arratieve Exposure Therapie voor posttraumatische stressstoornis geassocieerd met herhaald interpersoonlijk geweld bij patiënten met Ernstige Psychische Aandoeningen: een gemengde methoden onderzoek

Conditions: physical abuse, sexual abuse, PTSD, Narrative Exposure Therapy (NET), severe mental illness (SMI) Flexible Assertive Community Treatment (FACT), intervention study, indepht interviews, repeated measures, mixed methodsLichamelijke mishandeling, seksueel geweld, PTSS, Narratieve Exposure Therapie (NET), Ernstige Psychische Aandoeningen (EPA), FACT, diepte interviews, herhaalde metingen, gemengde methoden

Registration Number: NL-OMON24662

Lead Sponsor: Radboud university medical center Afdeling IQ healthcareGeert Grooteplein 216525 EZ NijmegenPostbus 91016500 HB Nijmegen

Brief Summary: Mauritz, M.W., Sande, R. van de, Goossens, P.J.J., Draijer, N., Achterberg, T. van (2014). Phase-Based Treatment of a Complex Severely Mentally Ill Case Involving Complex Posttraumatic Stress Disorder and Psychosis Related to Dandy Walker Syndrome. Journal of Trauma & Dissociation, 15, 5, 588-606. <br><br> Mauritz, M.W., Goossens, P.J.J., Draijer, N., Achterberg, T. van (2013). Prevalence of interpersonal trauma exposure and trauma related disorders in severe mental illness (review). European Journal of Psychotraumatology, 4, http://dx.doi.org/10.3402/ejpt.v4i0.19985.

Detailed Description: Not available

Recruitment & Eligibility

Status: Pending

Sex: Not specified

Target Recruitment: 25

Inclusion Criteria

1. Adult SMI patients with one of the following primary diagnoses: schizophrenia, schizo-affective, bipolar, or major depressive disorder(verified by M.I.N.I. plus) or personality disorder (verified with SCID-II) and

2. a history of repeated interpersonal trauma (emotional, physical and/or sexual abuse) according LEC-5 and

Exclusion Criteria

(1) a high suicidality score on the M.I.N.I.-plus and/or a recent suicide attempt; (2) a current manic period; (3) the existence of dissociative identity disorder; (4) the existence of a antisocial personality disorder, (5) severe alcohol or drug dependence (likely to interfere with attendance as assessed by the M.I.N.I-plus and routine outcome monitoring); (6) severe intellectual impairment (estimated IQ < 70) or; (7) insufficient competency in the Dutch language ,
(8) The provision of other trauma focused treatment in the past year, and (9) the provision of involuntary treatment following Mental Health Law.

Study & Design

Study Type: Interventional

Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
Quantitative outcomes: <br /><br>1a) existence and 1b) severity of dissociative symptoms (DES); 2a) existence and 2b) severity of PTSD (CAPS-5); <br /><br>Qualitative outcomes:<br /><br>Participants’ experiences with NET, perceived influencing factors for success or failure of NET. Sensitizing concepts are: experiences with NET during treatment and in daily life, experienced changes in symptoms, care needs, quality of life, daily life functioning, and possible influencing factors for success or failure.

Secondary Outcome Measures