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The bumpy road of trauma‐focused treatment: Posttraumatic stress disorder symptom exacerbation in people with psychosis.

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Title: The bumpy road of trauma‐focused treatment: Posttraumatic stress disorder symptom exacerbation in people with psychosis.
Authors: Burger, Simone R. (AUTHOR), Hardy, Amy (AUTHOR), van der Linden, Tineke (AUTHOR), van Zelst, Catherine (AUTHOR), de Bont, Paul A. J. (AUTHOR), van der Vleugel, Berber (AUTHOR), Staring, Anton B. P. (AUTHOR), de Roos, Carlijn (AUTHOR), de Jongh, Ad (AUTHOR), Marcelis, Machteld (AUTHOR), van Minnen, Agnes (AUTHOR), van der Gaag, Mark (AUTHOR), van den Berg, David P. G. (AUTHOR)
Source: Journal of Traumatic Stress. Apr2023, Vol. 36 Issue 2, p299-309. 11p. 1 Diagram, 1 Chart, 3 Graphs.
Subjects: EMDR (Eye-movement desensitization & reprocessing), Post-traumatic stress disorder, Disease exacerbation, Exposure therapy, Psychoses
Abstract: Concern for symptom exacerbation and treatment drop‐out is an important barrier to the implementation of trauma‐focused therapy (TFT), especially in people with a psychotic disorder. This study, which was part of a multicenter randomized controlled trial, investigated posttraumatic stress disorder (PTSD) symptom exacerbation during eye movement desensitization reprocessing (EMDR) therapy and prolonged exposure (PE) in a sample of 99 participants with PTSD and psychosis. Symptom exacerbations during the first four sessions (early exacerbation) and between‐session exacerbations over the course of therapy were monitored using the PTSD Symptom Scale–Self Report. Analyses of covariance and chi‐square tests were conducted to investigate exacerbation rates and their associations with treatment response and drop‐out. Both early exacerbation and between‐session exacerbation were relatively common (32.3% and 46.5%, respectively) but were unrelated to poor treatment response or an increased likelihood of treatment drop‐out. Both clinicians and patients need to be aware that symptom exacerbation during TFT is common and not related to poor outcomes. Symptom exacerbation can be part of the therapeutic process, should be acknowledged and guided, and should not be a barrier to the implementation of TFT in people with psychosis. [ABSTRACT FROM AUTHOR]
Copyright of Journal of Traumatic Stress is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: The bumpy road of trauma‐focused treatment: Posttraumatic stress disorder symptom exacerbation in people with psychosis.
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  Data: <searchLink fieldCode="JN" term="%22Journal+of+Traumatic+Stress%22">Journal of Traumatic Stress</searchLink>. Apr2023, Vol. 36 Issue 2, p299-309. 11p. 1 Diagram, 1 Chart, 3 Graphs.
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  Data: <searchLink fieldCode="DE" term="%22EMDR+%28Eye-movement+desensitization+%26+reprocessing%29%22">EMDR (Eye-movement desensitization & reprocessing)</searchLink><br /><searchLink fieldCode="DE" term="%22Post-traumatic+stress+disorder%22">Post-traumatic stress disorder</searchLink><br /><searchLink fieldCode="DE" term="%22Disease+exacerbation%22">Disease exacerbation</searchLink><br /><searchLink fieldCode="DE" term="%22Exposure+therapy%22">Exposure therapy</searchLink><br /><searchLink fieldCode="DE" term="%22Psychoses%22">Psychoses</searchLink>
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  Data: Concern for symptom exacerbation and treatment drop‐out is an important barrier to the implementation of trauma‐focused therapy (TFT), especially in people with a psychotic disorder. This study, which was part of a multicenter randomized controlled trial, investigated posttraumatic stress disorder (PTSD) symptom exacerbation during eye movement desensitization reprocessing (EMDR) therapy and prolonged exposure (PE) in a sample of 99 participants with PTSD and psychosis. Symptom exacerbations during the first four sessions (early exacerbation) and between‐session exacerbations over the course of therapy were monitored using the PTSD Symptom Scale–Self Report. Analyses of covariance and chi‐square tests were conducted to investigate exacerbation rates and their associations with treatment response and drop‐out. Both early exacerbation and between‐session exacerbation were relatively common (32.3% and 46.5%, respectively) but were unrelated to poor treatment response or an increased likelihood of treatment drop‐out. Both clinicians and patients need to be aware that symptom exacerbation during TFT is common and not related to poor outcomes. Symptom exacerbation can be part of the therapeutic process, should be acknowledged and guided, and should not be a barrier to the implementation of TFT in people with psychosis. [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of Journal of Traumatic Stress is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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        Value: 10.1002/jts.22907
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        Text: English
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        PageCount: 11
        StartPage: 299
    Subjects:
      – SubjectFull: EMDR (Eye-movement desensitization & reprocessing)
        Type: general
      – SubjectFull: Post-traumatic stress disorder
        Type: general
      – SubjectFull: Disease exacerbation
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      – SubjectFull: Exposure therapy
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      – SubjectFull: Psychoses
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              Text: Apr2023
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              Y: 2023
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