Tomorrow’s #traumaresearch chat: Preventing treatment dropout

Tomorrow we discuss ways to prevent treatment dropout at our live #traumaresearch Twitter chat (26 April; 9pm Melbourne, 13u Amsterdam; see your local time). Julia Diehle will join us as a special guest. She conducts research on Cognitive Behavioral Therapy and EMDR with children, and wrote last week’s guestpost. If you would like to join us tomorrow but don’t have Twitter experience, here’s the information on how to use Twitter and participate in a live chat.

In preparation for the chat, I wanted to share some more information on one of the papers Julia referred to. Glenn Saxe and colleagues conducted a trial with an innovative treatment approach that integrates and tailors different services (psychotherapy, psychopharmacology, home- and community based care, and advocacy) for children and their families. Continue reading

We don’t want to talk about it: Treatment dropout

This guest post is written by Julia Diehle, who is in the final year of her PhD project (supervised by dr. Lindauer and prof. Boer at the Academic Medical Center in Amsterdam). Her research project concerns a randomized controlled trial of Trauma-Focused Cognitive Behavior Therapy (TF-CBT) and Eye Movement Desensitization and Reprocessing (EMDR) in children with PTSD.

Treatment dropout will be the topic of next week’s #traumaresearch Twitter chat on Thursday 26 April (9pm Melbourne, 13u Amsterdam; see your local time & how to join). Julia will join us as a special guest, I hope to see many of you there! Now over to Julia: 

We do not like to talk about it but treatment dropouts and “no-shows” are a big problem in trauma therapy. Actually not in trauma therapy alone, but in outpatient settings in general. About 50% of adult patients drop out of outpatient therapy¹ and the number of children dropping out of treatment seems to be even higher. Miller and colleagues² found that more than 60% of children did not complete 8 sessions of therapy and that about 17% of the children did not even return after the intake session.

It is all about long-term vs. short-term gains

Trauma-therapy is no fun and treatment gains are achieved on the long term rather than on the short term. Continue reading

Empowering children and parents


How do we involve children and parents when we design new research? And how do we involve them in the development of interventions? In other words, how can we make sure that the studies we conduct and the care we provide are answering their needs?

 

Giving children and parents a voice in our research and clinical work is the topic of next week’s #traumaresearch chat (Thursday 12 April in most time zones, find your local time here). It’s inspired by a moving TED talk by Lucien Engelen earlier this week. He is a change maker in health care and encourages professionals to listen more carefully to patients.

Continue reading

The 20 most inspiring papers on trauma recovery (or related mental health topics)

A few days ago I made an overview of the 20 most cited research papers on traumatic stress. And then came to the conclusion that what I’m really after is sharing a list of what you find the most inspiring ones (on trauma recovery or any related mental health topic)…

Which papers have made you really enthusiastic? Which articles have changed your thinking? Which publications do you re-read regularly?

We’ll have a #traumaresearch chat about these questions on Wed 28/Thurs 29 March (your local time). But an hour is short, not everyone is able to join, and it may be nice to start a little thread that informs the chat and remains available afterwards (it’s also possible that I’m just a little too curious to wait another week :-)). So please leave a comment with your favorite(s). Continue reading

The 20 most influential papers on posttraumatic stress

Which papers have shaped your thoughts on traumatic stress and recovery? Which articles do you often refer to? These questions will be the starting point for the next #traumaresearch chat on Twitter in exactly a week (March 28th in the US, 29th in Australia; see your local time).

 

Meanwhile, I have had a look at which publications have been most influential in terms of citations. For the methods (e.g., I have excluded articles focused on measures), see below. These are the most cited papers, with links to free full-text pdfs or abstracts:

  1. Kessler et al. (1995) Posttraumatic stress disorder in the national comorbidity survey. Archives of General Psychiatry. 3437 citations
  2. Breslau et al. (1991) Traumatic events and posttraumatic stress disorder in an urban population of young adults. Archives of General Psychiatry. 1181 citations
  3. Kendall-Tackett et al. (1993) Impact of sexual abuse on children: A review and synthesis of recent empirical studies. Psychological Bulletin. 981 citations
  4. Ehlers & Clark (2000) A cognitive model of posttraumatic stress disorder. Behaviour Research and Therapy. 978 citations               Continue reading