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Clinician's Corner: Emotion Regulation and Neurofeedback in Trauma-Related Disorders
StressPoints
Date posted: 09/24/2020
Topic: Clinical Issues and Treatment

I would like to take this opportunity to provide the ISTSS members an overview of recent developments in the fields of emotion regulation and neurofeedback, which are closely related to the interaction between neuroscientific and psychotherapy research. I am convinced that integration of both research methodologies can significantly help to improve the basic understanding of mechanisms behind disorders related to traumatic stress. 

Implementing PE During the COVID-19 Pandemic: Tips and Adaptations
Date posted: 09/14/2020
Topic: Clinical Issues and Treatment
The COVID-19 pandemic has brought new stressors and increased the potential for traumatic exposures. Home-based clinical videoconferencing allows patients to receive effective PTSD treatment that has been adapted for safe delivery during the pandemic. Clinical considerations when providing prolonged exposure therapy and suggestions for flexible adaptation are discussed. 
Understanding Predictors of Suicidal Ideation Among Sexually Abused Adolescent Girls
Date posted: 10/20/2020
Topic: Clinical Issues and Treatment
Child sexual abuse is linked with deleterious consequences on adolescent girls’ mental health including suicidal ideation, or suicidal thoughts.  Our study examined affect dysregulation as a mechanism uniting depressive symptoms and suicidal ideation in a sample of 119 sexually abused adolescent girls.
How Patterns of Victimization Among LGBTQ Individuals Impact Mental and Physical Health
Date posted: 08/22/2020
Topic: Clinical Issues and Treatment
This study explored different patterns of victimization among LGBTQ individuals and the relationship to mental and physical health outcomes. Findings suggested polyvictimization was an important risk factor and that there is a diversity among LGBTQ individuals with regard to victimization classes and across different gender identities.  
Should I initiate Cognitive Processing Therapy or Prolonged Exposure with my patient during the COVID-19 pandemic? Patient-, provider-, and system-level factors for consideration?
Date posted: 08/31/2020
Topic: Clinical Issues and Treatment
Article outlines factors to consider when deciding whether and how to initiate Cognitive Processing Therapy (CPT) or Prolonged Exposure (PE) for the treatment of PTSD with a given patient-provider pair during the COVID-19 pandemic. Analysis suggests key factors fall under three categories: patient factors, provider factors, and system-level factors.
Clinician's Corner: Treatment Approaches for Older People with PTSD in Keeping with Life-Span Psychology
StressPoints
Date posted: 07/30/2020
Topic: Clinical Issues and Treatment
Older adults with posttraumatic stress disorder (PTSD) do not often seek psychological support independent of a referral from a general health care practitioner. There are several reasons for this. One general observation is that people of the older generations often have great difficulty accepting the underlying concept of PTSD as a disordered psychological state. We know that many older people consider severe adversities in their early life to be "just part of life," implying very limited or neglected utilization of professional intervention (Hiskey & McPherson, 2013).
Enhancing Social Support May Improve Cognitive Processing Therapy Outcomes in Telemedicine for PTSD
Date posted: 07/13/2020
Topic: Clinical Issues and Treatment
Telehealth-based delivery of gold-standard posttraumatic stress disorder (PTSD) treatments such as Cognitive Processing Therapy (CPT; Resick et al., 2017) has been shown to be no less effective than in-person delivery of care (Morland et al., 2014, 2015). Yet providers may be curious about what might improve outcomes. Malleable characteristics, such as the amount of social support an individual perceives they have, are of special interest. Although some research has shown social support can encourage greater reductions in PTSD symptoms (Price et al., 2018), individuals living in rural areas might have important differences. Therefore, we set out to evaluate whether pre-existing perceived social support could enhance the effects of CPT for rural American military veterans participating in a pragmatic randomized effectiveness trial of telehealth-based collaborative care for PTSD (Fortney et al., 2015).
Implementation Patterns of Two Evidence‐Based Psychotherapies in Veterans Affairs Residential PTSD Programs: A Five‐Point Longitudinal National Investigation
Date posted: 07/14/2020
Topic: Clinical Issues and Treatment
The present study examined the patterns of adoption of two evidence‐based psychotherapies—prolonged exposure (PE) and cognitive processing therapy (CPT)—in U.S. Department of Veterans Affairs residential posttraumatic stress disorder treatment programs. Evaluation of adoption patterns over time suggested that CPT was used in more programs and with more patients within programs compared to PE. Strategies to improve sustainability measurement and implications for implementation science are discussed.
Trauma in fibromyalgia and clinical manifestations: The role of anxiety in the relationship between post-traumatic stress symptoms and fibromyalgia status
Date posted: 07/25/2020
Topic: Clinical Issues and Treatment
Fibromyalgia (FM) is a syndrome of chronic widespread pain that is accompanied of nonrestorative sleep and fatigue, mood disturbances, cognitive difficulties, and numerous somatic complaints. This study explored the presence of trauma in an FM Spanish sample compared to a healthy control group and the relationships between number of several trauma types and post-traumatic stress disorder (PTSD) symptoms with the severity of clinical manifestations in FM, testing for potential mediators in the relationship between PTSD symptoms and FM status. 
What symptoms of PTSD remain after integrated treatment for PTSD and alcohol use disorder?
Date posted: 07/21/2020
Topic: Clinical Issues and Treatment
Trauma-focused treatments are effective in reducing overall symptoms of PTSD. Previous studies have shown that some symptoms remain after treatment, even in people who don’t have a diagnosis of PTSD any longer. However, no studies have examined residual symptoms of PTSD in those with a co-morbid alcohol use disorder (AUD) diagnosis. We set out to understand whether there are differences in the likelihood of individual symptoms of PTSD or AUD persisting between two types of integrated psychotherapy for PTSD/AUD.
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