Advanced search
1 file | 356.30 KB

Narrative exposure therapy for posttraumatic stress disorder associated with repeated interpersonal trauma in patients with severe mental illness : a mixed methods design

Author
Organization
Abstract
Background: In the Netherlands, most patients with severe mental illness (SMI) receive flexible assertive community treatment (FACT) provided by multidisciplinary community mental health teams. SMI patients with comorbid posttraumatic stress disorder (PTSD) are sometimes offered evidence-based trauma-focused treatment like eye movement desensitization reprocessing or prolonged exposure. There is a large amount of evidence for the effectiveness of narrative exposure therapy (NET) within various vulnerable patient groups with repeated interpersonal trauma. Some FACT-teams provide NET for patients with comorbid PTSD, which is promising, but has not been specifically studied in SMI patients. Objectives: The primary aim is to evaluate NET in SMI patients with comorbid PTSD associated with repeated interpersonal trauma to get insight into whether (1) PTSD and dissociative symptoms changes and (2) changes occur in the present SMI symptoms, care needs, quality of life, global functioning, and care consumption. The second aim is to gain insight into patients’ experiences with NET and to identify influencing factors on treatment results. Methods: This study will have a mixed methods convergent design consisting of quantitative repeated measures and qualitative semi-structured in-depth interviews based on Grounded Theory. The study population will include adult SMI outpatients (n=25) with comorbid PTSD and receiving NET. The quantitative study parameters will be existence and severity of PTSD, dissociative, and SMI symptoms; care needs; quality of life; global functioning; and care consumption. In a longitudinal analysis, outcomes will be analyzed using mixed models to estimate the difference in means between baseline and repeated measurements. The qualitative study parameters will be experiences with NET and perceived factors for success or failure. Integration of quantitative and qualitative results will be focused on interpreting how qualitative results enhance the understanding of quantitative outcomes. Discussion: The results of this study will provide more insight into influencing factors for clinical changes in this population.
Keywords
posttraumatic stress disorder, personality disorder, schizophrenia, mood disorder, flexible assertive community treatment, repeated measures, in-depth interview, mixed methods, sexual abuse, Physical abuse, STRUCTURED CLINICAL INTERVIEW, RANDOMIZED CONTROLLED-TRIAL, COGNITIVE-BEHAVIORAL TREATMENT, COMORBIDITY SURVEY REPLICATION, EYE-MOVEMENT DESENSITIZATION, MANCHESTER SHORT ASSESSMENT, DSM-IV DISORDERS, QUALITY-OF-LIFE, SCID-II, INTERRATER RELIABILITY

Downloads

  • 32473-211395-1-PB.pdf
    • full text
    • |
    • open access
    • |
    • PDF
    • |
    • 356.30 KB

Citation

Please use this url to cite or link to this publication:

Chicago
Mauritz, Maria W, Betsie GI Van Gaal, Ruud A Jongedijk, Lisette Schoonhoven, Maria WG Nijhuis-van der Sanden, and Peter Goossens. 2016. “Narrative Exposure Therapy for Posttraumatic Stress Disorder Associated with Repeated Interpersonal Trauma in Patients with Severe Mental Illness : a Mixed Methods Design.” European Journal of Psychotraumatology 7.
APA
Mauritz, M. W., Van Gaal, B. G., Jongedijk, R. A., Schoonhoven, L., Nijhuis-van der Sanden, M. W., & Goossens, P. (2016). Narrative exposure therapy for posttraumatic stress disorder associated with repeated interpersonal trauma in patients with severe mental illness : a mixed methods design. EUROPEAN JOURNAL OF PSYCHOTRAUMATOLOGY, 7.
Vancouver
1.
Mauritz MW, Van Gaal BG, Jongedijk RA, Schoonhoven L, Nijhuis-van der Sanden MW, Goossens P. Narrative exposure therapy for posttraumatic stress disorder associated with repeated interpersonal trauma in patients with severe mental illness : a mixed methods design. EUROPEAN JOURNAL OF PSYCHOTRAUMATOLOGY. 2016;7.
MLA
Mauritz, Maria W, Betsie GI Van Gaal, Ruud A Jongedijk, et al. “Narrative Exposure Therapy for Posttraumatic Stress Disorder Associated with Repeated Interpersonal Trauma in Patients with Severe Mental Illness : a Mixed Methods Design.” EUROPEAN JOURNAL OF PSYCHOTRAUMATOLOGY 7 (2016): n. pag. Print.
@article{8086943,
  abstract     = {Background: In the Netherlands, most patients with severe mental illness (SMI) receive flexible assertive community treatment (FACT) provided by multidisciplinary community mental health teams. SMI patients with comorbid posttraumatic stress disorder (PTSD) are sometimes offered evidence-based trauma-focused treatment like eye movement desensitization reprocessing or prolonged exposure. There is a large amount of evidence for the effectiveness of narrative exposure therapy (NET) within various vulnerable patient groups with repeated interpersonal trauma. Some FACT-teams provide NET for patients with comorbid PTSD, which is promising, but has not been specifically studied in SMI patients.
Objectives: The primary aim is to evaluate NET in SMI patients with comorbid PTSD associated with repeated interpersonal trauma to get insight into whether (1) PTSD and dissociative symptoms changes and (2) changes occur in the present SMI symptoms, care needs, quality of life, global functioning, and care consumption. The second aim is to gain insight into patients{\textquoteright} experiences with NET and to identify influencing factors on treatment results.
Methods: This study will have a mixed methods convergent design consisting of quantitative repeated measures and qualitative semi-structured in-depth interviews based on Grounded Theory. The study population will include adult SMI outpatients (n=25) with comorbid PTSD and receiving NET. The quantitative study parameters will be existence and severity of PTSD, dissociative, and SMI symptoms; care needs; quality of life; global functioning; and care consumption. In a longitudinal analysis, outcomes will be analyzed using mixed models to estimate the difference in means between baseline and repeated measurements. The qualitative study parameters will be experiences with NET and perceived factors for success or failure. Integration of quantitative and qualitative results will be focused on interpreting how qualitative results enhance the understanding of quantitative outcomes.
Discussion: The results of this study will provide more insight into influencing factors for clinical changes in this population.},
  articleno    = {32473},
  author       = {Mauritz, Maria W and Van Gaal, Betsie GI and Jongedijk, Ruud A and Schoonhoven, Lisette and Nijhuis-van der Sanden, Maria WG and Goossens, Peter},
  issn         = {2000-8066},
  journal      = {EUROPEAN JOURNAL OF PSYCHOTRAUMATOLOGY},
  keyword      = {posttraumatic stress disorder,personality disorder,schizophrenia,mood disorder,flexible assertive community treatment,repeated measures,in-depth interview,mixed methods,sexual abuse,Physical abuse,STRUCTURED CLINICAL INTERVIEW,RANDOMIZED CONTROLLED-TRIAL,COGNITIVE-BEHAVIORAL TREATMENT,COMORBIDITY SURVEY REPLICATION,EYE-MOVEMENT DESENSITIZATION,MANCHESTER SHORT ASSESSMENT,DSM-IV DISORDERS,QUALITY-OF-LIFE,SCID-II,INTERRATER RELIABILITY},
  language     = {eng},
  pages        = {9},
  title        = {Narrative exposure therapy for posttraumatic stress disorder associated with repeated interpersonal trauma in patients with severe mental illness : a mixed methods design},
  url          = {http://dx.doi.org/10.3402/ejpt.v7.32473},
  volume       = {7},
  year         = {2016},
}

Altmetric
View in Altmetric
Web of Science
Times cited: