Publications by authors named "Huntjens R"

Article Synopsis
  • Policymakers and health providers are focusing more on cost-effectiveness analyses (CEA) for mental health treatments, especially due to rising costs in this sector.
  • The study compared the cost-effectiveness of a phased treatment approach (STAIR-EMDR) versus direct trauma-focused treatment (EMDR only) in patients with PTSD linked to childhood abuse.
  • Results showed no significant differences in effectiveness, but STAIR-EMDR had higher societal costs, making it less cost-effective than EMDR-only therapy for PTSD treatment.
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Article Synopsis
  • Knowledge of predictors and moderators is crucial for enhancing PTSD treatment effectiveness in those affected by childhood abuse, with the study investigating variables that could impact treatment outcomes.
  • The research compared a two-step treatment method (STAIR plus EMDR) versus a direct EMDR approach for PTSD, focusing on various psychological symptoms as predictors and moderators.
  • Findings indicated that pre-treatment PTSD severity and dissociative symptoms were major predictors of poor treatment outcomes, suggesting that more extensive or mixed treatment options might be necessary for those with severe PTSD symptoms.
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Article Synopsis
  • A recent study investigated the effectiveness of two types of PTSD treatments—phase-based (EMDR preceded by STAIR) and direct trauma-focused (EMDR only)—to determine which is more beneficial for patients with PTSD from childhood abuse.
  • Using the Personalized Advantage Index (PAI) model and machine learning, the study aimed to predict which treatments might be more effective for specific patients based on pretreatment variables.
  • The findings showed no significant differences in outcomes between patients receiving PAI-indicated treatment and those receiving non-PAI treatments, suggesting that personalized medicine may not be necessary for this group, highlighting the need for further research with larger sample sizes.
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  • The study aimed to explore how beliefs about memory related to dissociation impact trauma-focused treatment in patients with post-traumatic stress disorder (PTSD), particularly those with the dissociative subtype.
  • Researchers assessed PTSD symptoms and dissociative beliefs in a sample of 111 patients, finding that those with the dissociative subtype had higher levels of these beliefs before treatment, which decreased after trauma-focused therapy.
  • Contrary to initial expectations, the study concluded that higher levels of dissociation-related beliefs did not adversely affect treatment outcomes for PTSD patients.
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Article Synopsis
  • Knowledge of factors that predict treatment dropout in PTSD patients is limited, highlighting the need for further research on this issue.
  • A study compared two treatment approaches for PTSD from childhood abuse and used machine learning to analyze pre-treatment data for indicators of dropout, achieving an 81.6% prediction accuracy.
  • Key predictors of dropout included male gender, low education, suicidal thoughts, emotion regulation issues, high general psychopathology, and not using benzodiazepines, suggesting areas for improving treatment retention.
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Objective: The schema mode model offers a new conceptualisation of complex dissociative disorders (CDD) as it explains shifts between identities as shifts between schema modes. Furthermore, in this model CDD is conceived as personality pathology, incorporating core features of personality disorders. This study tested the assumptions of this schema mode model of CDD.

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Article Synopsis
  • - Treatment for Dissociative Identity Disorder (DID) typically follows a three-phase psychodynamic therapy approach: symptom stabilization, trauma processing, and identity integration, but many patients do not reach the final phase, and the effectiveness of this method is limited.
  • - Schema Therapy (ST) is being explored as a potentially more effective approach for treating DID and is currently undergoing several studies to establish evidence-based practices.
  • - A case study of a 43-year-old woman with DID and related disorders showed significant improvements after 220 ST sessions, including reduced PTSD and dissociative symptoms, better self-beliefs, and enhanced social interactions, suggesting ST could be an effective treatment option for DID.
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Background: Dissociative experiences commonly occur in schizophrenia spectrum disorders (SSD). Yet little is known about how dissociative experiences in SSD are related to SSD symptoms. Accordingly, we investigated the relations between dissociative experiences and SSD symptoms, focusing on symptoms bridging these 2 symptom clusters as well as their relation to reported trauma history.

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Unlabelled: A substantial proportion of clinical World War Two survivor offspring reports intrusions about war events they did not experience themselves. To help identify factors that contribute to the development of such indirect intrusions (i.e.

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Objective: Discontinuities in memory are the hallmark symptoms of most dissociative disorders but are also reported by patients diagnosed with related disorders, including PTSD. Memory discontinuity is most evident in dissociative identity disorder (DID), where patients may report amnesia in 1 identity for information available in other identities (i.e.

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Background: About 40% of rape victims develop post-traumatic stress disorder (PTSD) within three months after the assault. Considering the high personal and societal impact of PTSD, there is an urgent need for early (i.e.

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Background And Objectives: Anecdotal and research evidence suggests that individuals with dissociative symptoms exhibit hyperassociativity, which might explain several key features of their condition. The aim of our study was to investigate the link between dissociative tendencies and hyperassociativity among college students.

Methods: The study (n = 118) entailed various measures of hyperassociativity, measures of dissociative tendencies, depressive experiences, unusual sleep experiences, cognitive failures, and alexithymia.

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Dissociative experiences have been associated with diachronic disunity. Yet, this work is in its infancy. Dissociative identity disorder (DID) is characterized by different identity states reporting their own relatively continuous sense of self.

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Amnesia is a core diagnostic criterion for Dissociative Identity Disorder (DID), however previous research has indicated memory transfer. As DID has been conceptualised as being a disorder of distinct identities, in this experiment, behavioral tasks were used to assess the nature of amnesia for episodic 1) self-referential and 2) autobiographical memories across identities. Nineteen DID participants, 16 DID simulators, 21 partial information, and 20 full information comparison participants from the general population were recruited.

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Objective: A substantial number of sexual assault victims report experiencing some form of peritraumatic tonic immobility (TI). A self-report questionnaire that is widely used to assess TI retrospectively is the Tonic Immobility Scale (TIS). This study explored the factor structure of the TIS in a clinical sample of adolescent and young adults.

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Negative events may not only linger on in the form of intrusive memories in the minds of those directly exposed but also in those who are only indirectly confronted with these events. The aim of the present study was to investigate if intrusions referring to indirectly experienced traumatic events do indeed occur, and to compare their frequency and characteristics to intrusions about directly experienced negative events. Participants (N = 98) were adult postwar offspring of World War Two survivors currently in treatment in one of two clinics specialized in the treatment of war victims.

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: The diagnosis of complex posttraumatic stress disorder (CPTSD) has been suggested for inclusion in the 11th version of the International Classification of Diseases (ICD-11), with support for its construct validity coming from studies employing Latent Class Analysis (LCA) and Latent Profile Analysis (LPA). : The current study aimed to critically evaluate the application of the techniques LCA and LPA as applied in previous studies to substantiate the construct validity of CPTSD. : Both LCA and LPA were applied systematically in one sample ( = 245), replicating the setup of previous studies as closely as possible.

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: To review the safety and efficacy of early interventions after sexual assault in reducing or preventing posttraumatic stress disorder (PTSD). : Systematic searches were performed on studies (1980-2018) that examined the efficacy of interventions for PTSD within 3 months after sexual assault. : The review identified 7 studies (n = 350) with high risk of bias that investigated 5 interventions.

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Exposure to war and violence has major consequences for society at large, detrimental impact on people's individual lives, and may also have intergenerational consequences. To gain more insight into these intergenerational consequences, research addressing the impact of the Holocaust on offspring is an important source of information. The aim of the current study was to systematically review the mechanisms of intergenerational consequences by summarizing characteristics in Holocaust survivors and their offspring suggested to impact the offspring's mental health.

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It is estimated that more than 40% of rape victims develops a posttraumatic stress disorder (PTSD), a statistic that is relatively high compared to other types of trauma. PTSD can affect the victims' psychological, sexual, and physical health. Therefore, there is an urgent need for early interventions to prevent the onset of PTSD in this target group.

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