Prolonged exposure and EMDR for PTSD versus a PTSD waiting list condition: effects on symptoms of psychosis, depression, dissociation and social functioning in patients with chronic psychotic disorders


Paul de Bont

Saturday 18 june 2016

11:15 - 11:30h at Kilimanjaro

Categories: Psychotic disorders, Research

Parallel session: Researchtrack - EMDR & psychosis: above and beyond - latest research and developments


Prolonged exposure and EMDR for PTSD versus a PTSD waiting list condition: effects on symptoms of psychosis, depression, dissociation and social functioning in patients with chronic psychotic disorders

P. de Bont1, D. van den Berg2, B. van der Vleugel3, C. de Roos4, A. de Jongh5, M. van der Gaag6 A. van Minnen7

 

1 MHO GGZ Oost Brabant, Boxmeer, The Netherlands; Radboud University Nijmegen, Behavioural Science Institute, NijCare, The Netherlands.

2 Parnassia Psychiatric Institute, Den Haag, The Netherlands

3 MHO GGZ Noord-Holland Noord, Alkmaar, The Netherlands

4 MHO Rivierduinen, Leiden, The Netherlands

5 University of Amsterdam and VU University Amsterdam, Amsterdam, The Netherlands; Salford University Manchester, United Kingdom

6 VU University Amsterdam and EMGO Institute for Health and Care Research, Amsterdam, The Netherlands

7 Radboud University Nijmegen, Nijmegen, The Netherlands; MHO Pro Persona, Nijmegen, The Netherlands

 

Objectives: To assess effects on hallucinations, delusions, remission from psychosis, depression, dissociation and social functioning of PTSD treatment versus a waitlist condition in patients with psychosis.

Method: In the Treating Trauma In Psychosis study 155 patients in treatment as usual for a psychotic disorder (MINI+) were randomly assigned to EMDR, Prolonged Exposure or Waiting List for their co morbid PTSD (CAPS). Both treatment conditions were superior to Waiting List in diminishing PTSD (1) . Secondary outcome variables were monitored before and after treatment and at 6-month follow-up. The PSYRATS measured hallucinations and delusions, the GPTS paranoid thoughts, the SCI-PANSS measured remission from schizophrenia symptomatology, the BDI-II depression and suicidality, the CAPS-items 28-30 dissociation and the PSP social functioning.

Results: The treatment conditions caused neutral to positive changes in all secondary outcome variables. Details will be shown in this presentation.

Conclusions: This study adds strong arguments that in clinical practice psychotic patients should be included in PTSD treatment.

 

(1) van den Berg DG, de Bont PM, van der Vleugel BM, et al. Prolonged Exposure vs Eye Movement Desensitization and Reprocessing vs Waiting List for Posttraumatic Stress Disorder in Patients With a Psychotic Disorder: A Randomized Clinical Trial. JAMA Psychiatry. Published online January 21, 2015. doi:10.1001/jamapsychiatry.2014.2637.

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  • Location(s)
  • plattegrond Kilimanjaro