Comparison of eye movement desensitization and reprocessing therapy, cognitive behavioral writing therapy, and wait-list in pediatric posttraumatic stress disorder following single-incident trauma: a multicenter randomized clinical trial / Carlijn DE ROOS in Journal of Child Psychology and Psychiatry, 58-11 (November 2017)  

Public ISBD [article]  inJournal of Child Psychology and Psychiatry > 58-11 (November 2017) . - p.1219-1228 Titre : Comparison of eye movement desensitization and reprocessing therapy, cognitive behavioral writing therapy, and wait-list in pediatric posttraumatic stress disorder following single-incident trauma: a multicenter randomized clinical trial Type de document : texte imprimé Auteurs : Carlijn DE ROOS, Auteur ; Saskia VAN DER OORD, Auteur ; Bonne ZIJLSTRA, Auteur ; Sacha LUCASSEN, Auteur ; Sean PERRIN, Auteur ; Paul EMMELKAMP, Auteur ; Ad DE JONGH, Auteur Article en page(s) : p.1219-1228 Langues : Anglais (eng) Mots-clés : Posttraumatic stress disorder  eye movement desensitization and reprocessing  cognitive behavioral writing therapy  single trauma  children and adolescents Index. décimale : PER Périodiques Résumé : Background Practice guidelines for childhood posttraumatic stress disorder (PTSD) recommend trauma-focused psychotherapies, mainly cognitive behavioral therapy (CBT). Eye movement desensitization and reprocessing (EMDR) therapy is a brief trauma-focused, evidence-based treatment for PTSD in adults, but with few well-designed trials involving children and adolescents. Methods We conducted a single-blind, randomized trial with three arms (n = 103): EMDR (n = 43), Cognitive Behavior Writing Therapy (CBWT; n = 42), and wait-list (WL; n = 18). WL participants were randomly reallocated to CBWT or EMDR after 6 weeks; follow-ups were conducted at 3 and 12 months posttreatment. Participants were treatment-seeking youth (aged 8–18 years) with a DSM-IV diagnosis of PTSD (or subthreshold PTSD) tied to a single trauma, who received up to six sessions of EMDR or CBWT lasting maximally 45 min each. Results Both treatments were well-tolerated and relative to WL yielded large, intent-to-treat effect sizes for the primary outcomes at posttreatment: PTSD symptoms (EMDR: d = 1.27; CBWT: d = 1.24). At posttreatment 92.5% of EMDR, and 90.2% of CBWT no longer met the diagnostic criteria for PTSD. All gains were maintained at follow-up. Compared to WL, small to large (range d = 0.39–1.03) intent-to-treat effect sizes were obtained at posttreatment for negative trauma-related appraisals, anxiety, depression, and behavior problems with these gains being maintained at follow-up. Gains were attained with significantly less therapist contact time for EMDR than CBWT (mean = 4.1 sessions/140 min vs. 5.4 sessions/227 min). Conclusions EMDR and CBWT are brief, trauma-focused treatments that yielded equally large remission rates for PTSD and reductions in the severity of PTSD and comorbid difficulties in children and adolescents seeking treatment for PTSD tied to a single event. Further trials of both treatments with PTSD tied to multiple traumas are warranted. En ligne : http://dx.doi.org/10.1111/jcpp.12768 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=326 [article] Comparison of eye movement desensitization and reprocessing therapy, cognitive behavioral writing therapy, and wait-list in pediatric posttraumatic stress disorder following single-incident trauma: a multicenter randomized clinical trial [texte imprimé] / Carlijn DE ROOS, Auteur ; Saskia VAN DER OORD, Auteur ; Bonne ZIJLSTRA, Auteur ; Sacha LUCASSEN, Auteur ; Sean PERRIN, Auteur ; Paul EMMELKAMP, Auteur ; Ad DE JONGH, Auteur . - p.1219-1228. Langues : Anglais (eng) in Journal of Child Psychology and Psychiatry > 58-11 (November 2017) . - p.1219-1228 Mots-clés : Posttraumatic stress disorder  eye movement desensitization and reprocessing  cognitive behavioral writing therapy  single trauma  children and adolescents Index. décimale : PER Périodiques Résumé : Background Practice guidelines for childhood posttraumatic stress disorder (PTSD) recommend trauma-focused psychotherapies, mainly cognitive behavioral therapy (CBT). Eye movement desensitization and reprocessing (EMDR) therapy is a brief trauma-focused, evidence-based treatment for PTSD in adults, but with few well-designed trials involving children and adolescents. Methods We conducted a single-blind, randomized trial with three arms (n = 103): EMDR (n = 43), Cognitive Behavior Writing Therapy (CBWT; n = 42), and wait-list (WL; n = 18). WL participants were randomly reallocated to CBWT or EMDR after 6 weeks; follow-ups were conducted at 3 and 12 months posttreatment. Participants were treatment-seeking youth (aged 8–18 years) with a DSM-IV diagnosis of PTSD (or subthreshold PTSD) tied to a single trauma, who received up to six sessions of EMDR or CBWT lasting maximally 45 min each. Results Both treatments were well-tolerated and relative to WL yielded large, intent-to-treat effect sizes for the primary outcomes at posttreatment: PTSD symptoms (EMDR: d = 1.27; CBWT: d = 1.24). At posttreatment 92.5% of EMDR, and 90.2% of CBWT no longer met the diagnostic criteria for PTSD. All gains were maintained at follow-up. Compared to WL, small to large (range d = 0.39–1.03) intent-to-treat effect sizes were obtained at posttreatment for negative trauma-related appraisals, anxiety, depression, and behavior problems with these gains being maintained at follow-up. Gains were attained with significantly less therapist contact time for EMDR than CBWT (mean = 4.1 sessions/140 min vs. 5.4 sessions/227 min). Conclusions EMDR and CBWT are brief, trauma-focused treatments that yielded equally large remission rates for PTSD and reductions in the severity of PTSD and comorbid difficulties in children and adolescents seeking treatment for PTSD tied to a single event. Further trials of both treatments with PTSD tied to multiple traumas are warranted. En ligne : http://dx.doi.org/10.1111/jcpp.12768 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=326

Dysfunctional posttraumatic cognitions, posttraumatic stress and depression in children and adolescents exposed to trauma: a network analysis / Anke DE HAAN in Journal of Child Psychology and Psychiatry, 61-1 (January 2020)  

Public ISBD [article]  inJournal of Child Psychology and Psychiatry > 61-1 (January 2020) . - p.77-87 Titre : Dysfunctional posttraumatic cognitions, posttraumatic stress and depression in children and adolescents exposed to trauma: a network analysis Type de document : texte imprimé Auteurs : Anke DE HAAN, Auteur ; Markus A. LANDOLT, Auteur ; Eiko I. FRIED, Auteur ; Kristian KLEINKE, Auteur ; Eva ALISIC, Auteur ; Richard BRYANT, Auteur ; Karen SALMON, Auteur ; Sue-Hsien CHEN, Auteur ; Shu-Tsen LIU, Auteur ; Tim DALGLEISH, Auteur ; Anna MCKINNON, Auteur ; Alice ALBERICI, Auteur ; Jade CLAXTON, Auteur ; Julia DIEHLE, Auteur ; Ramon LINDAUER, Auteur ; Carlijn DE ROOS, Auteur ; Sarah L. HALLIGAN, Auteur ; Rachel M. HILLER, Auteur ; Christian H. KRISTENSEN, Auteur ; Beatriz O.M. LOBO, Auteur ; Nicole M. VOLKMANN, Auteur ; Meghan MARSAC, Auteur ; Lamia BARAKAT, Auteur ; Nancy KASSAM-ADAMS, Auteur ; Reginald D.V. NIXON, Auteur ; Sean HOGAN, Auteur ; Raija-Leena PUNAMAKI, Auteur ; Esa PALOSAARI, Auteur ; Elizabeth SCHILPZAND, Auteur ; Rowena CONROY, Auteur ; Paula SMITH, Auteur ; William YULE, Auteur ; Richard MEISER-STEDMAN, Auteur Article en page(s) : p.77-87 Langues : Anglais (eng) Mots-clés : Children  Dsm-5  Icd-11  adolescents  depression  network analysis  posttraumatic cognitions  posttraumatic stress disorder  trauma Index. décimale : PER Périodiques Résumé : BACKGROUND: The latest version of the International Classification of Diseases (ICD-11) proposes a posttraumatic stress disorder (PTSD) diagnosis reduced to its core symptoms within the symptom clusters re-experiencing, avoidance and hyperarousal. Since children and adolescents often show a variety of internalizing and externalizing symptoms in the aftermath of traumatic events, the question arises whether such a conceptualization of the PTSD diagnosis is supported in children and adolescents. Furthermore, although dysfunctional posttraumatic cognitions (PTCs) appear to play an important role in the development and persistence of PTSD in children and adolescents, their function within diagnostic frameworks requires clarification. METHODS: We compiled a large international data set of 2,313 children and adolescents aged 6 to 18 years exposed to trauma and calculated a network model including dysfunctional PTCs, PTSD core symptoms and depression symptoms. Central items and relations between constructs were investigated. RESULTS: The PTSD re-experiencing symptoms strong or overwhelming emotions and strong physical sensations and the depression symptom difficulty concentrating emerged as most central. Items from the same construct were more strongly connected with each other than with items from the other constructs. Dysfunctional PTCs were not more strongly connected to core PTSD symptoms than to depression symptoms. CONCLUSIONS: Our findings provide support that a PTSD diagnosis reduced to its core symptoms could help to disentangle PTSD, depression and dysfunctional PTCs. Using longitudinal data and complementing between-subject with within-subject analyses might provide further insight into the relationship between dysfunctional PTCs, PTSD and depression. En ligne : http://dx.doi.org/10.1111/jcpp.13101 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=413 [article] Dysfunctional posttraumatic cognitions, posttraumatic stress and depression in children and adolescents exposed to trauma: a network analysis [texte imprimé] / Anke DE HAAN, Auteur ; Markus A. LANDOLT, Auteur ; Eiko I. FRIED, Auteur ; Kristian KLEINKE, Auteur ; Eva ALISIC, Auteur ; Richard BRYANT, Auteur ; Karen SALMON, Auteur ; Sue-Hsien CHEN, Auteur ; Shu-Tsen LIU, Auteur ; Tim DALGLEISH, Auteur ; Anna MCKINNON, Auteur ; Alice ALBERICI, Auteur ; Jade CLAXTON, Auteur ; Julia DIEHLE, Auteur ; Ramon LINDAUER, Auteur ; Carlijn DE ROOS, Auteur ; Sarah L. HALLIGAN, Auteur ; Rachel M. HILLER, Auteur ; Christian H. KRISTENSEN, Auteur ; Beatriz O.M. LOBO, Auteur ; Nicole M. VOLKMANN, Auteur ; Meghan MARSAC, Auteur ; Lamia BARAKAT, Auteur ; Nancy KASSAM-ADAMS, Auteur ; Reginald D.V. NIXON, Auteur ; Sean HOGAN, Auteur ; Raija-Leena PUNAMAKI, Auteur ; Esa PALOSAARI, Auteur ; Elizabeth SCHILPZAND, Auteur ; Rowena CONROY, Auteur ; Paula SMITH, Auteur ; William YULE, Auteur ; Richard MEISER-STEDMAN, Auteur . - p.77-87. Langues : Anglais (eng) in Journal of Child Psychology and Psychiatry > 61-1 (January 2020) . - p.77-87 Mots-clés : Children  Dsm-5  Icd-11  adolescents  depression  network analysis  posttraumatic cognitions  posttraumatic stress disorder  trauma Index. décimale : PER Périodiques Résumé : BACKGROUND: The latest version of the International Classification of Diseases (ICD-11) proposes a posttraumatic stress disorder (PTSD) diagnosis reduced to its core symptoms within the symptom clusters re-experiencing, avoidance and hyperarousal. Since children and adolescents often show a variety of internalizing and externalizing symptoms in the aftermath of traumatic events, the question arises whether such a conceptualization of the PTSD diagnosis is supported in children and adolescents. Furthermore, although dysfunctional posttraumatic cognitions (PTCs) appear to play an important role in the development and persistence of PTSD in children and adolescents, their function within diagnostic frameworks requires clarification. METHODS: We compiled a large international data set of 2,313 children and adolescents aged 6 to 18 years exposed to trauma and calculated a network model including dysfunctional PTCs, PTSD core symptoms and depression symptoms. Central items and relations between constructs were investigated. RESULTS: The PTSD re-experiencing symptoms strong or overwhelming emotions and strong physical sensations and the depression symptom difficulty concentrating emerged as most central. Items from the same construct were more strongly connected with each other than with items from the other constructs. Dysfunctional PTCs were not more strongly connected to core PTSD symptoms than to depression symptoms. CONCLUSIONS: Our findings provide support that a PTSD diagnosis reduced to its core symptoms could help to disentangle PTSD, depression and dysfunctional PTCs. Using longitudinal data and complementing between-subject with within-subject analyses might provide further insight into the relationship between dysfunctional PTCs, PTSD and depression. En ligne : http://dx.doi.org/10.1111/jcpp.13101 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=413

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