Trauma-related symptoms:A critical evaluation of popular treatments

Voor de behandeling van traumagerelateerde klachten zijn effectieve, evidence-based behandelingen beschikbaar, maar relatief weinig mensen krijgen daadwerkelijk zo'n behandeling. In plaats daarvan worden andere behandelingen gegeven die populair zijn, waaronder lichaamsgerichte behandelingen, dierondersteunde therapie, speltherapie, EMDR toegepast op vermijding, de Lovett-methode voor preverbaal trauma, geleide synthese en deprogrammeren. Wij nemen deze behandelingen onder de loep. Zijn ze effectief? Wat is het veronderstelde werkingsmechanisme ervan? En wat zijn de mogelijke risico's van deze behandelingen? In de discussie bespreken we mogelijke redenen waarom deze en vergelijkbare behandelingen in de klinische praktijk worden verkozen boven evidence-based behandelingen en een aantal redeneerfouten die aan deze keuzes bijdragen.In clinical practice, various forms of evidence-based treatment for the treatment of trauma-related symptoms are available. However, relatively few patients receive one of these forms of treatment. Instead, patients receive other popular treatments for trauma-related complaints, such as body-focused treatments, animal-assisted therapy, EMDR for avoidance, play therapy, the Lovett method for preverbal trauma, guided synthesis, and deprogramming. We summarize the effectiveness, hypothesized working mechanism, and possible risks of these treatment methods. In the discussion, we explain possible reasons why these and comparable methods are preferred in clinical practice above evidence-based treatments and several reasoning errors which can contribute to these choices

Feasibility, acceptance, and potential improvement of trauma-focused therapy in PTSD patients with a smartphone application - a pilot study

Mobile health (mHealth) offers an easily accessible and low-cost opportunity to strengthen existing treatments for PTSD, but empirical evidence for mHealth is scarce. The primary objective of this study is to investigate the potential added effect of the SUPPORT Coach APP in addition to traditional trauma-focused therapy for adult PTSD patients. The secondary objective is to explore the feasibility (acceptance, usability, client satisfaction) of the SUPPORT Coach APP for adult PTSD patients

Validation Study of Three New Indonesian Questionnaires for Assessing Resilience and Trauma-Related Symptoms in Indonesian Undergraduate Students

There is a critical necessity to conduct validation study of resilience and trauma-related questionnaire among Indonesian population, due to limited availability of reliable and valid instruments in Indonesia. This study aims to conduct initial validation of the Indonesian Resilience Evaluation Scale (RES), the International Trauma Questionnaire (ITQ), and the Global Psychotrauma Screen (GPS) in an Indonesian undergraduate student sample

Validation of the Indonesian resilience evaluation scale in an undergraduate student population

Background: Psychological resilience is an important factor in coping with Potentially Traumatic Events (PTEs) and might mitigate the development of trauma-related disorders. Due to the high risk of natural disasters, criminal activity, and transportation accidents among the Indonesian population, it is critical to assess psychological resilience as a protective factor. This study aimed to validate the Resilience Evaluation Scale (RES) in Indonesian undergraduate students. Methods: We recruited 327 students (78% female, the mean age is 19.61 (SD = 1.24)) between March and June 2020 using convenience sampling, 256 (78.28%) of whom completed the RES twice with an interval of 2 weeks for test-retest reliability purposes. Parallel Analysis and Exploratory Factor Analysis were performed to examine the construct validity of the RES. The internal consistency and the test-retest reliability were assessed using Cronbach Alpha, Pearson Correlations, and Interclass Correlation Coefficients (ICC). Convergent and divergent validity were examined using Pearson Correlations. Results: EFA analysis yielded a two-factor structure for the final eight-item Indonesian version of RES, which reflected two underlying constructs of resilience: self-confidence and self-efficacy. The Indonesian version of RES demonstrated good internal consistency (α = 0.74–0.82) and test-retest reliability (r = 0.68–0.78; ICC = 0.67–0.78). The result showed that the RES total and subscale scores positively correlated with all criterion variables (resilience, self-efficacy, self-esteem, level of global functioning, and adaptive coping strategy; r = 0.27–0.73). RES total and subscale scores negatively correlated with opposite constructs (PTSD, depression, social/work impairment, and maladaptive coping strategy; r = - 0.27– -0.46). Conclusions: The current study showed that the Indonesian RES is a valid and reliable measurement of psychological resilience in Indonesian undergraduate students. The final 8-item Indonesian RES, a freely available resilience instrument, is recommended for future studies and public mental health initiatives in the Indonesian population