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Cambridge University Press, British Journal of Psychiatry, 04(209), p. 347-348

DOI: 10.1192/bjp.bp.116.185579

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Effectiveness of trauma-focused treatment for patients with psychosis with and without the dissociative subtype of post-traumatic stress disorder

Journal article published in 2016 by A. van Minnen, Agnes van Minnen, Berber M. van der Vleugel, David P. G. van den Berg, B. M. van der Vleugel, D. P. G. van den Berg, P. A. J. M. de Bont, Mark van der Gaag ORCID, C. J. A. M. de Roos, M. van der Gaag, A. de Jongh
This paper was not found in any repository, but could be made available legally by the author.
This paper was not found in any repository, but could be made available legally by the author.

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Abstract

SummaryThis 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.