Cognitive behavioral therapy for PTSD and somatization: An open trial

Benítez, Carlos I. Pérez; Zlotnick, Caron; Gomez, Judelysse; Rendon, Maria Jose; Swanson, Amelia

doi:10.1016/j.brat.2013.02.005

Cited by 8 publications

(17 citation statements)

References 54 publications

(45 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…For example, the 22 patients in our sample with an ICD-9-CM diagnosis of post-traumatic stress disorder averaged significantly more allergies than the 905 patients with PNES as a whole (3.9 ± 0.6 vs. 1.9 ± 0.1; p =0.001), likely reflecting the known propensity for somatization in that disorder. [18, 19] Future research should explore the heterogeneity of psychiatric diagnoses in PNES and look for risk factors and treatments based on subtypes. Given the high prevalence and substantial morbidity and cost associated with PNES, efforts to improve diagnosis and treatment for this condition are essential.…”

Section: Discussionmentioning

confidence: 99%

Number of patient-reported allergies helps distinguish epilepsy from psychogenic nonepileptic seizures

Robbins

Larimer

Bourgeois

et al. 2016

Epilepsy & Behavior

View full text Add to dashboard Cite

Summary Psychogenic non-epileptic seizures (PNES) are relatively common, accounting for 5–40% of visits to tertiary epilepsy centers. Inpatient video electroencephalogram (vEEG) monitoring is the gold standard for diagnosis, but additional positive predictive tools are necessary given vEEG’s relatively scarce availability. In this study we investigate if the number of patient-reported allergies distinguishes between PNES and epilepsy. Excessive allergy-reporting, like PNES, may reflect somatization. Using the electronic medical record, ICD-9 codes, and text-identification algorithms to search EEG reports, we identified 905 cases of confirmed PNES and 5187 controls with epilepsy but no PNES. Patients with PNES averaged more self-reported allergies than patients with epilepsy alone (1.93 vs. 1.00, p<0.001). Compared to those with no allergies, each additional allergy linearly increased the percentage of patients with PNES by 2.98% (R2=0.71) such that with ≥ 12 allergies, 12/28 patients (42.8%) had PNES compared to 349/3368 (11.6%) of the population with no allergies (odds ratio = 6.49). This relationship remained unchanged with logistic regression analysis. We conclude that long allergy lists may help identify patients with PNES. We hypothesize that a tendency to inaccurately self-report allergies reflects a maladaptive externalization of psychologic distress, and that a similar mechanism may be responsible for PNES in some patients with somatic symptom disorder.

show abstract

Section: Discussionmentioning

confidence: 99%

Number of patient-reported allergies helps distinguish epilepsy from psychogenic nonepileptic seizures

Robbins

Larimer

Bourgeois

et al. 2016

Epilepsy & Behavior

View full text Add to dashboard Cite

show abstract

“…More research is said to be needed (Bomyea et al, ), but this argument has potential to pathologize groups with a higher prevalence of PTSD – women and particular ethnic minority groups (e.g. Perez Benitez, Zlotnick, Gomez, Rendon, and Swanson () studied Latinos). In fact, it already stigmatizes anyone experiencing PTSD as potentially lacking intelligence.…”

Section: Psychopathology and Ptsd: Critiques And Connectionsmentioning

confidence: 99%

A person-centred political critique of current discourses in post-traumatic stress disorder and post-traumatic growth

Lee

2017

Psychotherapy and Politics International

View full text Add to dashboard Cite

This article seeks to contribute to current person‐centred research exploring post‐traumatic stress disorder (PTSD) and post‐traumatic growth (PTG), by offering a person‐centred political critique of some individualizing/pathologizing ways in which these two discourses seem to be developing. Notions of lower resilience (Regel & Joseph, ), faulty brains (Bell, ), lower intelligence (Bomyea, Risbrough, & Lang, ), faulty femininity (Lilly, Pole, Best, Metzler, & Marmar, ) and personal deficits (Joseph, Murphy, & Regel, ) are identified. Some troubling parallels with the borderline personality disorder (BPD) discourse are drawn. Yet, while the meanings/implications of a BPD diagnosis increasingly attract stringent criticism, current PTSD and PTG research is not being sufficiently challenged from a political perspective. The article argues that person‐centred approaches (PCAs) need to be more recognized as treatments for PTSD – this work is already underway (see Murphy, Archard, Regel, & Joseph, , for instance) – and that, concurrently and then increasingly, practitioners of PCAs must intervene in the PTSD discourse, also challenging themselves to conceptualize what is now termed PTSD as actually just one incongruence amongst many, rather than a psychopathology encountered by some (deficient) people.

show abstract

“…Culturally-informed interventions, compared to non-culturally tailored interventions, may be more likely to provide the conditions necessary for developing therapeutic rapport, a collaborative working alliance, and establishing trust between client and therapist (Huey, Tilley, Jones, & Smith, 2014; Perez Benitez et al, 2013; Wampold, 2015). CBT interventions that are culturally-adapted and responsive to a client’s individual presentation, such as Latinx values, are associated with treatment acceptability, retention, clinically significant treatment gains, and increased quality of life (Perez Benitez, et al, 2013). These factors seem to have been operating in Julio’s case and led to clinically significant gains and an improved quality of life for him.…”

Section: Resultsmentioning

confidence: 99%

Socio-Cognitive Behavioral Therapy for Suicidal Behavior With a Puerto Rican Male Adolescent

Gomez

Colón

Spirito

2018

Evidence-Based Practice in Child and Adolescent Mental Health

Self Cite

View full text Add to dashboard Cite

In 2015, fifteen percent of Puerto Rican adolescents attempted suicide. In general, females have more suicidal thoughts while males are more likely to die by suicide. However, few evidence-based treatments have been developed for this population. Objectives. The aim of this study was to illustrate the therapeutic process of a male Puerto Rican adolescent treated with the Socio-Cognitive Behavioral Therapy for Suicidal Behavior (SCBT-SB), a culturally informed protocol, and to discuss how developmental, feminist, and family system perspectives were incorporated in the SCBT-SB treatment model. Method. A case study is presented: Julio received the SCBT-SB after a psychiatric hospitalization subsequent to threating to commit suicide. Baseline and post-treatment assessments evaluated diagnosis, risk factors (e.g. hopelessness), treatment satisfaction, and suicidal behaviors. Results. Julio demonstrated clinically significant change in depressive symptoms, hopelessness, suicidal ideation, and aggressive/impulsive behaviors. Conclusions. The SCBT-SB was feasible to implement and proved acceptable to the client and his family.

show abstract

Cognitive behavioral therapy for PTSD and somatization: An open trial

Cited by 8 publications

References 54 publications

Number of patient-reported allergies helps distinguish epilepsy from psychogenic nonepileptic seizures

Number of patient-reported allergies helps distinguish epilepsy from psychogenic nonepileptic seizures

A person-centred political critique of current discourses in post-traumatic stress disorder and post-traumatic growth

Socio-Cognitive Behavioral Therapy for Suicidal Behavior With a Puerto Rican Male Adolescent

Contact Info

Product

Resources

About