Search

Background: Current psychological trauma-focused interventions have left a gap for individuals who may not be ready for trauma-focused treatment and/or who present with other forms of clinically significant distress, such as subthreshold post-traumatic stress disorder (PTSD). Emotion regulation is a possible transdiagnostic mechanism of change that may promote and maintain some of the varied mental health problems related to trauma exposure. Aims: This study examines the feasibility and initial impact of two brief emotion regulation skill trainings targeting different processes hypothesized to reduce trauma-related problems, compared with an active control. Method: Subjects (n = 156) were randomized to receive one of three brief internet-based trainings: (1) skill training on accepting emotions, (2) skill training on changing emotions, or (3) stress psychoeducation (control). Participants completed measures of emotion regulation, mindfulness, and affect intensity 24 hours pre- and immediately post-training. Results: Results suggested that a brief internet-based skills training programme was feasible and acceptable, with 91.9% completing the training programme to which they were randomized. Results showed that participants in all conditions demonstrated significant decreases in emotion regulation problems over time; yet these improvements did not vary by condition. Participants in the Change condition with higher PTSD symptoms were significantly more likely to have greater increases in positive affect compared with those with lower PTSD symptoms. Conclusions: Although the three conditions did not show different outcomes, all three brief internet-delivered trainings were feasible. Results provide direction for future studies to evaluate the delivery of emotion regulation skills in individuals with trauma-related distress. [ABSTRACT FROM AUTHOR]

Background:This study examines late consequences of war and migration in both non-clinical and clinical samples of child survivors of World War II. This is one of the very few studies on the mental health of children who were subjected to internment in camps, hiding, and violence under Japanese occupation in the Far East. It provides a unique case to learn about the significance of experiences of war and migration in later life.Methods:Long-term sequelae of the Japanese persecution in the Dutch East Indies (DEI) in child survivors were studied by analyzing sets of standardized questionnaires of 939 persons. Instruments dealt with post-traumatic responses, general health, and dissociation. Participants were recruited through community services and registers of clinical services. Discriminant analyses were conducted to evaluate the significance of early experiences in determining group belonging.Results:Compared with age-matched controls that lived through the German occupation in the Netherlands during World War II, the child survivors from the DEI reported both more trauma-related experiences and mental health disturbances in later life. In particular, the number of violent events during the war, among which especially internment in a camp, contributed to the variation among groups, in support of the significance of these disruptive experiences at older age.Conclusion:The results underline the long-term significance of World War II-related traumatic experiences in the population of elderly child survivors who spent their childhood in the former DEI. [ABSTRACT FROM PUBLISHER]

Introduction: Post-traumatic stress disorder is defined as a mental disorder resulting from the experience of traumatic life events. Psychotrauma is transnosographic because it affects all fields of psychiatry in its clinical expression, also it's transcultural because of its universality. The transcultural dimension distorts its expression and confuses the identification for less trained clinicians and is a source of misdiagnosis. Objectives: The aim of this work is to focus on the clinical polymorphism of psychotrauma likely to induce misdiagnosis as well as therapeutic error. Methods: We report the case of a patient hospitalized at the ar-razi hospital in Salé who presented a manic-looking state. Results: This case concerns Mrs. GN, 59 years old, married with no previous pathological history, who was admitted for the handling of psychomotor excitement, with the verbalization of delirious statements, 10 days after the announcement of the metastatic cancer of her son. Psychiatric examination Finds a agitated patient with maniac and delirious syndrome. The patient was treated with medizapine and depakine without clinical improvement. She was treated then with fluoxet only with a good clinical improvement. Conclusions: The state of post-traumatic stress disorder is multiple in its clinical aspect and varies in its evolution, which may manifest itself by manic symptoms. A clinician with no transcultural competence may be confused and can take more time to make the right diagnosis. [ABSTRACT FROM AUTHOR]