Skip to main content Accessibility help
×
Home

Long-term outcomes of trauma-focused treatment in psychosis

  • David van den Berg (a1), Paul A. J. M. de Bont (a2), Berber M. van der Vleugel (a3), Carlijn de Roos (a4), Ad de Jongh (a5), Agnes van Minnen (a6) and Mark van der Gaag (a7)...

Summary

We present 12-month follow-up results for a randomised controlled trial of prolonged exposure and eye movement desensitisation and reprocessing (EMDR) therapy in 85 (78.8%) participants with psychotic disorder and comorbid post-traumatic stress disorder (PTSD). Positive effects on clinician-rated PTSD, self-rated PTSD, depression, paranoid-referential thinking and remission from schizophrenia were maintained up to 12-month follow-up. Negative post-traumatic cognitions declined in prolonged exposure and were stable in EMDR. A significant decline in social functioning was found, whereas reductions in interference of PTSD symptoms with social functioning were maintained. These results support that current PTSD guidelines apply to individuals with psychosis.

Declaration of interest

M.v.d.G. and D.v.d.B. receive income for published books on psychotic disorders and for the training of postdoctoral professionals in the treatment of psychotic disorders. A.d.J. receives income for published books on EMDR therapy and for the training of postdoctoral professionals in this method. A.v.M. receives income for published book chapters on PTSD and for the training of postdoctoral professionals in prolonged exposure. C.d.R. receives income for the training of postdoctoral professionals in EMDR therapy.

  • View HTML
    • Send article to Kindle

      To send this article to your Kindle, first ensure no-reply@cambridge.org is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about sending to your Kindle. Find out more about sending to your Kindle.

      Note you can select to send to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be sent to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.

      Find out more about the Kindle Personal Document Service.

      Long-term outcomes of trauma-focused treatment in psychosis
      Available formats
      ×

      Send article to Dropbox

      To send this article to your Dropbox account, please select one or more formats and confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your <service> account. Find out more about sending content to Dropbox.

      Long-term outcomes of trauma-focused treatment in psychosis
      Available formats
      ×

      Send article to Google Drive

      To send this article to your Google Drive account, please select one or more formats and confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your <service> account. Find out more about sending content to Google Drive.

      Long-term outcomes of trauma-focused treatment in psychosis
      Available formats
      ×

Copyright

Corresponding author

Correspondence: David van den Berg, Parnassia Psychiatric Institute, Research and Innovation department, Zoutkeetsingel 40, 2512HN The Hague, The Netherlands. Email: d.vandenberg@parnassia.nl

References

Hide All
1 Sin, J, Spain, D. Psychological interventions for trauma in individuals who have psychosis: a systematic review and meta-analysis. Psychosis 2017; 9: 6781.
2 Hardy, A, van den Berg, D. Healing traumatic memories in psychosis: a response to Sin and Spain (2016). Psychosis 2016; 9: 95–6.
3 Brand, RM, McEnery, C, Rossell, S, Bendall, S, Thomas, N. Do trauma-focussed psychological interventions have an effect on psychotic symptoms? A systematic review and meta-analysis. Schizophr Res 2017, in press.
4 van den Berg, DP, de Bont, PA, van der Vleugel, BM, de Roos, C, de Jongh, A, Van Minnen, A, et al. Prolonged exposure vs eye movement desensitization and reprocessing vs waiting list for posttraumatic stress disorder in patients with a psychotic disorder: a randomized clinical trial. JAMA Psychiatry 2015; 72: 259–67.
5 van den Berg, DP, de Bont, PA, van der Vleugel, BM, de Roos, C, de Jongh, A, van Minnen, A, et al. Trauma-Focused treatment in PTSD patients with psychosis: symptom exacerbation, adverse events, and revictimization. Schizophr Bull 2016; 42: 693702.
6 de Bont, PA, van den Berg, DP, van der Vleugel, BM, de Roos, C, de Jongh, A, van der Gaag, M, et al. Prolonged exposure and EMDR for PTSD v. A PTSD waiting-list condition: effects on symptoms of psychosis, depression and social functioning in patients with chronic psychotic disorders. Psychol Med 2016; 46: 2411–21.
7 de Bont, PA, van den Berg, DP, van der Vleugel, BM, de Roos, C, Mulder, CL, Becker, ES, et al. A multi-site single blind clinical study to compare the effects of prolonged exposure, eye movement desensitization and reprocessing and waiting list on patients with a current diagnosis of psychosis and co morbid post traumatic stress disorder: study protocol for the randomized controlled trial treating trauma in psychosis. Trials 2013; 14: 151.
8 Blake, DD, Weathers, FW, Nagy, LM, Kaloupek, DG, Gusman, FD, Charney, DS, et al. The development of a clinician-administered PTSD scale. J Trauma Stress 1995; 8: 7590.
9 Foa, EB, Riggs, DS, Dancu, CV, Rothbaum, BO. Reliability and validity of a brief instrument for assessing post-traumatic stress disorder. J Trauma Stress 1993; 6: 459–73.
10 Foa, EB, Ehlers, A, Clark, DM, Tolin, DF, Orsillo, SM. The posttraumatic cognitions inventory (PTCI): development and validation. Psychol Assess 1999; 11: 303–14.
11 Beck, AT, Steer, RA, Brown, GK. Manual for the Beck Depression Inventory-II. Psychological Corporation, 1996.
12 Morosini, PL, Magliano, L, Brambilla, L, Ugolini, S, Pioli, R. Development, reliability and acceptability of a new version of the DSM-IV social and occupational functioning assessment scale (SOFAS) to assess routine social functioning. Acta Psychiatr Scand 2000; 101: 323–9.
13 Green, CE, Freeman, D, Kuipers, E, Bebbington, P, Fowler, D, Dunn, G, et al. Measuring ideas of persecution and social reference: the green et al. Paranoid thought scales (GPTS). Psychol Med 2008; 38: 101–11.
14 Haddock, G, McCarron, J, Tarrier, N, Faragher, EB. Scales to measure dimensions of hallucinations and delusions: the psychotic symptom rating scales (PSYRATS). Psychol Med 1999; 29: 879–89.
15 Andreasen, NC, Carpenter, WT, Kane, JM, Lasser, RA, Marder, SR, Weinberger, DR. Remission in schizophrenia: proposed criteria and rationale for consensus. Am J Psychiatry 2005; 162: 441–9.
16 Rothman, KJ. Six persistent research misconceptions. J Gen Intern Med 2014; 29: 1060–4.
17 Seow, LS, Ong, C, Mahesh, MV, Sagayadevan, V, Shafie, S, Chong, SA, et al. A systematic review on comorbid post-traumatic stress disorder in schizophrenia. Schizophr Res 2016; 176: 441–51.
18 Van Os, J, Delespaul, P, Wigman, J, Myin-Germeys, I, Wichers, M. Psychiatry beyond labels: introducing contextual precision diagnosis across stages of psychopathology. Psychol Med 2013; 43: 1563–7.
Type Description Title
WORD
Supplementary materials

van den Berg et al. supplementary material
van den Berg et al. supplementary material 1

 Word (73 KB)
73 KB

Long-term outcomes of trauma-focused treatment in psychosis

  • David van den Berg (a1), Paul A. J. M. de Bont (a2), Berber M. van der Vleugel (a3), Carlijn de Roos (a4), Ad de Jongh (a5), Agnes van Minnen (a6) and Mark van der Gaag (a7)...

Metrics

Altmetric attention score

Full text views

Total number of HTML views: 0
Total number of PDF views: 0 *
Loading metrics...

Abstract views

Total abstract views: 0 *
Loading metrics...

* Views captured on Cambridge Core between <date>. This data will be updated every 24 hours.

Usage data cannot currently be displayed

Long-term outcomes of trauma-focused treatment in psychosis

  • David van den Berg (a1), Paul A. J. M. de Bont (a2), Berber M. van der Vleugel (a3), Carlijn de Roos (a4), Ad de Jongh (a5), Agnes van Minnen (a6) and Mark van der Gaag (a7)...
Submit a response

eLetters

No eLetters have been published for this article.

×

Reply to: Submit a response


Your details


Conflicting interests

Do you have any conflicting interests? *