Uncharted Waters: Treating Trauma Symptoms in the Context of Early Psychosis

Autor: Valerie L. Tryon, Johanna B. Folk, Renata M. Botello, Dawn M. Blacker, Brandi D. Liles, Khalima Bolden, Laura M. Tully, Tara A. Niendam
Jazyk: angličtina
Rok vydání: 2019
Předmět:
early psychosis
Psychosis
medicine.medical_specialty
Pediatric Research Initiative
6.6 Psychological and behavioural
medicine.medical_treatment
Clinical Sciences
Specialty
Psychological intervention
lcsh:Medicine
Context (language use)
Article
empirically supported treatment
cognitive behavioral therapy
coordinated specialty care
trauma
03 medical and health sciences
0302 clinical medicine
Clinical Research
Behavioral and Social Science
medicine
Psychiatry
business.industry
Early psychosis
Prevention
lcsh:R
Evaluation of treatments and therapeutic interventions
General Medicine
Health Services
medicine.disease
Post-Traumatic Stress Disorder (PTSD)
Mental health
3. Good health
030227 psychiatry
Brain Disorders
Cognitive behavioral therapy
Mental Health
Injury (total) Accidents/Adverse Effects
Anxiety
medicine.symptom
business
Mind and Body
030217 neurology & neurosurgery
Zdroj: Journal of Clinical Medicine; Volume 8; Issue 9; Pages: 1456
Journal of clinical medicine, vol 8, iss 9
Journal of Clinical Medicine
Journal of Clinical Medicine, Vol 8, Iss 9, p 1456 (2019)
ISSN: 2077-0383
DOI: 10.3390/jcm8091456
Popis: Psychosis is conceptualized in a neurodevelopmental vulnerability-stress framework, and childhood trauma is one environmental factor that can lead to psychotic symptoms and the development of psychotic disorders. Higher rates of trauma are associated with higher psychosis risk and greater symptom frequency and severity, resulting in increased hospitalization rates and demand on outpatient primary care and mental health services. Despite an estimated 70% of individuals in the early stages of psychosis reporting a history of experiencing traumatic events, trauma effects (post-traumatic anxiety or depressive symptoms) are often overlooked in psychosis treatment and current interventions typically do not target commonly comorbid post-traumatic stress symptoms. We presented a protocol for Trauma-Integrated Cognitive Behavioral Therapy for Psychosis (TI-CBTp), an approach to treating post-traumatic stress symptoms in the context of early psychosis care. We provided a brief summary of TI-CBTp as implemented in the context of Coordinated Specialty Care and presented preliminary data supporting the use of TI-CBTp in early psychosis care. The preliminary results suggest that individuals with comorbid psychosis and post-traumatic stress symptoms can be appropriately and safely treated using TI-CBTp within Coordinated Specialty Care.
Databáze: OpenAIRE
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