INVITED SYMPOSIUM: Complex trauma related disorders in adults: Symptom course and predictors

 

Submission type

Symposium

Scheduled

Parallel Session III: Effectenbeurszaal, 08-06-2018, 13:00 - 14:30

Kernwoorden

complex trauma, treatment outcome

Onderzoeksgebied

Trauma

Beknopte samenvatting van de totale bijdrage

Better understanding predictors of course of psychopathology and as moderators of treatments effects is essential to informing more effective treatment programs. Clinical implications and future directions will be discussed in three presentations on psychopathology related to complex trauma related disorders (posttraumatic stress disorder, dissociative disorders, and personality disorders).

Auteurs

Does comorbidity of personality disorder symptoms, anger or dissociation affect PTSD treatment outcome? A systematic review.

Thomaes, K (Kathleen), Nederstigt, J (Jelle)

 

Abstract ID

1047

Submission type

Oral only

Introductie

Evidence-based treatments for posttraumatic stress disorder (PTSD) are focused on processing the content of the traumatic material as to lower its emotional load. Unfortunately, an unknown number of PTSD patients are excluded from these treatments, and 30% to 44% drop out or have insufficient benefit from therapy. There is still a large gap in knowledge on predictors of treatment outcome, and some candidate predictors are debated.

Materiaal en methodes

With a systematic literature search, we investigated if personality disorder (PD) symptoms, anger and/or dissociation are predictive for treatment dropout and effectiveness.

Resultaten

We found 18 studies on PD, 22 on anger (of which 2 also on PD), 15 on dissociative symptoms (of which 5 also on PD or anger). We will show the results of this review discussing the question whether PD-symptoms, dissociation and/or anger affect PTSD treatment outcome.

Conclusie

Increased knowledge about predictive factors is necessary to increase effectiveness of treatment to improve final treatment outcome in treatment-resistant PTSD patients.

Auteurs

None

Langeland, W (Willemien)

 

Abstract ID

1049

Submission type

Oral only

Auteurs

The search for an optimized treatment of dissociative disorders: Symptom course in three patient cohorts and their associated factors

Jepsen, EK (Ellen), Hol, G (Gorm)

 

Abstract ID

1045

Submission type

Oral only

Introductie

Dissociative disorders are frequent among adults suffering from long-term consequences of early relational trauma. Despite existing consensus in expert guidelines, treatment of dissociative disorders often has many obstacles.

Materiaal en methodes

In the search of optimizing treatment for these patients, we will present outcome data from three different naturalistic treatment conditions focusing on stabilization for adults with dissociative disorders involving identity fragmentation and amnesia (Dissociative Identity Disorder, DSM-IV Dissociative Disorder, Not Otherwise Specified, DSM 5 Other Specified Dissociative Disorder): 1) A three-month inpatient trauma-treatment program, combining group and individual therapy for diagnostically heterogeneous groups (mixed trauma-related disorders) (N = 23). 2) A three-month inpatient dissociation-focused treatment program, combining group and individual therapy for diagnostically homogenous groups (N =50 - 60). 3) An online psycho-educational program with local therapeutic support (N = 73).

Resultaten

The results will include follow-up data of dissociative-, PTSD-, and general psychiatric symptoms, self-compassion, interpersonal and daily functioning as well as patients’ use of self-regulatory skills, and their experiences of positive feelings in the present.

Conclusie

We will discuss the results from the different treatment conditions, as well as factors associated with outcome and give suggestions for future research and clinical practice.

Auteurs

Predictors of Response to The TOP DD Network Study’s Online Educational Program for Dissociative Disorders

Brand, B (Bethany), Schielke, H (Hugo)

 

Abstract ID

1046

Submission type

Oral only

Introductie

Severe dissociative disorders (DDs) are common among individuals who experienced developmental trauma. These individuals struggle with myriad co-morbid disorders, symptoms, and difficulties with emotion regulation. The lack of training about DDs, and the paucity of outcome research, contribute to these patients being under-served. Creating a standardized treatment for these complex individuals is challenging.

Materiaal en methodes

The TOP DD Network study is a two-year online educational program that seeks to teach patients and therapists basic symptom management and affect regulation skills. It shows promise as a potentially cost-effective, accessible method of improving DD patients’ symptoms, emotion regulation, and quality of life, while also providing basic training to therapists about treating DD patients.

Resultaten

This presentation will discuss which patient and/or therapist baseline characteristics (e.g., patient symptoms or age, therapist experience) or process elements (e.g., program engagement, emerging stressors) predict outcome. Additionally, we will examine predictors of engagement in the online intervention.

Auteurs