[Opioid use and misuse among patients at the emergency department].

Objective: To determine the prevalence of use and misuse of prescription opioids among patients at Dutch emergency departments (EDs).

Design: Cross-sectional multicenter study.

Method: This study was performed at three EDs in the Nijmegen-Arnhem region.

The prevalence of prescription opioid use and misuse among emergency department patients in The Netherlands.

Rationale: Prescription opioid use and misuse have increased rapidly in many Western countries in the past decade. Patients (mis)using opioids are at risk of presenting to the emergency department (ED) with opioid-related problems. European data concerning prescription opioid (mis)use among the ED population is lacking.

A randomized controlled trial to pilot the efficacy of a computer-based intervention with elements of virtual reality and limited therapist assistance for the treatment of post-traumatic stress disorder.

Although well-established therapies exist for post-traumatic stress disorder (PTSD), barriers to seek mental health care are high. Technology-based interventions may play a role in improving the reach of efforts to treat, especially when therapist availability is low. The goal of the current randomized controlled trial was to pilot the efficacy of a computer-based trauma intervention with elements of virtual reality (VR; system) and limited therapist involvement for the treatment of PTSD in a childhood sexual abuse (CSA) and war veteran sample and to compare this to "treatment as usual" (TAU).