Tratamiento centrado en el trauma intensivo completamente remoto para el TEPT y el TEPT Complejo

Translated title of the contribution: Fully remote intensive trauma-focused treatment for PTSD and Complex PTSD

H. Bongaerts*, E. M. Voorendonk, A. Van Minnen, L. Rozendaal, B. S.D. Telkamp, A. de Jongh

*Corresponding author for this work

Research output: Contribution to JournalArticleAcademicpeer-review

Abstract

Background: It is unknown whether remotely delivered intensive trauma-focused therapy not only is an effective treatment for PTSD, but also for Complex PTSD. Objective: Testing the hypothesis that a brief, fully remotely administered intensive trauma-focused treatment programme for individuals with PTSD and Complex PTSD would be safe, and associated with a significant decline of the corresponding symptoms and diagnostic status. Method: The treatment sample consisted of 73 consecutive patients diagnosed with PTSD according to the CAPS-5. According to the ITQ (n = 70) 33 (47.1%) patients also fulfilled the diagnostic criteria of Complex PTSD. The 4-day treatment programme contained a combination of prolonged exposure, EMDR therapy, physical activities and psycho-education. Treatment response was measured using the Clinician-Administered PTSD Scale for DSM-5 (CAPS-5), the PTSD Checklist for DSM-5 (PCL-5), and the International Trauma Questionnaire (ITQ) for classifying Complex PTSD and indexing disturbances in self-organization (DSO). Results: Overall CAPS-5, PCL-5, and ITQ-DSO scores decreased significantly from pre- to post-treatment (Cohen’s ds 2.12, 1.59, and 1.18, respectively), while the decrease was maintained to six months follow-up. At post-treatment, 60 patients (82.2%) no longer met the diagnostic criteria of PTSD, while the proportion of patients with Complex PTSD decreased from 47.1% to 10.1%. No drop out, and no personal adverse events occurred. Conclusions: The results support the notion that intensive, trauma-focused treatment is feasible, safe and associated with a large decrease in PTSD and Complex PTSD symptoms, even when it is brief, and applied fully remote. HIGHLIGHTS Second study to examine the effectiveness of a fully remote intensive trauma-focused treatment for PTSD and Complex PTSD. Significant decrease of DSO symptoms. Over 80 percent of the patients no longer met the diagnostic criteria of PTSD and Complex PTSD following treatment.

Translated title of the contributionFully remote intensive trauma-focused treatment for PTSD and Complex PTSD
Original languageSpanish
Article number2103287
Pages (from-to)1-13
Number of pages13
JournalEuropean Journal of Psychotraumatology
Volume13
Issue number2
Early online date22 Sept 2022
DOIs
Publication statusPublished - 2022

Bibliographical note

Funding Information:
No funding was received to conduct this study.

Publisher Copyright:
© 2022 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group.

Funding

No funding was received to conduct this study.

Keywords

  • Complex PTSD
  • DSO
  • intensive trauma-focused treatment
  • Online
  • remotely administered treatment

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