Treatment of Posttraumatic Stress Disorder

Shalev, Arieh Y.; Bonne, Omer; Eth, Spencer

doi:10.1097/00006842-199603000-00012

Cited by 190 publications

(100 citation statements)

References 93 publications

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“…Even though research points towards a diverse emotional profile underlying PTSD development, the alleviation of fear remains the main focus of therapeutic interventions (e.g. Shalev, Bonne, & Eth, 1996). Advancement in the understanding of emotional factors that underlie PTSD emphasizes possible benefits of more idiosyncratic treatment approaches that aim to change guilt-related feelings and cognitions associated with the traumatic event.…”

Section: Discussionmentioning

confidence: 99%

The role of guilt in Posttraumatic Stress Disorder

Bub

Lommen

2017

European Journal of Psychotraumatology

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Background: A growing body of evidence supports the notion that the emotional profile of Posttraumatic Stress Disorder (PTSD) may be more diverse than traditional accounts presume. PTSD’s image as an anxiety-based disorder is undergoing change as the significance of other emotions in its development becomes more evident. Experimental research is needed in order to expand the understanding of underlying processes driving the development of PTSD. Objective: Experimentally test the influence of stressor-related guilt on the occurrence of PTSD symptomatology. Method: A non-clinical student sample faced an analogue trauma, a stressor in the form of a computer crash and related loss of data. We either personally blamed participants for causing the incident (blame group) or told them that it was a technical failure and therefore not their fault (no-blame group). Levels of guilt before and after the incident as well as number and associated distress of incident-related intrusions were assessed using a one-day diary and compared between groups. Results: The guilt manipulation was successful: feelings of guilt significantly increased in the blame group but not in the no-blame group. Furthermore, the blame group showed a significantly higher number of intrusions and associated distress compared to the no-blame group at one-day follow-up. Conclusions: These laboratory findings indicate that feelings of guilt may lead to increased PTSD symptomatology, supporting the view that guilt experienced in reaction to a traumatic event may be part of a causal mechanism driving the development of PTSD.

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Section: Discussionmentioning

confidence: 99%

The role of guilt in Posttraumatic Stress Disorder

Bub

Lommen

2017

European Journal of Psychotraumatology

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“…Similarly, the magnitude of symptom improvement from baseline levels of PTSD severity was not suggestive of full remissions in the current study group, although a substantial within-group effect size was observed in the primary PTSD outcome measure. Partial rather than full remission of PTSD symptoms has been observed in a prior study 42 of both pharmacotherapy and psychotherapy in patients with PTSD.…”

Section: Discussionmentioning

confidence: 81%

An Open-Label Pilot Study of Divalproex Sodium for Posttraumatic Stress Disorder Related to Childhood Abuse

Goldberg

Cloitre

Whiteside

et al. 2003

Current Therapeutic Research

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Background: Few effective pharmacotherapeutic strategies have been established for the treatment of symptoms associated with posttraumatic stress disorder (PTSD). Preliminary evidence supports the efficacy of serotonergic agents and anticonvulsants, such as divalproex sodium, for the treatment of PTSD symptoms, particularly in military populations.Objective: The aim of this study was to obtain pilot data on the use of divalproex sodium for the treatment of PTSD among adult civilian outpatients with a history of childhood physical and/or sexual abuse.Methods: Outpatients with a primary psychiatric diagnosis of PTSD received open-label, flexibly dosed divalproex sodium as adjuvant therapy or monotherapy for 8 weeks. Overall and subcluster PTSD features, as well as affective symptoms and clinical global improvement, were monitored using standardized assessment scales.Results: A total of 7 patients (5 women, 2 men; mean age, 44.1 years [range, 29-57 years]) were enrolled. At a mean (SD) peak dosage of 1500 (661) mg/d, significant improvement occurred in overall PTSD symptom severity (P Ͻ 0.02) and in the diagnostic subclusters of hyperarousal and avoidance (P Ͻ 0.02 for both). Depressive symptoms also were significantly improved from baseline (P Ͻ 0.02). Divalproex sodium was well tolerated, except in 1 patient who prematurely discontinued treatment due to cognitive adverse events.Conclusions: These provisional findings support the possible utility of divalproex sodium therapy for adult outpatients with PTSD related to physical and/ or sexual abuse during childhood. Controlled trials with larger sample sizes powered to show safety and efficacy are needed to substantiate these initial

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“…De plus, il semble y avoir consensus général chez les cliniciens et les chercheurs à l'effet que les modalités de traitement individuel ne sont pas vraiment utiles pour aborder l'éven-tail complet des problèmes cliniques, tels que les difficultés interpersonnelles fréquemment observées chez les individus traumatisés Shalev et al, 1996).…”

Section: Psychothérapie Pour Le Tspt Aperçuunclassified

La psychothérapie interpersonnelle (PTI) pour le traitement du trouble de stress post-traumatique (TSPT)

Robertson

2009

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RésuméParmi les nombreuses modifications apportées à la psychothérapie interpersonnelle (PTI) et à toutes ses applications, c’est son utilisation dans le traitement du traumatisme psychologique qui s’avère le plus complexe. La littérature anglo-américaine définit habituellement le traumatisme psychologique comme étant le trouble de stress post-traumatique (TSPT). Malgré l’attention portée au TSPT par la littérature scientifique, le traumatisme psychologique engendre des perturbations profondes de l’humeur, de la régulation de l’affect, du concept de soi et de l’ajustement interpersonnel, ainsi qu’une profonde crise existentielle dans la vie des personnes qui en sont affligées. Aucune thérapie psychologique ne peut donc prétendre « traiter » tous les aspects d’un stress psychologique traumatique. En étant axée sur l’individu et sur l’expérience de son monde interpersonnel, la PTI offre un cadre assez large pour une intervention psychologique qui, bien que destinée à soulager la détresse, aborde des questions qui ne le sont habituellement pas dans d’autres traitements axés sur les symptômes. Dans cet article, l’auteur tente de mettre en évidence les arguments en faveur du recours à la PTI pour le traitement de traumatismes psychologiques et de TSPT, puis il présentera quelques exemples de son utilité dans un environnement clinique.

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Treatment of Posttraumatic Stress Disorder

Cited by 190 publications

References 93 publications

The role of guilt in Posttraumatic Stress Disorder

The role of guilt in Posttraumatic Stress Disorder

An Open-Label Pilot Study of Divalproex Sodium for Posttraumatic Stress Disorder Related to Childhood Abuse

La psychothérapie interpersonnelle (PTI) pour le traitement du trouble de stress post-traumatique (TSPT)

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