Predicting Stabilizing Treatment Outcomes for Complex Posttraumatic Stress Disorder and Dissociative Identity Disorder: An Expertise-Based Prognostic Model

  title={Predicting Stabilizing Treatment Outcomes for Complex Posttraumatic Stress Disorder and Dissociative Identity Disorder: An Expertise-Based Prognostic Model},
  author={Erik W. Baars and Onno van der Hart and Ellert R S Nijenhuis and James A. Chu and Gerrit Glas and Nel Draijer},
  journal={Journal of Trauma \& Dissociation},
  pages={67 - 87}
The purpose of this study was to develop an expertise-based prognostic model for the treatment of complex posttraumatic stress disorder (PTSD) and dissociative identity disorder (DID). We developed a survey in 2 rounds: In the first round we surveyed 42 experienced therapists (22 DID and 20 complex PTSD therapists), and in the second round we surveyed a subset of 22 of the 42 therapists (13 DID and 9 complex PTSD therapists). First, we drew on therapists' knowledge of prognostic factors for… 

Evidence-based treatment for adult women with child abuse-related Complex PTSD: a quantitative review

Limited evidence suggests that predominantly CBT treatments are effective, but do not suffice to achieve satisfactory end states, especially in Complex PTSD populations.

Treatment-refractory posttraumatic stress disorder (TRPTSD): a review and framework for the future

Impact of dissociation and interpersonal functioning on inpatient treatment for early sexually abused adults

The central findings were that pathological dissociation and deterioration in interpersonal functioning prior to admittance predicted general psychiatric symptom levels and interpersonal problems at the end of treatment and at 1 year follow-up.

Where Are We Going? An Update on Assessment, Treatment, and Neurobiological Research in Dissociative Disorders as We Move Toward the DSM-5

This article provides an overview of the process of developing the 5th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5) of the American Psychiatric Association with a

Complex posttraumatic stress disorder and survivors of human rights violations

It is argued that comparative research is required between victims of developmental trauma and victims who experienced prolonged interpersonal trauma in adulthood as this could be useful in establishing the cause of CPTSD and in delineating clinically and therapeutically meaningful subtypes.

Early Traumatized Inpatients High in Psychoform and Somatoform Dissociation: Characteristics and Treatment Response

  • Ellen K K JepsenW. LangelandT. Heir
  • Psychology, Medicine
    Journal of trauma & dissociation : the official journal of the International Society for the Study of Dissociation
  • 2014
The results highlight the clinical relevance of using dissociation measures for identifying subgroups of patients with severe psychopathology who may be more treatment resistant.

Inpatient Treatment of Early Sexually Abused Adults: Dissociation and Outcome

The results highlight the clinical significance of using both baseline DES and SDQ scores for identifying a subgroup of patients with severe complex symptoms in early traumatized inpatients with mixed trauma-related disorders.

For Better or Worse: The Role of Revictimization and Stress in the Course of Treatment for Dissociative Disorders

  • Amie C. MyrickB. BrandF. Putnam
  • Psychology
    Journal of trauma & dissociation : the official journal of the International Society for the Study of Dissociation
  • 2013
Patients who improved had significantly fewer revictimizations and stressors overall than patients who worsened, suggesting thatRevictimization and/or stressors may contribute to worsening in treatment.

Can the DSM-5 differentiate between nonpathological possession and dissociative identity disorder? A case study from an Afro-Brazilian religion

Whether the diagnostic criteria of the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM–5), are able to differentiate between nonpathological religious possession and dissociative identity disorder (DID) is examined.



Chronic posttraumatic stress disorder: a review and checklist of factors influencing prognosis.

  • R. Simon
  • Psychology, Medicine
    Harvard review of psychiatry
  • 1999
The peer-reviewed PTSD literature is surveyed to assist clinicians in making informed prognostic evaluations of the course of PTSD in adults and a PTSD Prognostic Checklist, which rates risk and associated factors in each category, is proposed.

The Validation of a Self-Report Measure of Posttraumatic Stress Disorder

The development and validation of a self-report measure of posttraumatic stress disorder, the Posttraumatic Diagnostic Scale (PTDS), that yields both a PTSD diagnosis according to Diagnostic and Statistical Manual of Mental Disorders (4th ed.) criteria and a measure of PTSD symptom severity is reported.


A treatment model with a focus on trauma treatment and subsequent integration is widely accepted as the most successful among therapists treatingDID. However, this model may not be the best option

Early Childhood Trauma and Disorders of Extreme Stress as Predictors of Treatment Outcome with Chronic Posttraumatic Stress Disorder

History of early childhood trauma was prevalent and highly correlated with Disorders of Extreme Stress Not Otherwise Specified (DESNOS) in a sample of veterans in inpatient treatment for chronic

The Haunted Self: Structural Dissociation and the Treatment of Chronic Traumatization

They typically have a wide array of symptoms, often classified under different combinations of comorbidity, which can make assessment and treatment complicated and confusing for the therapist. Many

A review of dissociative disorders treatment studies.

This review examines empirical reports of treatment for Dissociative Disorders (DD), including 16 DD treatment outcome studies and 4 case studies that used standardized measures. Collectively, these

Multiple personality disorder in The Netherlands: a clinical investigation of 71 patients.

To improve the detection of patients at high risk for multiple personality disorder, standardized instruments for inquiry about dissociative pathology should be used as part of routine diagnostic assessment.

Predicting Response to Exposure Treatment in PTSD: The Role of Mental Defeat and Alienation

Two cognitive dimensions that are related to inferior response to exposure in rape victims are described, and individuals whose memories during reliving of the trauma reflected mental defeat or the absence of mental planning showed little improvement.

Rebuilding Shattered Lives: The Responsible Treatment of Complex Post-Traumatic and Dissociative Disorders

THE NATURE AND EFFECTS OF CHILDHOOD ABUSE. The Rediscovery of the Abuse of Children. Adult Symptomatology Related to Childhood Trauma. The Repetition Compulsion Revisited: Reliving Dissociated

Somatization in patients with dissociative disorders.

Somatization disorder is a frequent and serious comorbid disorder among patients with dissociative disorders and a significant correlation was found between the degree of dissociation and degree of somatization in patients with dissidents.