Early childhood trauma and disorders of extreme stress as predictors of treatment outcome with chronic posttraumatic stress disorder

History of early childhood trauma was prevalent and highly correlated with Disorders of Extreme Stress Not Otherwise Specified (DESNOS) in a sample of veterans in inpatient treatment for chronic posttraumatic stress disorder (PTSD). DESNOS predicted reliable change on a variety of measures of psychi...

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Bibliographic Details
Published in:Journal of traumatic stress 1998-10, Vol.11 (4), p.743-761
Main Authors: Ford, Julian D., Kidd, Phyllis
Format: Article
Language:English
Subjects:
Adult
Adult and adolescent clinical studies
Aged
Anxiety disorders. Neuroses
Biological and medical sciences
Child
Child Abuse - psychology
childhood trauma
disorders of extreme stress not otherwise specified
Humans
Male
Medical sciences
Middle Aged
Patient Care Planning
Post-traumatic stress disorder
posttraumatic stress disorder
Prognosis
Psychology. Psychoanalysis. Psychiatry
Psychopathology. Psychiatry
Psychotherapy
Risk Assessment
Stress Disorders, Post-Traumatic - psychology
Stress Disorders, Post-Traumatic - rehabilitation
Stress, Psychological
Treatment Outcome
Veterans - psychology
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Summary:History of early childhood trauma was prevalent and highly correlated with Disorders of Extreme Stress Not Otherwise Specified (DESNOS) in a sample of veterans in inpatient treatment for chronic posttraumatic stress disorder (PTSD). DESNOS predicted reliable change on a variety of measures of psychiatric symptomatology (including PTSD) and psychosocial functioning independently of the effects of PTSD diagnosis and early childhood trauma history. DESNOS also predicted treatment outcome on PTSD and quality of life measures after controlling for the effects of ethnicity, war zone trauma exposure severity, initial level of symptomatic severity or quality of life, Axis I (PTSD and major depression) and Axis II (personality disorder) diagnostic status, and early childhood trauma history. Early childhood trauma was not predictive of outcome. DESNOS appears to play an important role in assessment and treatment planning for psychotherapeutic rehabilitation of chronic PTSD.
ISSN:0894-9867
1573-6598
DOI:10.1023/A:1024497400891