100378","DOIUrl":"10.1016/j.ejtd.2024.100378","url":null,"abstract":"<div><h3>Background</h3><p>In connection with the onset of difficult times associated with the war, Ukrainians are exposed to traumatic factors for mental health. The research is relevant in connection with the real threat to the mental state of the population in the long term, because this type of disease can be in a latent phase for a long time.</p></div><div><h3>Objective</h3><p>The purpose of the study is to record the specifics of the impact of the war on the psyche of Ukrainian citizens, which also includes the hypothetical post-war situation in the country.</p></div><div><h3>Methods</h3><p>The method of typological analysis identified six main mental disorders that can be caused by war. As an analysis of the current situation in the country, an appropriate psychodiagnostic technique was selected for each disorder. To predict the future situation in the post-war period, a comparison method was used, based on recording the experience of countries that have passed the stage of ending the conflict.</p></div><div><h3>Results</h3><p>It was found that approximately half of the interviewees have signs of post-traumatic stress disorder (PTSD), adjustment disorder, depression, anxiety disorders, and somatoform disorders. But signs of dependence on psychoactive substances were observed in about a quarter of those surveyed. Women were more prone to PTSD, anxiety and somatoform disorders, and men to addiction to psychoactive substances. Risk factors that may cause further complication of the situation with mental illnesses in post-war Ukraine were highlighted.</p></div><div><h3>Conclusion</h3><p>The results of the study are relevant for state and non-state organizations related to activities aimed at psychological or psychiatric assistance to the population.</p></div>","PeriodicalId":29932,"journal":{"name":"European Journal of Trauma & Dissociation","volume":"8 1","pages":"Article 100378"},"PeriodicalIF":2.1,"publicationDate":"2024-01-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139457665","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Interpersonal trauma and discharge symptom severity among individuals with psychotic disorders: A population-based cohort study in Ontario","authors":"Tina Behdinan ,&nbsp;Simon Chen ,&nbsp;Evgenia Gatov ,&nbsp;Maria Chiu ,&nbsp;Natasha Saunders ,&nbsp;Michael Lebenbaum ,&nbsp;Paul Kurdyak ,&nbsp;Simone N. Vigod","doi":"10.1016/j.ejtd.2023.100375","DOIUrl":"https://doi.org/10.1016/j.ejtd.2023.100375","url":null,"abstract":"<div><p>Interpersonal trauma is associated with poorer prognoses for individuals with psychotic disorders; however, its association with symptom severity at hospital discharge is unknown. Among 57,106 individuals hospitalized for a psychotic disorder in Ontario, Canada (2009–2019), 12,805 (22.4 %) with and 44,301 (77.6 %) without a history of interpersonal trauma were compared on the positive symptom scale (PSS) score at discharge. In a subcohort of individuals with an elevated PSS score of at least 6 on admission, we calculated the relative risk of positive symptom remission (PSS&lt;6) at discharge comparing those with and without interpersonal trauma. Interpersonal trauma was associated with a higher PSS discharge score. Effect sizes were greater for those with who experienced interpersonal trauma in the past year. Results were similar by type of trauma (physical, sexual, emotional) and specific diagnosis (schizophrenia, schizoaffective disorder, other psychotic disorder). In the subcohort, fewer inpatients with vs. without a history of interpersonal trauma had PSS&lt;6 at discharge. Thus, individuals with psychotic disorders who have a history of interpersonal trauma are at risk for elevated symptom burden at hospital discharge. Integration of trauma-informed frameworks and trauma-focused therapies in the inpatient psychiatric setting may optimize outcomes at discharge.</p></div>","PeriodicalId":29932,"journal":{"name":"European Journal of Trauma & Dissociation","volume":"8 1","pages":"Article 100375"},"PeriodicalIF":2.1,"publicationDate":"2023-12-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138739032","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}