Effectiveness of trauma-focused treatment for patients with psychosis with and without the dissociative subtype of post-traumatic stress disorder.
Br J Psychiatry
; 209(4): 347-348, 2016 10.
Article
em En
| MEDLINE
| ID: mdl-27491533
ABSTRACT
This study presents secondary analyses of a recently published trial in which post-traumatic stress disorder (PTSD) patients with psychosis (n = 108) underwent 8 sessions of trauma-focused treatment, either prolonged exposure (PE) or eye movement desensitisation and reprocessing (EMDR) therapy. 24.1% fulfilled the criteria for the dissociative subtype, a newly introduced PTSD subtype in DSM-5. Treatment outcome was compared for patients with and without the dissociative subtype of PTSD. Patients with the dissociative subtype of PTSD showed large reductions in clinician-administered PTSD scale (CAPS) score, comparable with patients without the dissociative subtype of PTSD. It is concluded that even in a population with severe mental illness, patients with the dissociative subtype of PTSD do benefit from trauma-focused treatments without a pre-phase of emotion regulation skill training and should not be excluded from these treatments.
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Base de dados:
MEDLINE
Assunto principal:
Transtornos Psicóticos
/
Transtornos de Estresse Pós-Traumáticos
/
Avaliação de Resultados em Cuidados de Saúde
/
Transtornos Dissociativos
/
Dessensibilização e Reprocessamento através dos Movimentos Oculares
/
Terapia Implosiva
Idioma:
En
Ano de publicação:
2016
Tipo de documento:
Article