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  1. Article ; Online: Gender Differences in Traumatic Experiences, PTSD, and Relevant Symptoms among the Iraqi Internally Displaced Persons.

    Taha, Perjan Hashim / Sijbrandij, Marit

    International journal of environmental research and public health

    2021  Volume 18, Issue 18

    Abstract: Conflict in Iraq has led to a large number of internally displaced Iraqis, with a great impact on their mental health. A few previous studies investigated the gender differences of mental disorders in Iraqi internally displaced persons (IDPs). The aim of ...

    Abstract Conflict in Iraq has led to a large number of internally displaced Iraqis, with a great impact on their mental health. A few previous studies investigated the gender differences of mental disorders in Iraqi internally displaced persons (IDPs). The aim of this study was to assess gender differences among Iraqi IDPs after the 2014 terrorist attacks in terms of types of traumatic experiences, prevalence of post-traumatic stress disorder (PTSD), and other symptoms of common mental disorders (depression, anxiety, and somatization symptoms). A cross-sectional survey was conducted in April-June 2015 among 358 female and 464 male adult IDPs living in IDP camps in Duhok, Iraq. The Harvard Trauma Questionnaire (HTQ), General Health Questionnaire (GHQ-28), and Self-Reporting Questionnaire (SRQ-20) were applied by local interviewers. Comparison of scores of these measures between the two genders was performed using independent sample
    MeSH term(s) Adult ; Cross-Sectional Studies ; Depression/epidemiology ; Female ; Humans ; Male ; Prevalence ; Refugees ; Sex Factors ; Stress Disorders, Post-Traumatic/epidemiology
    Language English
    Publishing date 2021-09-16
    Publishing country Switzerland
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 2175195-X
    ISSN 1660-4601 ; 1661-7827
    ISSN (online) 1660-4601
    ISSN 1661-7827
    DOI 10.3390/ijerph18189779
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  2. Article ; Online: What works for whom and why? Treatment effects and their moderators among forcibly displaced people receiving psychological and psychosocial interventions: study protocol for an individual patient data meta-analysis.

    Kurath, Jennifer / Akhtar, Aemal / Karyotaki, Eirini / Sijbrandij, Marit / Cuijpers, Pim / Bryant, Richard / Morina, Naser

    BMJ open

    2024  Volume 14, Issue 2, Page(s) e078473

    Abstract: Introduction: Forcibly displaced people (FDP) have a high risk of developing mental disorders such as post-traumatic stress (PTS) disorder. Providing adequate mental healthcare for FDP is crucial but despite overall efficacy of many existing ... ...

    Abstract Introduction: Forcibly displaced people (FDP) have a high risk of developing mental disorders such as post-traumatic stress (PTS) disorder. Providing adequate mental healthcare for FDP is crucial but despite overall efficacy of many existing interventions, a large proportion of FDP does not benefit from treatment, highlighting the necessity of further investigating factors contributing to individual differences in treatment outcome. Yet, the few studies that have explored moderators of treatment effects are often insufficiently powered. Therefore, the present Individual Patient Data meta-analysis (IPD-MA) will investigate treatment effects and their moderators-variables related to beneficiaries, providers, intervention and study characteristics in relation to PTS outcomes.
    Methods and analysis: A systematic literature search will be conducted from database inception in the databases PsycINFO, Cochrane, Embase, PTSDpubs and Web of Science. Only studies published in English, German, French, Spanish, Portuguese, and Dutch will be considered. Retrieved records will be screened for eligibility. Randomised controlled trials on adult FDP receiving psychological and psychosocial interventions aimed at alleviating symptoms such as PTS compared with a control condition without intervention will be included in this IPD-MA. Subsequently, authors of eligible studies will be contacted to request individual patient data (IPD). All datasets obtained will be synthesised into one large dataset which will be analysed using a one-stage approach by conducting mixed-effects linear regression models (ie, primary analysis). Additionally, aggregate data meta-analyes will be run using a two-stage approach by conducting multivariate regression models including all IPD (transformed) and available meta-data from study reports (ie, secondary analysis). PTS will serve as primary outcome measure, while mental health outcomes other than PTS, attendance, attrition, treatment non-response and adverse outcomes will be examined as secondary outcomes.
    Ethics and dissemination: This IPD-MA does not require ethical approval. The results will be published in international peer-reviewed journals.
    Prospero registration number: CRD42022299510.
    MeSH term(s) Adult ; Humans ; Stress Disorders, Post-Traumatic/therapy ; Treatment Outcome ; Meta-Analysis as Topic
    Language English
    Publishing date 2024-02-02
    Publishing country England
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 2599832-8
    ISSN 2044-6055 ; 2044-6055
    ISSN (online) 2044-6055
    ISSN 2044-6055
    DOI 10.1136/bmjopen-2023-078473
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  3. Article ; Online: Associations among traumatic experiences, threat exposure, and mental health in Pakistani journalists.

    Koster, Suzanna M / Koot, Hans M / Malik, Jamil A / Sijbrandij, Marit

    Journal of traumatic stress

    2022  Volume 35, Issue 2, Page(s) 581–592

    Abstract: Pakistan is considered to be relatively unsafe for journalists; however, little is known about how working in situations that involve a high risk of trauma exposure and personal threat impacts journalists' mental health. The present study aimed to ... ...

    Abstract Pakistan is considered to be relatively unsafe for journalists; however, little is known about how working in situations that involve a high risk of trauma exposure and personal threat impacts journalists' mental health. The present study aimed to examine the associations among reporting on topics that carry a high risk of trauma exposure; work-related personal threat exposure; and symptoms of posttraumatic stress disorder (PTSD), depression, anxiety, and stress in a sample of Pakistani journalists. Participants completed online assessments to report the extent of their exposure to trauma and threat in the last 6 months with regard to reporting on militancy, crime, bomb blasts, and natural disasters and exposure to electronic, verbal, and physical threats; stalking; kidnapping; and detention. Further, we assessed symptoms of PTSD, depression, anxiety, and stress using self-report instruments. Of the 296 participants, 34.1% showed clinically significant levels of PTSD, moderately elevated levels of depression, and severely elevated levels of anxiety. Linear regression analyses demonstrated an association between PTSD symptoms and a higher frequency of reporting on natural disasters, β = 2.40, p = .004, whereas symptoms of anxiety, depression, and stress were associated with a lower frequency of reporting on bomb and suicide blasts, βs = -.93 - 1.61, p = <.001 - .047. Ideally, these findings will raise awareness about their situation, inform prevention and intervention efforts dedicated to journalists' mental health, and promote future research to elucidate the causal factors implicated in mental health symptoms in this population.
    MeSH term(s) Anxiety/epidemiology ; Anxiety Disorders ; Depression/epidemiology ; Depression/psychology ; Humans ; Mental Health ; Pakistan/epidemiology ; Stress Disorders, Post-Traumatic/epidemiology ; Stress Disorders, Post-Traumatic/psychology
    Language English
    Publishing date 2022-01-05
    Publishing country United States
    Document type Journal Article
    ZDB-ID 639478-4
    ISSN 1573-6598 ; 0894-9867
    ISSN (online) 1573-6598
    ISSN 0894-9867
    DOI 10.1002/jts.22772
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  4. Article ; Online: Association of common mental disorders and related multimorbidity with subsequent labor market marginalization among refugee and Swedish-born young adults.

    Chen, Jiaying / Mittendorfer-Rutz, Ellenor / Berg, Lisa / Nørredam, Marie / Sijbrandij, Marit / Klimek, Peter

    Frontiers in public health

    2023  Volume 11, Page(s) 1054261

    Abstract: Background: Common mental disorders (CMDs), multimorbidity, and refugee status are associated with poor labor market outcome. Little is known about how these factors interact in young adults.: Objective: We aimed to i) investigate whether the ... ...

    Abstract Background: Common mental disorders (CMDs), multimorbidity, and refugee status are associated with poor labor market outcome. Little is known about how these factors interact in young adults.
    Objective: We aimed to i) investigate whether the association of CMDs and multimorbidity with labor market marginalization (LMM) differs between refugee and Swedish-born young adults and ii) identify diagnostic groups with particularly high risk for LMM.
    Methods: This longitudinal registry-based study included individuals aged 20-25 years followed from 2012 to 2016 in Sweden (41,516 refugees and 207,729 age and sex-matched Swedish-born individuals). LMM was defined as granted disability pension (DP) or > 180 days of unemployment (UE). A disease co-occurrence network was constructed for all diagnostic groups from 2009 to 2011 to derive a personalized multimorbidity score for LMM. Multivariate logistic regression was used to estimate odds ratios of LMM in refugee and Swedish-born youth as a function of their multimorbidity score. The relative risk (RR, 95% CI) of LMM for refugees with CMDs compared to Swedish-born with CMDs was computed in each diagnostic group.
    Results: In total, 5.5% of refugees and 7.2% of Swedish-born with CMDs were granted DP; 22.2 and 9.4%, respectively received UE benefit during follow-up. While both CMDs and multimorbidity independently elevated the risk of DP considerably in Swedish-born, CMDs but not multimorbidity elevated the risk of UE. Regarding UE in refugees, multimorbidity with the presence of CMDs showed stronger estimates. Multimorbidity interacted with refugee status toward UE (
    Conclusion: To combat LMM, public health measures and intervention strategies need to be tailored to young adults based on their CMDs, multimorbidity, and refugee status.
    MeSH term(s) Adolescent ; Humans ; Young Adult ; Sweden/epidemiology ; Refugees ; Mental Disorders/epidemiology ; Pensions ; Longitudinal Studies
    Language English
    Publishing date 2023-03-16
    Publishing country Switzerland
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 2711781-9
    ISSN 2296-2565 ; 2296-2565
    ISSN (online) 2296-2565
    ISSN 2296-2565
    DOI 10.3389/fpubh.2023.1054261
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  5. Article ; Online: The effectiveness of two novel approaches to prevent intrusions: A pilot study comparing Tetris_dualtask and imagery rescripting to control.

    Asselbergs, Joost / Riper, Heleen / Engelhard, Iris M / Mannes, Fancy / Sijbrandij, Marit

    Journal of behavior therapy and experimental psychiatry

    2023  Volume 82, Page(s) 101920

    Abstract: Background and objectives: Post-traumatic stress disorder (PTSD) is a global health problem. Although effective treatments for it exist, early interventions that prevent PTSD from developing are lacking. The aim of this pilot analogue trauma study was ... ...

    Abstract Background and objectives: Post-traumatic stress disorder (PTSD) is a global health problem. Although effective treatments for it exist, early interventions that prevent PTSD from developing are lacking. The aim of this pilot analogue trauma study was to compare the effects of two potential early intervention strategies, namely Tetris_dualtask and imagery rescripting (IR) to a no-intervention control group on intrusion frequency and the vividness and emotionality of aversive film memory.
    Methods: Sixty healthy students were subjected to the trauma film paradigm and randomly allocated to either: Tetris_dualtask, IR or no-intervention. Main outcomes were the number of film-related intrusions at one week and vividness and emotionality ratings of the most aversive film memory. Secondary outcomes were PTSD-like symptoms, intrusion intensity, and explicit film memory.
    Results: The Tetris_dualtask group reported significant fewer intrusions compared to the no-intervention group; whereas the IR group did not. No effect was found on vividness and emotionality ratings, PTSD-like symptoms, intrusion intensity, and explicit memory.
    Limitations: The sample size was small, and analogue trauma in healthy individuals was examined, thus generalizability may be limited. Also, to increase comparability between interventions, the duration of Tetris_dualtask and IR was standardized. As a result, the IR intervention was shorter compared to other studies, which might have decreased its efficacy.
    Conclusions: The results of this pilot study suggest that playing Tetris during retrieval of traumatic images, might hold potential as an early intervention strategy to reduce intrusions in the early aftermath of trauma and adversity. However, future large-scale replication research is needed.
    MeSH term(s) Humans ; Affect ; Imagery, Psychotherapy/methods ; Memory ; Pilot Projects ; Stress Disorders, Post-Traumatic/therapy
    Language English
    Publishing date 2023-11-02
    Publishing country Netherlands
    Document type Journal Article ; Randomized Controlled Trial
    ZDB-ID 280250-8
    ISSN 1873-7943 ; 0005-7916
    ISSN (online) 1873-7943
    ISSN 0005-7916
    DOI 10.1016/j.jbtep.2023.101920
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  6. Article ; Online: A summary of the 38th Annual International Society for Traumatic Stress Studies Presidential Panel: How the traumatic stress community can assist individuals affected by the war in Ukraine.

    Frankova, Iryna / Klymchuck, Vitalii / Nickerson, Angela / Sijbrandij, Marit / Amstadter, Ananda B

    Journal of traumatic stress

    2023  Volume 36, Issue 4, Page(s) 682–690

    Abstract: As the premier global traumatic stress society, the International Society for Traumatic Stress Studies (ISTSS) has an important role to play in educating and raising awareness about the consequences of traumatic events, such as the war in Ukraine. On ... ...

    Abstract As the premier global traumatic stress society, the International Society for Traumatic Stress Studies (ISTSS) has an important role to play in educating and raising awareness about the consequences of traumatic events, such as the war in Ukraine. On November 12, 2022, during its 38th annual meeting, the ISTSS hosted an invited Presidential Panel, chaired by Ananda Amstadter during her term as ISTSS President, that brought together trauma experts Peter Ventevogel, Marit Sijbrandij, Vitalii Klymchuck, Iryna Frankova, and Angela Nickerson to highlight how traumatic stress professionals can assist individuals affected by the war in Ukraine. The present paper summarizes the key points from the panel and discusses future challenges anticipated for people affected by the war.
    MeSH term(s) Female ; Humans ; Stress Disorders, Post-Traumatic ; Ukraine
    Language English
    Publishing date 2023-06-20
    Publishing country United States
    Document type Journal Article ; Research Support, Non-U.S. Gov't ; Research Support, N.I.H., Extramural
    ZDB-ID 639478-4
    ISSN 1573-6598 ; 0894-9867
    ISSN (online) 1573-6598
    ISSN 0894-9867
    DOI 10.1002/jts.22945
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  7. Article ; Online: A systematic review and meta-analysis of the effect of cognitive interventions to prevent intrusive memories using the trauma film paradigm.

    Asselbergs, Joost / van Bentum, Jaёl / Riper, Heleen / Cuijpers, Pim / Holmes, Emily / Sijbrandij, Marit

    Journal of psychiatric research

    2023  Volume 159, Page(s) 116–129

    Abstract: There is an unmet need for effective early interventions that can relieve initial trauma symptoms and reduce symptoms of posttraumatic stress disorder (PTSD). We evaluated the efficacy of cognitive interventions compared to control in reducing intrusion ... ...

    Abstract There is an unmet need for effective early interventions that can relieve initial trauma symptoms and reduce symptoms of posttraumatic stress disorder (PTSD). We evaluated the efficacy of cognitive interventions compared to control in reducing intrusion frequency and PTSD symptoms in healthy individuals using the trauma film paradigm, in which participants view a film with aversive content as an experimental analogue of trauma exposure. A systematic literature search identified 41 experiments of different cognitive interventions targeting intrusions. In the meta-analysis, the pooled effect size of 52 comparisons comparing cognitive interventions to no-intervention controls on intrusions was moderate (g = -0.46, 95% CI [-0.61 to -0.32], p < .001). The pooled effect size of 16 comparisons on PTSD symptoms was also moderate (g = -0.31, 95% CI [-0.46 to -0.17], p < .001). Both visuospatial interference and imagery rescripting tasks were associated with significantly fewer intrusions than controls, whereas verbal interference and meta-cognitive processing tasks showed nonsignificant effect sizes. Interventions administered after viewing the trauma film showed significantly fewer intrusions than controls, whereas interventions administered during film viewing did not. No experiments had low risk of bias (ROB), 37 experiments had some concerns of ROB, while the remaining four experiments had high ROB. To the best of our knowledge, this is the first meta-analysis investigating the efficacy of cognitive interventions targeting intrusions in non-clinical samples. Results seem to be in favour of visuospatial interference tasks rather than verbal tasks. More research is needed to develop an evidence base on the efficacy of various cognitive interventions and test their clinical translation to reduce intrusive memories of real trauma.
    MeSH term(s) Humans ; Stress Disorders, Post-Traumatic/psychology ; Affect ; Cognition
    Language English
    Publishing date 2023-01-20
    Publishing country England
    Document type Meta-Analysis ; Systematic Review ; Journal Article ; Review
    ZDB-ID 3148-3
    ISSN 1879-1379 ; 0022-3956
    ISSN (online) 1879-1379
    ISSN 0022-3956
    DOI 10.1016/j.jpsychires.2023.01.028
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  8. Article: Editorial: Low-Intensity Interventions for Psychiatric Disorders.

    Sijbrandij, Marit / Kleiboer, Annet / Farooq, Saeed

    Frontiers in psychiatry

    2020  Volume 11, Page(s) 619871

    Language English
    Publishing date 2020-11-25
    Publishing country Switzerland
    Document type Editorial
    ZDB-ID 2564218-2
    ISSN 1664-0640
    ISSN 1664-0640
    DOI 10.3389/fpsyt.2020.619871
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  9. Article ; Online: Eye Movement Desensitization (EMD) to reduce posttraumatic stress disorder-related stress reactivity in Indonesia PTSD patients: a study protocol for a randomized controlled trial.

    Susanty, Eka / Sijbrandij, Marit / Srisayekti, Wilis / Huizink, Anja C

    Trials

    2021  Volume 22, Issue 1, Page(s) 181

    Abstract: Background: Posttraumatic stress disorder (PTSD) may develop after exposure to a traumatic event. Eye Movement Desensitization and Reprocessing (EMDR) is an evidence-based psychological treatment for PTSD. It is yet unclear whether eye movements also ... ...

    Abstract Background: Posttraumatic stress disorder (PTSD) may develop after exposure to a traumatic event. Eye Movement Desensitization and Reprocessing (EMDR) is an evidence-based psychological treatment for PTSD. It is yet unclear whether eye movements also reduce stress reactivity in PTSD patients. This study aims to test whether eye movements, as provided during Eye Movement Desensitization (EMD), are more effective in reducing stress reactivity in PTSD patients as compared to a retrieval-only control condition.
    Methods: The study includes participants who meet criteria of PTSD of the public psychological services in Jakarta and Bandung, Indonesia. One hundred and ten participants are randomly assigned to either an (1) Eye Movement Desensitization group (n = 55) or (2) retrieval-only control group (n = 55). Participants are assessed at baseline (T0), post-treatment (T1), 1 month (T2), and at 3 months follow-up (T3). Participants are exposed to a script-driven imagery procedure at T0 and T1. The primary outcome is heart rate variability (HRV) stress reactivity during script-driven imagery. Secondary outcomes include heart rate (HR), pre-ejection period (PEP), saliva cortisol levels, PTSD symptoms, neurocognitive functioning, symptoms of anxiety and depression, perceived stress level, and quality of life.
    Discussion: If the EMD intervention is effective in reducing stress reactivity outcomes, this would give us more insight into the underlying mechanisms of EMDR's effectiveness in PTSD symptom reduction.
    Trial registration: ISRCTN registry ISRCTN55239132 . Registered on 19 December 2017.
    MeSH term(s) Eye Movement Desensitization Reprocessing ; Eye Movements ; Humans ; Indonesia ; Quality of Life ; Randomized Controlled Trials as Topic ; Stress Disorders, Post-Traumatic/diagnosis ; Stress Disorders, Post-Traumatic/prevention & control ; Treatment Outcome
    Language English
    Publishing date 2021-03-04
    Publishing country England
    Document type Clinical Trial Protocol ; Journal Article
    ZDB-ID 2040523-6
    ISSN 1745-6215 ; 1468-6694 ; 1468-6708
    ISSN (online) 1745-6215 ; 1468-6694
    ISSN 1468-6708
    DOI 10.1186/s13063-021-05100-3
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  10. Article: The Effectiveness of Eye Movement Desensitization for Post-traumatic Stress Disorder in Indonesia: A Randomized Controlled Trial.

    Susanty, Eka / Sijbrandij, Marit / Srisayekti, Wilis / Suparman, Yusep / Huizink, Anja C

    Frontiers in psychology

    2022  Volume 13, Page(s) 845520

    Abstract: Objective: Post-traumatic stress disorder (PTSD) may affect individuals exposed to adversity. Eye Movement Desensitization and Reprocessing (EMDR) is an evidence-based trauma-focused psychotherapy for PTSD. There is still some debate whether the eye ... ...

    Abstract Objective: Post-traumatic stress disorder (PTSD) may affect individuals exposed to adversity. Eye Movement Desensitization and Reprocessing (EMDR) is an evidence-based trauma-focused psychotherapy for PTSD. There is still some debate whether the eye movements (EMs) are an effective component of EMDR. The primary aim of this study was to investigate the effectiveness of Eye Movement Desensitization (EMD) treatment in reducing PTSD symptoms compared to a retrieval-only active control condition. We also investigated whether PTSD symptom reduction was associated with reductions in depression and anxiety, and improvements in quality of life.
    Methodology: Adult PTSD patients (
    Results: Although there were main effects of time indicating reductions for both EMD and retrieval-only in PCL-5 and HSCL-25 scores, and improvements in WHOQoL-BREF scores at T1, T2, and T3, no significant differences in PCL-5, HSCL-25, and WHOQoL-BREF total scores between the EMD and retrieval-only groups at T1, T2, and T3 were found (all group x time interaction
    Conclusion: Within a clinical sample of PTSD patients in Indonesia, both EMD and retrieval-only was associated with reductions in symptoms of PTSD, anxiety and depression, and improvements in quality of life, although EMs did not add to the efficacy of the treatments. Further research to examine the underlying mechanisms of EMDR's effective treatment elements in clinical samples is needed.
    Clinical trial registration: [www.ClinicalTrials.gov], identifier [ISRCTN55239132].
    Language English
    Publishing date 2022-04-25
    Publishing country Switzerland
    Document type Journal Article
    ZDB-ID 2563826-9
    ISSN 1664-1078
    ISSN 1664-1078
    DOI 10.3389/fpsyg.2022.845520
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