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- Title
CRITICAL ANALYSIS OF THE CURRENT TREATMENT GUIDELINES FOR COMPLEX PTSD IN ADULTS.
- Authors
Jongh, Ad; Resick, Patricia A.; Zoellner, Lori A.; Minnen, Agnes; Lee, Christopher W.; Monson, Candice M.; Foa, Edna B.; Wheeler, Kathleen; Broeke, Erik ten; Feeny, Norah; Rauch, Sheila A.M.; Chard, Kathleen M.; Mueser, Kim T.; Sloan, Denise M.; Gaag, Mark; Rothbaum, Barbara Olasov; Neuner, Frank; Roos, Carlijn; Hehenkamp, Lieve M.J.; Rosner, Rita
- 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.
- Subjects
TREATMENT of post-traumatic stress disorder; CRITICAL analysis; ADULTS; PSYCHOTHERAPY; POST-traumatic stress disorder; EMOTIONAL trauma; MENTAL health; MEDICAL protocols
- Publication
Depression & Anxiety (1091-4269), 2016, Vol 33, Issue 5, p359
- ISSN
1091-4269
- Publication type
journal article
- DOI
10.1002/da.22469