Abstract:
:Background: A diagnosis of post-traumatic stress disorder (PTSD) requires the identification of one or more traumatic events, designated the index trauma, which serves as the basis for assessment of severity of PTSD. In patients who have experienced more than one traumatic event, severity may depend on the exact definition of the index trauma. Defining the index trauma as the worst single incident may result in PTSD severity scores that differ from what would be seen if the index trauma included multiple events. Objective: This study aimed to investigate the impact of the definition of the index trauma on PTSD baseline severity scores and treatment outcome. Method: A planned secondary analysis was performed on data from a subset (N = 58) of patients enrolled in a trial evaluating the efficacy of a 12 week residential dialectical behavioural therapy programme for PTSD related to childhood abuse (DBT-PTSD). Assessments of the severity of PTSD were conducted at admission, at the end of the 12 week treatment period, and at 6 and 12 weeks post-treatment, using the Clinician-Administered PTSD Scale. The index trauma was defined with respect to both the worst single incident and up to three qualitatively distinct traumatic events. Results: When the index trauma included multiple traumas, PTSD severity scores were significantly higher and improvements from pre- to post-treatment were significantly lower than when the index trauma was defined as the worst single incident. Conclusions: In patients with PTSD who have experienced multiple traumas, defining the index trauma as the worst single incident may miss some aspects of clinically relevant symptomatology, thereby leading to a possibly biased interpretation of treatment effects. In DBT-PTSD, treatment effects were lower when the index trauma included multiple traumatic events. More research is needed to determine the impact of the various index trauma definitions on the evaluation of other trauma-focused treatments. :Antecedentes: Para diagnosticar un trastorno de estrés postraumático (TEPT) se requiere la identificación de uno o más eventos traumáticos. La designación del trauma índice sirve para evaluar la severidad del TEPT. En pacientes que han experimentado más de un evento traumático, la severidad podría depender de la definición exacta que se le otorgue al trauma índice. Definir el trauma índice como el peor incidente podría resultar en puntajes de severidad diferentes a los obtenidos si el trauma índice incluyera o comprendiera eventos múltiples.Objetivo: Este estudio investiga el impacto de la definición del trauma índice sobre los puntajes de severidad basal de TEPT y los resultados del tratamiento.Método: Se realizó un análisis secundario planificado sobre los datos de una muestra (N = 58) de pacientes reclutados para un ensayo que evaluaba la eficacia de un programa residencial DBT-TEPT de 12 semanas para TEPT relacionado a abuso infantil. Se evaluó la severidad del TEPT usando la escala de TEPT Administrada por el clínico al inicio, al final del periodo de 12 semanas de tratamiento, y a las 6 y 12 semanas posteriores al tratamiento. El trauma índice se definió tanto para el peor incidente como para hasta tres eventos cualitativamente distintos.Resultados: Cuando el trauma índice incluye múltiples traumas, los puntajes de severidad de TEPT fueron significativamente más altos y la mejoría posterior al tratamiento fue significativamente más baja comparado a cuando el trauma índice era definido solamente con el peor incidente.Conclusiones: En pacientes con TEPT que han experimentado múltiples traumas, definir el trauma índice con el peor incidente puede pasar por alto algunos aspectos de la sintomatología clínicamente relevantes, conduciendo a posibles interpretaciones sesgadas de los efectos del tratamiento. En DBT-TEPT, los efectos del tratamiento fueron menores cuando el trauma índice incluyó eventos traumáticos múltiples. Se requiere mayor investigación para determinar el impacto de las diversas definiciones de trauma índice sobre la evaluación de resultados de otros tratamientos focalizados en trauma. :背景:诊断创伤后应激障碍(PTSD)需要确定一项或多项创伤事件,称为指标创伤,作为评估PTSD严重程度的基础。 在经历多于一次创伤性事件的患者中,严重程度可能取决于指标创伤的确切定义。 将指数创伤定义为最差的单一事件可能导致PTSD严重程度分数与如果让指数创伤包括多个事件之后的 PTSD 分数不同。目的:本研究调查指数创伤的定义对PTSD基线严重度评分和治疗结果的影响。方法:对纳入试验的患者(N = 58)的数据按计划进行二次分析,数据来自评估一个12周住院DBT-PTSD计划对与儿童期虐待有关的PTSD疗效的项目。 PTSD严重程度的评估在入院时,12周治疗结束时和治疗后6周和12周时使用临床医生管理的PTSD量表进行。 指数创伤被定义为最严重的单一事件和多达三个性质不同的创伤性事件。结果:当指数创伤包括多次创伤时,PTSD严重度评分显著较高,治疗前后的改善效果显著低于当指数创伤被定义为最差的单一事件。结论:PTSD患者经历过多次创伤,定义指数创伤是最差的单一事件可能会错过临床相关症状的某些方面,从而导致对治疗效果可能存在偏倚的解释。 在DBT-PTSD中,当指数损伤包括多次创伤事件时,治疗效果较低。 需要更多的研究来确定各种指数创伤定义对其他创伤治疗评估的影响。.
journal_name
Eur J Psychotraumatoljournal_title
European journal of psychotraumatologyauthors
Priebe K,Kleindienst N,Schropp A,Dyer A,Krüger-Gottschalk A,Schmahl C,Steil R,Bohus Mdoi
10.1080/20008198.2018.1486124subject
Has Abstractpub_date
2018-07-09 00:00:00pages
1486124issue
1issn
2000-8066pii
1486124journal_volume
9pub_type
杂志文章abstract::Background: The network approach to mental disorders offers a novel framework for conceptualizing posttraumatic stress disorder (PTSD) as a causal system of interacting symptoms. Objective: In this study, we extended this work by estimating the structure of relations among PTSD symptoms in adults reporting personal hi...
journal_title:European journal of psychotraumatology
pub_type: 杂志文章
doi:10.1080/20008198.2017.1341276
更新日期:2017-07-15 00:00:00
abstract::The 11th revision to the World Health Organization's International Classification of Diseases (ICD-11) proposes two distinct sibling conditions: Posttraumatic Stress Disorder (PTSD) and Complex PTSD (CPTSD). In this paper, we aim to provide an update on the latest research regarding the conceptual structure and measur...
journal_title:European journal of psychotraumatology
pub_type: 杂志文章
doi:10.1080/20008198.2017.1418103
更新日期:2018-01-15 00:00:00
abstract:BACKGROUND:While males constitute the majority, female adolescent offenders are a sizeable minority of the overall delinquent population. Further, those females who become involved in delinquent activities appear to be doing so at a younger age, and they are involved in a wide range of criminal activities, including vi...
journal_title:European journal of psychotraumatology
pub_type: 杂志文章
doi:10.3402/ejpt.v3i0.17247
更新日期:2012-01-01 00:00:00
abstract::Brief eclectic psychotherapy for PTSD (BEPP) is an evidence-based therapeutic approach that combines and integrates elements from psychodynamic, cognitive-behavioral, and directive psychotherapy. Psychoeducation is done jointly with the patient and his or her partner. Exposure, a structured writing task, and memorabil...
journal_title:European journal of psychotraumatology
pub_type: 杂志文章
doi:10.3402/ejpt.v4i0.21369
更新日期:2013-12-20 00:00:00
abstract::Background: Despite a large body of evidence demonstrating the effectiveness of psychotherapy for posttraumatic stress for children and adolescents, the adoption of empirically supported treatments (ESTs) in routine care is low. Objective: This implementation study aims to evaluate the dissemination of Trauma-Focused ...
journal_title:European journal of psychotraumatology
pub_type: 杂志文章
doi:10.1080/20008198.2020.1837531
更新日期:2020-11-26 00:00:00
abstract:BACKGROUND:Preliminary evidence suggests that relative to healthy controls, patients with posttraumatic stress disorder (PTSD) show deficits on several inter-related social cognitive tasks, including theory of mind, and emotion comprehension. Systematic investigations examining other aspects of social cognition, includ...
journal_title:European journal of psychotraumatology
pub_type: 杂志文章
doi:10.3402/ejpt.v7.31028
更新日期:2016-11-08 00:00:00
abstract::There is increasing attention for embedding research in mental healthcare. This involves a linkage between scientific research and routine practice, where research is fed by questions from practice and scientific insights are implemented better and faster in clinical practice. This paper illustrates bridging the gap, ...
journal_title:European journal of psychotraumatology
pub_type: 杂志文章
doi:10.3402/ejpt.v3i0.18740
更新日期:2012-01-01 00:00:00
abstract:BACKGROUND:The proposal for ICD-11 postulates major changes for posttraumatic stress disorder (PTSD) diagnosis, which needs investigation in different samples. AIMS:To investigate differences of PTSD prevalence and diagnostic agreement between ICD-10 and ICD-11, factor structure of proposed ICD-11 PTSD, and diagnostic...
journal_title:European journal of psychotraumatology
pub_type: 杂志文章
doi:10.3402/ejpt.v7.29700
更新日期:2016-01-21 00:00:00
abstract:Background:Due to the one-child policy implemented in China, most families have only one child. When parents experience the death of their only child, these parents receive the label 'Shidu parents'. Shidu is a major public health issue in China. However, the patterns of post-traumatic stress disorder (PTSD) and depres...
journal_title:European journal of psychotraumatology
pub_type: 杂志文章
doi:10.1080/20008198.2020.1766770
更新日期:2020-07-07 00:00:00
abstract::Background: Post-traumatic stress disorder (PTSD) is triggered by distinct events and is therefore amenable to studies of its early pathogenesis. Longitudinal studies during the year that follows trauma exposure revealed typical symptom trajectories leading to either recovery or protracted PTSD. Thezneurobehavioral co...
journal_title:European journal of psychotraumatology
pub_type: 杂志文章
doi:10.1080/20008198.2019.1683941
更新日期:2019-11-11 00:00:00
abstract:BACKGROUND:Asylum interviews within the asylum procedure are associated with psychological stress for traumatized asylum seekers. This study investigates the impact of asylum interviews on the mental health in a sample of 40 traumatized asylum seekers. The comparison group consisted of refugees (N=10) that had not been...
journal_title:European journal of psychotraumatology
pub_type: 杂志文章
doi:10.3402/ejpt.v6.26286
更新日期:2015-09-01 00:00:00
abstract::Background: Journalists who cover traumatic events are at risk of developing long-term impairment, such as post-traumatic stress disorder (PTSD). The exposure may also result in perceived positive outcomes, conceptualised as post-traumatic growth (PTG). Social support (SS) at work is one factor that might affect the o...
journal_title:European journal of psychotraumatology
pub_type: 杂志文章
doi:10.1080/20008198.2019.1620085
更新日期:2019-06-07 00:00:00
abstract::Background: Emotional abuse and emotional neglect are related to impaired interpersonal functioning. One underlying mechanism could be a developmental delay in mentalizing, the ability to understand other people's thoughts and emotions. Objective: This study investigates the neural correlates of mentalizing and the sp...
journal_title:European journal of psychotraumatology
pub_type: 杂志文章
doi:10.1080/20008198.2016.1272788
更新日期:2017-02-09 00:00:00
abstract:Objective:Posttraumatic stress disorder (PTSD) and depression substantially impair health-related quality of life (HRQOL) for many Canadian Armed Forces (CAF) veterans. Although PTSD and depression are highly comorbid, little is known about whether the disorders may interact in their association with HRQOL. We sought t...
journal_title:European journal of psychotraumatology
pub_type: 杂志文章
doi:10.1080/20008198.2020.1748460
更新日期:2020-06-04 00:00:00
abstract::Background: Whereas the association between social support and psychological distress has been well-established through both cross-sectional and longitudinal studies, less is known about whether social support influences rate of change in psychological distress over time. Nor is it clear whether social support predict...
journal_title:European journal of psychotraumatology
pub_type: 杂志文章
doi:10.1080/20008198.2017.1302692
更新日期:2017-03-20 00:00:00
abstract::The COVID-19 pandemic has changed life in Europe and globally. The pandemic affects both individuals and the broader society across many domains, including physical and psychological health, the economy and general welfare. The measures taken to counteract the pandemic have significantly altered daily life and, along ...
journal_title:European journal of psychotraumatology
pub_type: 杂志文章
doi:10.1080/20008198.2020.1780782
更新日期:2020-07-09 00:00:00
abstract::Background: Moral injury has been found to adversely affect US veteran mental health, and the mental health difficulties resulting from moral injury can be particularly challenging to treat. Yet little is known about the impact of moral injury on the well-being of UK armed forces (AF) veterans and how moral injury is ...
journal_title:European journal of psychotraumatology
pub_type: 杂志文章
doi:10.1080/20008198.2018.1562842
更新日期:2019-01-14 00:00:00
abstract:BACKGROUND:This paper investigated adherence to a self-help web-based intervention for PTSD (Chinese My Trauma Recovery, CMTR) in mainland China and evaluated the association between adherence measures and potential predictors, for example, traumatic symptoms and self-efficacy. METHODS:Data from 56 urban and 90 rural ...
journal_title:European journal of psychotraumatology
pub_type: 杂志文章
doi:10.3402/ejpt.v5.26526
更新日期:2014-12-09 00:00:00
abstract::Background: Two stress-related disorders have been proposed for inclusion in the revised ICD-11: Posttraumatic Stress Disorder (PTSD) and Complex PTSD (CPTSD). The International Trauma Questionnaire (ITQ) is a bespoke measure of PTSD and CPTSD and has been widely used in English-speaking countries. Objective: The prim...
journal_title:European journal of psychotraumatology
pub_type: 杂志文章
doi:10.1080/20008198.2019.1608718
更新日期:2019-05-15 00:00:00
abstract::Background: Studies that identify children after acute trauma and prospectively track risk/protective factors and trauma responses over time are resource-intensive; small sample sizes often limit power and generalizability. The Prospective studies of Acute Child Trauma and Recovery (PACT/R) Data Archive was created to...
journal_title:European journal of psychotraumatology
pub_type: 杂志文章
doi:10.1080/20008198.2020.1729025
更新日期:2020-03-10 00:00:00
abstract::Background: Trauma exposure and post-traumatic stress disorder (PTSD) are risk factors for chronic pain. Objective: This study investigated how exposure to intentional and non-intentional traumatic events and PTSD are related to pain severity and outcome of treatment in chronic pain patients. Methods: We assessed expo...
journal_title:European journal of psychotraumatology
pub_type: 杂志文章
doi:10.1080/20008198.2017.1375337
更新日期:2017-09-19 00:00:00
abstract:BACKGROUND:The war in former Yugoslavia, which commenced in 1990, caused the biggest refugee crisis in Europe since World War II. There are numerous research investigations into the trauma and associated problems. However, there is no available publication concerning refugees' own perception of the provided support in ...
journal_title:European journal of psychotraumatology
pub_type: 杂志文章
doi:10.3402/ejpt.v3i0.8447
更新日期:2012-01-01 00:00:00
abstract::Given the unique context of warzone engagement, which may include chronic threat, multiple and lengthy deployments, and loss, there is a need to understand whether and to what extent knowledge about PTSD derived from studies of civilian trauma exposure is generalizeable to the military. This special issue on PTSD in t...
journal_title:European journal of psychotraumatology
pub_type: 杂志文章
doi:10.3402/ejpt.v5.25322
更新日期:2014-08-14 00:00:00
abstract:BACKGROUND:To date, mental health professionals' attitudes toward posttraumatic stress disorder (PTSD), compared to other psychiatric disorders such as schizophrenia or depression, have rarely been studied. OBJECTIVE:We assessed mental health professionals' attitudes toward patients with PTSD compared to patients suff...
journal_title:European journal of psychotraumatology
pub_type: 杂志文章
doi:10.3402/ejpt.v6.28693
更新日期:2015-10-26 00:00:00
abstract:BACKGROUND:Posttraumatic Diagnostic Scale (PDS) is a self-descriptive measure developed to provide information regarding posttraumatic stress disorder (PTSD) diagnosis and symptom severity. OBJECTIVES:THE AIM OF THIS ARTICLE IS TO REPORT ON THE VALIDATION OF THE POLISH VERSION OF PDS AND TO TEST ITS FACTOR STRUCTURE W...
journal_title:European journal of psychotraumatology
pub_type: 杂志文章
doi:10.3402/ejpt.v3i0.18479
更新日期:2012-01-01 00:00:00
abstract:BACKGROUND:Single traumatising events are associated with an elevated rate of psychological disorders in children and adolescents. To date, it remains unclear whether early psychological interventions can reduce longer term psychological maladjustment. OBJECTIVE:To systematically review the literature to determine the...
journal_title:European journal of psychotraumatology
pub_type: 杂志文章
doi:10.3402/ejpt.v2i0.7858
更新日期:2011-01-01 00:00:00
abstract::Background: Fatalism, known as the propensity to believe that one's destiny is externally determined, has so far been examined selectively, and not yet in a cross-cultural study. Moreover, a general, non-data-based speculation assumes that fatalism occurs to a lesser extent in countries of the Global North than in the...
journal_title:European journal of psychotraumatology
pub_type: 杂志文章
doi:10.1080/20008198.2019.1657371
更新日期:2019-09-02 00:00:00
abstract:BACKGROUND:Although there is some evidence of the posttraumatic stress disorder (PTSD) construct's cross cultural validity, trauma-related disorders may vary across cultures, and the same may be true for treatments that address such conditions. Experienced therapists tailor psychotherapy to each patient's particular si...
journal_title:European journal of psychotraumatology
pub_type: 杂志文章
doi:10.3402/ejpt.v7.31179
更新日期:2016-07-28 00:00:00
abstract::Background: Dropout from psychotherapy has negative impacts on clients, therapists, and health-care agencies. Research has identified a variety of variables as predictors of dropout, which can be grouped in three domains: socio-demographic, psychological, and treatment-related variables. Objective: In order to further...
journal_title:European journal of psychotraumatology
pub_type: 杂志文章
doi:10.1080/20008198.2019.1706297
更新日期:2020-01-23 00:00:00
abstract:BACKGROUND:The colonial war that Portugal was involved in between 1961 and 1974 had a significant impact on veterans and their families. However, it is unclear what the consequences of this war are, in particular with regard to levels of childhood maltreatment (CM) in offspring. OBJECTIVE:Our study aims to analyze the...
journal_title:European journal of psychotraumatology
pub_type: 杂志文章
doi:10.3402/ejpt.v5.20198
更新日期:2014-02-04 00:00:00