Journal article
Critical analysis of the current treament guidelines of complex PTSD in adults
Depression and Anxiety, Vol.33(5), pp.359-369
2016
Abstract
According to current treatment guidelines for Complex PTSD (cPTSD), psychotherapy for adults with cPTSD should start with a “stabilization phase.” This phase, focusing on teaching self-regulation strategies, was designed to ensure that an individual would be better able to tolerate trauma-focused treatment. The purpose of this paper is to critically evaluate the research underlying these treatment guidelines for cPTSD, and to specifically address the question as to whether a phase-based approach is needed. As reviewed in this paper, the research supporting the need for phase-based treatment for individuals with cPTSD is methodologically limited. Further, there is no rigorous research to support the views that: (1) a phase-based approach is necessary for positive treatment outcomes for adults with cPTSD, (2) front-line trauma-focused treatments have unacceptable risks or that adults with cPTSD do not respond to them, and (3) adults with cPTSD profit significantly more from trauma-focused treatments when preceded by a stabilization phase. The current treatment guidelines for cPTSD may therefore be too conservative, risking that patients are denied or delayed in receiving conventional evidence-based treatments from which they might profit.
Details
- Title
- Critical analysis of the current treament guidelines of complex PTSD in adults
- Authors/Creators
- A. De Jongh (Author/Creator) - Academic Center for Dentistry AmsterdamP.A. Resick (Author/Creator) - Duke UniversityL.A. Zoellner (Author/Creator) - University of WashingtonA. van Minnen (Author/Creator) - Radboud University NijmegenC.W. Lee (Author/Creator) - Murdoch UniversityC.M. Monson (Author/Creator) - Toronto Metropolitan UniversityE.B. Foa (Author/Creator) - University of PennsylvaniaK. Wheeler (Author/Creator) - Fairfield UniversityE. ten Broeke (Author/Creator)N. Feeny (Author/Creator) - Case Western Reserve UniversityS.A.M. Rauch (Author/Creator) - VA Ann Arbor Healthcare SystemK.M. Chard (Author/Creator) - Cincinnati VA Medical CenterK.T. Mueser (Author/Creator) - Boston UniversityD.M. Sloan (Author/Creator) - Boston UniversityM. van der Gaag (Author/Creator) - Amsterdam Public HealthB.O. Rothbaum (Author/Creator) - Emory UniversityF. Neuner (Author/Creator) - Bielefeld UniversityC. de Roos (Author/Creator) - GGZ RivierduinenL.M.J. Hehenkamp (Author/Creator) - University Medical Center UtrechtR. Rosner (Author/Creator) - Catholic University of Eichstätt-IngolstadtI.A.E. Bicanic (Author/Creator)
- Publication Details
- Depression and Anxiety, Vol.33(5), pp.359-369
- Publisher
- Wiley
- Identifiers
- 991005543021707891
- Copyright
- © 2016 Wiley Periodicals, Inc.
- Murdoch Affiliation
- School of Psychology and Exercise Science
- Language
- English
- Resource Type
- Journal article
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Source: InCites
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- Collaboration types
- Domestic collaboration
- International collaboration
- Citation topics
- 6 Social Sciences
- 6.24 Psychiatry & Psychology
- 6.24.93 Trauma and PTSD
- Web Of Science research areas
- Psychiatry
- Psychology
- Psychology, Clinical
- ESI research areas
- Psychiatry/Psychology