Academic Journal
Predictors and moderators of treatment outcomes in phase-based treatment and trauma-focused treatments in patients with childhood abuse-related post-traumatic stress disorder
| العنوان: | Predictors and moderators of treatment outcomes in phase-based treatment and trauma-focused treatments in patients with childhood abuse-related post-traumatic stress disorder |
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| المؤلفون: | Noortje I. van Vliet, Rafaele J. C. Huntjens, Maarten K. van Dijk, Mark Huisman, Nathan Bachrach, Marie-Louise Meewisse, Sietske van Haren, Ad de Jongh |
| المصدر: | European Journal of Psychotraumatology, Vol 15, Iss 1 (2024) |
| بيانات النشر: | Taylor & Francis Group, 2024. |
| سنة النشر: | 2024 |
| المجموعة: | LCC:Psychiatry |
| مصطلحات موضوعية: | PTSD, childhood abuse, predictors, moderators, treatment, TEPT, Psychiatry, RC435-571 |
| الوصف: | ABSTRACTBackground: Knowledge of treatment predictors and moderators is important for improving the effectiveness of treatment for PTSD due to childhood abuse.Objective: The first aim of this study was to test the potential predictive value of variables commonly associated with PTSD resulting from a history of repeated childhood abuse, in relation to treatment outcomes. The second aim was to examine if complex PTSD symptoms act as potential moderators between treatment conditions and outcomes.Method: Data were obtained from a randomized controlled trial comparing a phase-based treatment (Skills Training in Affect and Interpersonal Regulation [STAIR] followed by Eye Movement Desensitization and Reprocessing [EMDR] therapy; n = 57) with a direct trauma-focused treatment (EMDR therapy only; n = 64) in people with PTSD due to childhood abuse. The possible predictive effects of the presence of borderline personality disorder, dissociative symptoms, and suicidal and self-injurious behaviours were examined. In addition, it was determined whether symptoms of emotion regulation difficulties, self-esteem, and interpersonal problems moderated the relation between the treatment condition and PTSD post-treatment, corrected for pre-treatment PTSD severity.Results: Pre-treatment PTSD severity proved to be a significant predictor of less profitable PTSD treatment outcomes. The same was true for the severity of dissociative symptoms, but only post-treatment, and not when corrected for false positives. Complex PTSD symptoms did not moderate the relationship between the treatment conditions and PTSD treatment outcomes.Conclusions: The current findings suggest that regardless of the common comorbid symptoms studied, immediate trauma-focused treatment is a safe and effective option for individuals with childhood-related PTSD. However, individuals experiencing severe symptoms of PTSD may benefit from additional treatment sessions or the addition of other evidence-based PTSD treatment approaches. The predictive influence of dissociative sequelae needs further research.The study design was registered in The Dutch trial register (https://www.trialregister.nl/trialreg/admin/rctview.asp?TC = 5991) NTR5991 and was approved by the medical ethics committee of Twente NL 56641.044.16 CCMO. |
| نوع الوثيقة: | article |
| وصف الملف: | electronic resource |
| اللغة: | English |
| تدمد: | 20008066 2000-8066 |
| Relation: | https://doaj.org/toc/2000-8066 |
| DOI: | 10.1080/20008066.2023.2300589 |
| URL الوصول: | https://doaj.org/article/56f6790cb2f3448e96b8cd9087060021 |
| رقم الانضمام: | edsdoj.56f6790cb2f3448e96b8cd9087060021 |
| قاعدة البيانات: | Directory of Open Access Journals |
Full Text Finder | تدمد: | 20008066 |
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| DOI: | 10.1080/20008066.2023.2300589 |