Exposing therapists to trauma-focused treatment in psychosis: effects on credibility, expected burden, and harm expectancies

  title={Exposing therapists to trauma-focused treatment in psychosis: effects on credibility, expected burden, and harm expectancies},
  author={D. V. D. van den Berg and B. M. van der Vleugel and P. D. de Bont and Gwen Thijssen and C. de Roos and R. D. de Kleine and T. Kraan and H. Ising and A. de Jongh and A. van Minnen and M. van der Gaag},
  journal={European Journal of Psychotraumatology},
Background Despite robust empirical support for the efficacy of trauma-focused treatments, the dissemination proves difficult, especially in relation to patients with comorbid psychosis. Many therapists endorse negative beliefs about the credibility, burden, and harm of such treatment. Objective This feasibility study explores the impact of specialized training on therapists’ beliefs about trauma-focused treatment within a randomized controlled trial. Method Therapist-rated (n=16) credibility… Expand
Therapist rotation: a novel approach for implementation of trauma-focused treatment in post-traumatic stress disorder
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Traumatic loss and psychosis – reconceptualising the role of trauma in psychosis
Patient perspectives on the role of PT in psychosis and related treatment options are understood to understand patient perspectives on whether treating PT would worsen psychosis, and the need for trauma-focused interventions (TFI). Expand
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This qualitative research study explored clinical practices most effective in helping people who experience co-occurring psychosis and a trauma history. The research was conducted through interviewsExpand
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Findings show that training has advanced beyond provision of manuals and brief workshops; more intensive training models show promise for changing therapist behavior, However, methodological issues persist, limiting conclusions and pointing to important areas for future research. Expand
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A comprehensive review of the current emerging literature on trauma and adverse life events in the CHR population is provided, addressing etiological questions that cannot be answered in studies of fully psychotic or non-clinical populations. Expand
Some considerations about EMDR and psychosis.
The authors of the present paper evaluate the existing scientific literature about the use of EMDR for psychotic patients, showing how the available data seem to indicate it as part of a more complex intervention, able not only to reduce the impact of explicit symptoms, but also to make a change of a pervasive imagery and core negative believes that maintain a kind distortion in the inner and external world of the patient. Expand
Traumabehandlung bei Psychose
Obgleich sowohl Traumatisierungen als auch posttraumatische Belastungsstorungen eine hohe Pravalenz bei Menschen mit Psychosen haben, zogern Therapeuten, dieser Gruppe PTBS-RichtlinienbehandlungenExpand
Behandlung der PTBS bei Erwachsenen
Die zentralen Bausteine der Diagnostik einer Posttraumatischen Belastungsstorung (PTBS) sind die Erfassung der traumatischen Ereignisse sowie die assoziierten Folgen auf symptomatischer undExpand


Treating PTSD in patients with psychosis: a within-group controlled feasibility study examining the efficacy and safety of evidence-based PE and EMDR protocols.
The results of this feasibility trial suggest that PTSD patients with comorbid psychotic disorders benefit from trauma-focused treatment approaches such as PE and EMDR. Expand
Treating PTSD in patients with psychosis: A within-group controlled feasibility study examining the efficacy and safety of evidence-based PE and EMDR protocols
The present study uses a within-group controlled design to examine the efficacy and safety of two psychological approaches to posttraumatic stress disorder (PTSD) in 10 patients with a concurrentExpand
Effects of a comprehensive training program on clinician beliefs about and intention to use prolonged exposure therapy for PTSD.
Evaluation data from a national training program in an evidence-based treatment for PTSD, Prolonged Exposure therapy, suggests that the combination of workshop and ongoing consultation can significantly improve beliefs likely to affect treatment adoption. Expand
The relative efficacy and treatment distress of EMDR and a cognitive-behavior trauma treatment protocol in the amelioration of posttraumatic stress disorder.
This research compared EMDR and a CBT variant (Trauma Treatment Protocol; TTP) in the treatment of PTSD, via a controlled clinical study using therapists trained in both procedures and found that TTP was both statistically and clinically more effective in reducing pathology related to PTSD. Expand
When do trauma experts choose exposure therapy for PTSD patients? A controlled study of therapist and patient factors.
Imaginal exposure is confirmed to be an underutilized approach, with the majority of professionals being undertrained in the technique and the need of exposure training for trauma professionals. Expand
Trauma-Focused Treatment in PTSD Patients With Psychosis: Symptom Exacerbation, Adverse Events, and Revictimization
TF treatment was associated with significantly less exacerbation, less adverse events, and reduced revictimization compared with the WL condition, suggesting that conventional TF treatment protocols can be safely used in patients with psychosis without negative side effects. Expand
Symptom exacerbations in trauma-focused treatments: Associations with treatment outcome and non-completion.
The results indicate that trauma-focused treatments are safe and effective, even for the minority of individuals who experience temporary symptom increases, and even those who experienced an exacerbation experienced clinically significant improvement by end of treatment. Expand
Treating trauma in psychosis with EMDR: a pilot study.
Abstract Background Initial studies have shown that posttraumatic stress disorder (PTSD) can be effectivelytreated in patients with a psychotic disorder. These studies however used adapted treatmentExpand
Clinicians' perspectives on cognitive-behavioral treatment for PTSD among persons with severe mental illness.
OBJECTIVE As an intermediate step in the development of a cognitive-behavioral posttraumatic stress disorder (PTSD) treatment program for persons with severe mental illness, a focus group gatheredExpand
An approach to psychotherapy toleration: the Distress/Endorsement Validation Scale (DEVS) for clinical outcome studies.
  • G. Devilly
  • Psychology, Medicine
  • Journal of behavior therapy and experimental psychiatry
  • 2004
Psychometric properties of a ten-item scale which endeavours to measure treatment distress and participant endorsement of therapy protocols used in clinical research suggest that intervention distress ratings may be influenced by severity of presentation, whilst endorsement ratings are more influenced by symptomatic improvement over time. Expand