The effects of symptom overreporting on PTSD treatment outcome
© 2020 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group..
BACKGROUND: It is often assumed that individuals with posttraumatic stress disorder (PTSD) who overreport their symptoms should be excluded from trauma-focused treatments.
OBJECTIVE: To investigate the effects of a brief, intensive trauma-focused treatment programme for individuals with PTSD who are overreporting symptoms.
METHODS: Individuals (n = 205) with PTSD participated in an intensive trauma-focused treatment programme consisting of EMDR and prolonged exposure (PE) therapy, physical activity and psycho-education. Assessments took place at pre- and post-treatment (Structured Inventory of Malingered Symptomatology; SIMS, Clinician Administered PTSD Scale for DSM-5; CAPS-5).
RESULTS: Using a high SIMS cut-off of 24 or above, 14.1% (n = 29) had elevated SIMS scores (i.e. 'overreporters'). The group of overreporters showed significant decreases in PTSD-symptoms, and these treatment results did not differ significantly from other patients. Although some patients (35.5%) remained overreporters at post-treatment, SIMS scores decreased significantly during treatment.
CONCLUSION: The results suggest that an intensive trauma-focused treatment not only is a feasible and safe treatment for PTSD in general, but also for individuals who overreport their symptoms.
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2020 |
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| Erschienen: |
2020 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:11 |
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| Enthalten in: |
European journal of psychotraumatology - 11(2020), 1 vom: 11. Aug., Seite 1794729 |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
van Minnen, Agnes [VerfasserIn] |
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| Links: |
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| Anmerkungen: |
Date Revised 17.04.2022 published: Electronic Citation Status PubMed-not-MEDLINE |
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| doi: |
10.1080/20008198.2020.1794729 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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| PPN (Katalog-ID): |
NLM315994304 |
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| 100 | 1 | |a van Minnen, Agnes |e verfasserin |4 aut | |
| 245 | 1 | 4 | |a The effects of symptom overreporting on PTSD treatment outcome |
| 264 | 1 | |c 2020 | |
| 336 | |a Text |b txt |2 rdacontent | ||
| 337 | |a ƒaComputermedien |b c |2 rdamedia | ||
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| 500 | |a Date Revised 17.04.2022 | ||
| 500 | |a published: Electronic | ||
| 500 | |a Citation Status PubMed-not-MEDLINE | ||
| 520 | |a © 2020 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group. | ||
| 520 | |a BACKGROUND: It is often assumed that individuals with posttraumatic stress disorder (PTSD) who overreport their symptoms should be excluded from trauma-focused treatments | ||
| 520 | |a OBJECTIVE: To investigate the effects of a brief, intensive trauma-focused treatment programme for individuals with PTSD who are overreporting symptoms | ||
| 520 | |a METHODS: Individuals (n = 205) with PTSD participated in an intensive trauma-focused treatment programme consisting of EMDR and prolonged exposure (PE) therapy, physical activity and psycho-education. Assessments took place at pre- and post-treatment (Structured Inventory of Malingered Symptomatology; SIMS, Clinician Administered PTSD Scale for DSM-5; CAPS-5) | ||
| 520 | |a RESULTS: Using a high SIMS cut-off of 24 or above, 14.1% (n = 29) had elevated SIMS scores (i.e. 'overreporters'). The group of overreporters showed significant decreases in PTSD-symptoms, and these treatment results did not differ significantly from other patients. Although some patients (35.5%) remained overreporters at post-treatment, SIMS scores decreased significantly during treatment | ||
| 520 | |a CONCLUSION: The results suggest that an intensive trauma-focused treatment not only is a feasible and safe treatment for PTSD in general, but also for individuals who overreport their symptoms | ||
| 650 | 4 | |a Journal Article | |
| 650 | 4 | |a intensive treatment | |
| 650 | 4 | |a malingering | |
| 650 | 4 | |a symptom overreporting | |
| 650 | 4 | |a trauma-focused treatment | |
| 650 | 4 | |a treatment outcome | |
| 650 | 4 | |a • Overreporting symptoms are often seen as an contra-indication for treatment.• PTSD-patients who overreported symptoms benefitted from trauma-focused treatment.• Overreporting symptoms may have other underlying reasons than malingering.• Overreporting patients should not be excluded from trauma-focused treatment. | |
| 700 | 1 | |a van Dalen, Birgit |e verfasserin |4 aut | |
| 700 | 1 | |a Voorendonk, Eline M |e verfasserin |4 aut | |
| 700 | 1 | |a Wagenmans, Anouk |e verfasserin |4 aut | |
| 700 | 1 | |a de Jongh, Ad |e verfasserin |4 aut | |
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