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 |
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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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