Psychological trauma and post-traumatic stress disorder among women in community mental health aftercare following psychiatric intensive care

Ford, Julián D.; Fournier, Debra

doi:10.1017/s1742646407001094

Cited by 35 publications

(31 citation statements)

References 27 publications

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“…Eligible subjects signed the IRB approved consent form that spelled out procedures, risks and benefits of the study. Trauma history was obtained by self-report ad scored on the Traumatic Events Screening Inventory [39], an 18-item self-report measure assessing lifetime occurrence of both acute (e.g. accident, natural disaster, loss) and interpersonal (e.g.…”

Section: Methodsmentioning

confidence: 99%

A Randomized Controlled Study of Neurofeedback for Chronic PTSD

et al. 2016

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IntroductionBrain/Computer Interaction (BCI) devices are designed to alter neural signals and, thereby, mental activity. This study was a randomized, waitlist (TAU) controlled trial of a BCI, EEG neurofeedback training (NF), in patients with chronic PTSD to explore the capacity of NF to reduce PTSD symptoms and increase affect regulation capacities.Study Design52 individuals with chronic PTSD were randomized to either NF (n = 28) or waitlist (WL) (n = 24). They completed four evaluations, at baseline (T1), after week 6 (T2), at post-treatment (T3), and at one month follow up (T4). Assessment measures were:1. Traumatic Events Screening Inventory (T1); 2. the Clinician Administered PTSD Scale (CAPS; T1, T3, T4); 3. the Davidson Trauma Scale (DTS; T1-T4) and 4. the Inventory of Altered Self-Capacities (IASC; T1-T4). NF training occurred two times per week for 12 weeks and involved a sequential placement with T4 as the active site, P4 as the reference site.ResultsParticipants had experienced an average of 9.29 (SD = 2.90) different traumatic events. Post-treatment a significantly smaller proportion of NF (6/22, 27.3%) met criteria for PTSD than the WL condition (15/22, 68.2%), χ2 (n = 44, df = 1) = 7.38, p = .007. There was a significant treatment condition x time interaction (b = -10.45, t = -5.10, p< .001). Measures of tension reduction activities, affect dysregulation, and affect instability exhibited a significant Time x Condition interaction. The effect sizes of NF (d = -2.33 within, d = - 1.71 between groups) are comparable to those reported for the most effective evidence based treatments for PTSD.DiscussionCompared with the control group NF produced significant PTSD symptom improvement in individuals with chronic PTSD, as well as in affect regulation capacities. NF deserves further investigation for its potential to ameliorate PTSD and to improve affect regulation, and to clarify its mechanisms of action.

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Section: Methodsmentioning

confidence: 99%

A Randomized Controlled Study of Neurofeedback for Chronic PTSD

et al. 2016

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“…Three studies using the Clinician Administered PTSD Scale (CAPS; Blake et al, 1990; Weathers, Keane, & Davidson, 2001), which is typically considered the “gold standard” structured interview assessment for PTSD, yielded current PTSD prevalence rates of 13, 44 and 46% among SMI participants (Ford & Fournier, 2007; Gearon, Kaltman, Brown, & Bellack, 2003; Resnick, Bond, & Mueser, 2003), while studies using self-report measures yielded current PTSD rates between 19% and 53% (See Table 2 for a review of all studies). Lifetime rates of PTSD among individuals with SMI, based on structured interviews, have ranged between 14 and 53%.…”

Section: Prevalence Of Traumatic Event Exposure and Posttraumaticmentioning

confidence: 99%

“…There are sufficient data to suggest that, among individuals with SMI, child and adult victimization experiences are correlated with alcohol and/or drug use (Brekke et al, 2001; Carballo et al, 2008; Chapple et al, 2004; Dean et al, 2007; Ford & Fornier, 2007; Goodman et al, 2001; Goodman et al, 1997b; Hiday et al, 1999; Hiday et al, 2002; Honkonen et al, 2004; Mueser et al, 2008; Neria et al, 2002; Scheller-Gilkey, Moynes, Cooper, Kant, & Miller, 2004; Sells, Rowe, Fisk, & Davison, 2003; Walsh et al, 2003; Wexler et al, 1997; White, Chafetz, Collins-Bride, & Nickens, 2006); transient living conditions or homelessness (Chapple et al, 2004; Dean et al, 2007; Goodman et al, 2001; Goodman et al, 1997b; Hiday et al, 1999; Hiday et al, 2002; Mueser et al, 2008; Walsh et al, 2003), decreased health related quality of life (Lysaker & La Rocco, 2009; Maguire, McCusker, Meenagh, Muholland, & Shannon, 2008) the additional presence of a personality disorder (Carballo et al, 2008; Dean et al, 2007; Hiday et al, 1999; Hiday et al, 2002; Lysaker, Wickett, Lancaster, & Davis, 2004; Walsh et al, 2003; Wexler et al, 1997); HIV or sexual risk behaviors (Goodman et al, 1997b; Van Dorn et al, 2005), suicidality and self-injurious behaviors (Carballo et al, 2008; Mueser et al, 2008; Read, 1998), measures of hostility and anger (McFarlane et al, 2006), neuroticism (Lysaker et al, 2001); and indices of social, occupational and community functioning (Chapple et al, 2004; Hodgins, Lincoln, & Mak, 2009; Lysaker et al, 2001; Lysaker, Beattie, Starsburger, & Davis, 2005; Lysaker et al, 2004b). Most notably, Brekke and colleagues (2001) also found that having more severe clinical symptoms and greater substance use at baseline were significant predictors of victimization at three years.…”

Section: Clinical Correlates Of Traumatic Event Exposure and Ptsdmentioning

confidence: 99%

Trauma exposure and posttraumatic stress disorder in adults with severe mental illness: A critical review

Grubaugh

Zinzow

Paul

et al. 2011

Clinical Psychology Review

249

223

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There is a great deal of research on the prevalence, correlates, and treatment of PTSD in the general population. However, we know very little about the manifestation and consequences of PTSD in more complicated patient populations. The purpose of the current paper is to provide a comprehensive review of PTSD within the context of severe mental illness (SMI; i.e., schizophrenia spectrum disorders, mood disorders). Extant data suggest that trauma and PTSD are highly prevalent among individuals with SMI relative to the general population, and both are associated with adverse clinical functioning and increased healthcare burden. However, trauma and PTSD remain overlooked in this population, with low recognition rates in public-sector settings. Additionally, there are few data on the clinical course and treatment of PTSD among individuals with SMI. Particularly lacking are longitudinal studies, randomized controlled treatment trials, and studies using ethno-racially diverse samples. Furthermore, there is a need to better understand the interplay between trauma, PTSD, and severe forms of mental illness and to further develop and disseminate evidence-based PTSD treatments in this population. The current state of the literature and future directions for practice are discussed.

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“…Eighty-six percent of 120 patients with bi-polar disorder reported a significant lifetime loss, and those who met criteria for complicated grief (24.3%) had elevated rates of panic disorder, alcohol abuse, suicide attempts, greater functional impairment, and fewer social supports (Simon et al 2005). A study of 35 inner city, low income, predominantly African-American and Hispanic women revealed that 98% had experienced multiple trauma, and 44% met criteria for PTSD (Ford and Fournier 2007). Four clients (11%) who reported ''traumatic loss'' showed the highest rates of PTSD (75%) and reported the highest use of two or more substances (100%).…”

Section: Introductionmentioning

confidence: 99%

Subjective Distress Associated with Sudden Loss in Clients with Severe Mental Illness

O’Hare¹,

Sherrer

2011

Community Ment Health J

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Data from interviews with 276 community mental health clients diagnosed with a severe mental illness were used to examine the association between clients' subjective distress from sudden loss of a close friend or loved one and PTSD symptoms. Over three-quarters of these clients reported sudden losses in their lives, and regression analysis showed that distress related to sudden losses accounted for significant and unique variance in PTSD symptoms when all other sources of traumatic distress were controlled. Practitioners should routinely assess interpersonal losses among clients with SMI and offer brief interventions specifically aimed at helping clients cope with such losses.

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Psychological trauma and post-traumatic stress disorder among women in community mental health aftercare following psychiatric intensive care

Cited by 35 publications

References 27 publications

A Randomized Controlled Study of Neurofeedback for Chronic PTSD

A Randomized Controlled Study of Neurofeedback for Chronic PTSD

Trauma exposure and posttraumatic stress disorder in adults with severe mental illness: A critical review

Subjective Distress Associated with Sudden Loss in Clients with Severe Mental Illness

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