Investigating the Efficacy and Experiences With Narrative Exposure Therapy in Severe Mentally Ill Patients With Comorbid Post-traumatic Stress Disorder Receiving Flexible Assertive Community Treatment: A Mixed Methods Study
BackgroundPatients with severe mental illness with repeated interpersonal trauma and post-traumatic stress disorder (PTSD) have a negative illness progression. Traumas are often not treated because of their vulnerability. Narrative exposure therapy (NET) is an effective trauma therapy. It is unknown...
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2022-04-01
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| Series: | Frontiers in Psychiatry |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fpsyt.2022.804491/full |
| _version_ | 1811303844090478592 |
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| author | Maria Mauritz Maria Mauritz Peter Goossens Peter Goossens Ruud Jongedijk Ruud Jongedijk Hester Vermeulen Hester Vermeulen Betsie van Gaal Betsie van Gaal |
| author_facet | Maria Mauritz Maria Mauritz Peter Goossens Peter Goossens Ruud Jongedijk Ruud Jongedijk Hester Vermeulen Hester Vermeulen Betsie van Gaal Betsie van Gaal |
| author_sort | Maria Mauritz |
| collection | DOAJ |
| description | BackgroundPatients with severe mental illness with repeated interpersonal trauma and post-traumatic stress disorder (PTSD) have a negative illness progression. Traumas are often not treated because of their vulnerability. Narrative exposure therapy (NET) is an effective trauma therapy. It is unknown whether NET is effective and tolerable in these patients receiving community mental healthcare.ObjectivesThe objectives of this study are (1) to gain insights into patients’ experiences before, during, and after NET concerning changes in PTSD, dissociative and severe mental ill symptoms, care needs (CAN), quality of life, and global functioning; (2) to identify factors that influence diagnostic changes after NET as compared to patients’ experiences. These insights will help to decide whether NET should be incorporated in usual care for these patients.DesignA mixed methods convergent design consists of a grounded theory approach with thematic analysis followed by a merged analysis, comparing quantitative, and qualitative data for each participant and by means of a joint matrix.ParticipantsAdult psychiatric outpatients (age, 21–65) with post-traumatic stress disorder (PTSD) related to repeated interpersonal trauma were indicted for the study.MethodsBaseline demographics and clinical characteristics were assessed. Qualitative data were collected 3 months after NET using individual semi-structured in-depth interviews. The merged analysis compared quantitative and qualitative results for each participant.ResultsTwenty-three outpatients (female, 82%) with a mean age of 49.9 years (SD 9.8) participated in the study. Participants experienced NET as intensive, and most of them tolerated it well. Afterward, eighteen participants perceived less symptoms. Mixed analysis showed substantial congruency between quantitative scores and participants’ perceptions of PTSD, dissociative symptoms, and CAN (Cohen’s kappa > 0.4). Remission of PTSD was associated with sufficient experienced support.ConclusionOutpatients with severe mental illness underwent intensive NET, and most of them tolerate it well. This therapy is clearly efficacious in this group.Clinical Trial Registration[www.ClinicalTrials.gov], identifier [NL5608 (NTR5714)]. |
| first_indexed | 2024-04-13T07:55:22Z |
| format | Article |
| id | doaj.art-0760a04b6aa143a4a86dd69ba2f68f54 |
| institution | Directory Open Access Journal |
| issn | 1664-0640 |
| language | English |
| last_indexed | 2024-04-13T07:55:22Z |
| publishDate | 2022-04-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Psychiatry |
| spelling | doaj.art-0760a04b6aa143a4a86dd69ba2f68f542022-12-22T02:55:25ZengFrontiers Media S.A.Frontiers in Psychiatry1664-06402022-04-011310.3389/fpsyt.2022.804491804491Investigating the Efficacy and Experiences With Narrative Exposure Therapy in Severe Mentally Ill Patients With Comorbid Post-traumatic Stress Disorder Receiving Flexible Assertive Community Treatment: A Mixed Methods StudyMaria Mauritz0Maria Mauritz1Peter Goossens2Peter Goossens3Ruud Jongedijk4Ruud Jongedijk5Hester Vermeulen6Hester Vermeulen7Betsie van Gaal8Betsie van Gaal9GGNet Center for Mental Health Care, Warnsveld, NetherlandsRadboud University Medical Center, Radboud Institute for Health Sciences, IQ Healthcare, Nijmegen, NetherlandsDimence Group, Center for Mental Health Care, SCBS Bipolar Disorders, Deventer, NetherlandsDepartment of Public Health, Faculty of Medicine and Health Sciences, University Center for Nursing and Midwifery, Ghent University, Ghent, BelgiumARQ Centrum’45, Oegstgeest, NetherlandsARQ National Psychotrauma Centre, Diemen, NetherlandsRadboud University Medical Center, Radboud Institute for Health Sciences, IQ Healthcare, Nijmegen, NetherlandsSchool of Health Studies, HAN University of Applied Sciences, Nijmegen, NetherlandsRadboud University Medical Center, Radboud Institute for Health Sciences, IQ Healthcare, Nijmegen, NetherlandsSchool of Health Studies, HAN University of Applied Sciences, Nijmegen, NetherlandsBackgroundPatients with severe mental illness with repeated interpersonal trauma and post-traumatic stress disorder (PTSD) have a negative illness progression. Traumas are often not treated because of their vulnerability. Narrative exposure therapy (NET) is an effective trauma therapy. It is unknown whether NET is effective and tolerable in these patients receiving community mental healthcare.ObjectivesThe objectives of this study are (1) to gain insights into patients’ experiences before, during, and after NET concerning changes in PTSD, dissociative and severe mental ill symptoms, care needs (CAN), quality of life, and global functioning; (2) to identify factors that influence diagnostic changes after NET as compared to patients’ experiences. These insights will help to decide whether NET should be incorporated in usual care for these patients.DesignA mixed methods convergent design consists of a grounded theory approach with thematic analysis followed by a merged analysis, comparing quantitative, and qualitative data for each participant and by means of a joint matrix.ParticipantsAdult psychiatric outpatients (age, 21–65) with post-traumatic stress disorder (PTSD) related to repeated interpersonal trauma were indicted for the study.MethodsBaseline demographics and clinical characteristics were assessed. Qualitative data were collected 3 months after NET using individual semi-structured in-depth interviews. The merged analysis compared quantitative and qualitative results for each participant.ResultsTwenty-three outpatients (female, 82%) with a mean age of 49.9 years (SD 9.8) participated in the study. Participants experienced NET as intensive, and most of them tolerated it well. Afterward, eighteen participants perceived less symptoms. Mixed analysis showed substantial congruency between quantitative scores and participants’ perceptions of PTSD, dissociative symptoms, and CAN (Cohen’s kappa > 0.4). Remission of PTSD was associated with sufficient experienced support.ConclusionOutpatients with severe mental illness underwent intensive NET, and most of them tolerate it well. This therapy is clearly efficacious in this group.Clinical Trial Registration[www.ClinicalTrials.gov], identifier [NL5608 (NTR5714)].https://www.frontiersin.org/articles/10.3389/fpsyt.2022.804491/fullPTSDsevere mental disorderflexible assertive community treatment (FACT)therapistnursequalitative study |
| spellingShingle | Maria Mauritz Maria Mauritz Peter Goossens Peter Goossens Ruud Jongedijk Ruud Jongedijk Hester Vermeulen Hester Vermeulen Betsie van Gaal Betsie van Gaal Investigating the Efficacy and Experiences With Narrative Exposure Therapy in Severe Mentally Ill Patients With Comorbid Post-traumatic Stress Disorder Receiving Flexible Assertive Community Treatment: A Mixed Methods Study Frontiers in Psychiatry PTSD severe mental disorder flexible assertive community treatment (FACT) therapist nurse qualitative study |
| title | Investigating the Efficacy and Experiences With Narrative Exposure Therapy in Severe Mentally Ill Patients With Comorbid Post-traumatic Stress Disorder Receiving Flexible Assertive Community Treatment: A Mixed Methods Study |
| title_full | Investigating the Efficacy and Experiences With Narrative Exposure Therapy in Severe Mentally Ill Patients With Comorbid Post-traumatic Stress Disorder Receiving Flexible Assertive Community Treatment: A Mixed Methods Study |
| title_fullStr | Investigating the Efficacy and Experiences With Narrative Exposure Therapy in Severe Mentally Ill Patients With Comorbid Post-traumatic Stress Disorder Receiving Flexible Assertive Community Treatment: A Mixed Methods Study |
| title_full_unstemmed | Investigating the Efficacy and Experiences With Narrative Exposure Therapy in Severe Mentally Ill Patients With Comorbid Post-traumatic Stress Disorder Receiving Flexible Assertive Community Treatment: A Mixed Methods Study |
| title_short | Investigating the Efficacy and Experiences With Narrative Exposure Therapy in Severe Mentally Ill Patients With Comorbid Post-traumatic Stress Disorder Receiving Flexible Assertive Community Treatment: A Mixed Methods Study |
| title_sort | investigating the efficacy and experiences with narrative exposure therapy in severe mentally ill patients with comorbid post traumatic stress disorder receiving flexible assertive community treatment a mixed methods study |
| topic | PTSD severe mental disorder flexible assertive community treatment (FACT) therapist nurse qualitative study |
| url | https://www.frontiersin.org/articles/10.3389/fpsyt.2022.804491/full |
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