Enhanced Skills Training in Affective and Interpersonal Regulation (ESTAIR): A New Modular Treatment for ICD-11 Complex Posttraumatic Stress Disorder (CPTSD)

被引:13
作者
Karatzias, Thanos [1 ,2 ]
Mc Glanaghy, Edel [3 ]
Cloitre, Marylene [4 ,5 ]
机构
[1] Edinburgh Napier Univ, Sch Hlth & Social Care, Edinburgh EH11 4BN, Scotland
[2] Stanford Univ, NHS Lothian Rivers Ctr, EH11 1BG, 450 Jane Stanford Way, Stanford, CA 94305 USA
[3] Falkirk Community Hosp, NHS Forth Valley, Mayfield Bldg, Falkirk FK1 5QE, Scotland
[4] VA Palo Alto Hlth Care Syst, Natl Ctr PTSD, Disseminat & Training Div, 795 Willow Rd, Menlo Pk, CA 94025 USA
[5] Stanford Univ, Dept Psychiat & Behav Sci, Palo Alto, CA 94305 USA
关键词
complex PTSD; CPTSD; modular treatment; ESTAIR; PTSD; ABUSE;
D O I
10.3390/brainsci13091300
中图分类号
Q189 [神经科学];
学科分类号
071006 ;
摘要
ICD-11 Complex Posttraumatic Stress Disorder (CPTSD) is a relatively new condition; therefore, there is limited available evidence for its treatment. Prior to the recognition of CPTSD as a separate trauma condition, people who met criteria were often diagnosed with multiple co-morbid conditions such as PTSD, anxiety, depression, and emotional dysregulation difficulties. In the absence of a coherent evidence base, treatment tended to involve multiple treatments for these multiple conditions or lengthy phase-based interventions, often delivered in an integrative fashion, which was not standardized. In this paper, we present Enhanced Skills Training in Affective and Interpersonal Regulation (ESTAIR), a new flexible multi-modular approach for the treatment of CPTSD and its transdiagnostic symptoms. ESTAIR is consistent with trauma-informed and patient-centered care, which highlights the importance of patient choice in identification and sequencing in targeting CPTSD symptoms. Directions for future research are discussed.
引用
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页数:8
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