DBT skills training for childhood abuse survivors who dissociate: An update

2001 ◽  
Author(s):  
Ann Loonstra ◽  
Steven N. Gold ◽  
Alfred H. Sellers
Keyword(s):  
Childhood Abuse ◽  
Skills Training ◽  
Abuse Survivors

Autobiographical Memory Disturbances in Childhood Abuse Survivors

2013 ◽  
pp. 247-264
Author(s):  
Valerie J. Edwards ◽  
Robyn Fivush ◽  
Robert F. Anda ◽  
Vincent J. Felitti ◽  
Dale F. Nordenberg
Keyword(s):  
Autobiographical Memory ◽  
Childhood Abuse ◽  
Abuse Survivors

scholarly journals Personalization of Treatment for Patients with Childhood-Abuse-Related Posttraumatic Stress Disorder

2021 ◽  
Vol 10 (19) ◽  
pp. 4522
Author(s):  
Chris M. Hoeboer ◽  
Danielle A. C. Oprel ◽  
Rianne A. De Kleine ◽  
Brian Schwartz ◽  
Anne-Katharina Deisenhofer ◽  
...  
Keyword(s):  
Posttraumatic Stress Disorder ◽  
Treatment Outcomes ◽  
Posttraumatic Stress ◽  
Childhood Abuse ◽  
Stress Disorder ◽  
Prolonged Exposure ◽  
Controlled Trial ◽  
Skills Training ◽  
Ptsd Symptoms ◽  
Promising Tool

Background: Differences in effectiveness among treatments for posttraumatic stress disorder (PTSD) are typically small. Given the variation between patients in treatment response, personalization offers a new way to improve treatment outcomes. The aim of this study was to identify predictors of psychotherapy outcome in PTSD and to combine these into a personalized advantage index (PAI). Methods: We used data from a recent randomized controlled trial comparing prolonged exposure (PE; n = 48), intensified PE (iPE; n = 51), and skills training (STAIR), followed by PE (n = 50) in 149 patients with childhood-abuse-related PTSD (CA-PTSD). Outcome measures were clinician-assessed and self-reported PTSD symptoms. Predictors were identified in the exposure therapies (PE and iPE) and STAIR+PE separately using random forests and subsequent bootstrap procedures. Next, these predictors were used to calculate PAI and to retrospectively determine optimal and suboptimal treatment in a leave-one-out cross-validation approach. Results: More depressive symptoms, less social support, more axis-1 diagnoses, and higher severity of childhood sexual abuse were predictors of worse treatment outcomes in PE and iPE. More emotion regulation difficulties, lower general health status, and higher baseline PTSD symptoms were predictors of worse treatment outcomes in STAIR+PE. Randomization to optimal treatment based on these predictors resulted in more improvement than suboptimal treatment in clinician assessed (Cohens’ d = 0.55) and self-reported PTSD symptoms (Cohens’ d = 0.47). Conclusion: Personalization based on PAI is a promising tool to improve therapy outcomes in patients with CA-PTSD. Further studies are needed to replicate findings in prospective studies.

It’s only an x-ray! How informed interactions can help anxious patients who were sexually abused as children

2017 ◽  
Vol 8 (3) ◽  
pp. 108-111
Author(s):  
Jayne Kelly
Keyword(s):  
Sexual Abuse ◽  
Childhood Abuse ◽  
Sexually Abused ◽  
Dental Anxiety ◽  
Abuse Survivors ◽  
Practice Staff ◽  
X Ray ◽  
Know How

Can patients who experience dental anxiety due to sexual abuse as children be confident that they will be treated with compassion and understanding, respect and reassurance? Do all members of the dental team know how to help childhood abuse survivors? Here, the issues faced by patients and how practice staff at all levels can help them overcome their anxieties are explored.

scholarly journals Patient characteristics as a moderator of posttraumatic stress disorder treatment outcome: combining symptom burden and strengths

BJPsych Open ◽  
2016 ◽  
Vol 2 (2) ◽  
pp. 101-106 ◽  
Author(s):  
Marylene Cloitre ◽  
Eva Petkova ◽  
Zhe Su ◽  
Brandon J. Weiss
Keyword(s):  
Emotion Regulation ◽  
Childhood Abuse ◽  
Stress Disorder ◽  
Controlled Trial ◽  
Symptom Burden ◽  
Patient Characteristics ◽  
Skills Training ◽  
Differential Outcome ◽  
Post Traumatic Stress

BackgroundPost-traumatic stress disorder (PTSD) psychotherapy research has failed to identify patient characteristics that consistently predict differential outcome.AimsTo identify patient characteristics associated with differential outcome via a statistically generated composite moderator among women with childhood abuse-related PTSD in a randomised controlled trial comparing exposure therapy, skills training and their combination.MethodSix baseline patient characteristics were combined in a composite moderator of treatment effects for PTSD symptoms across the three treatment conditions through a 6-month follow-up.ResultsThe optimal moderator was the combined burden of all symptoms and emotion regulation strength. Those with high moderator scores, reflecting high symptom load relative to emotion regulation, did least well in exposure, moderately well in skills and best in the combination.ConclusionsA clinically meaningful moderator, which combines patient symptom burden and strengths, was identified. Assessment at follow-up may provide a more accurate indicator of variability in outcome than that obtained immediately post-treatment.

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