Evaluation of an online pilot ‘Complex trauma stabilisation’ group intervention in an adult mental health service

IF 2 Q3 PSYCHIATRY
Ilana Foreman , Aimee Shipp , Melanie Staley , Catherine Ford
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引用次数: 0

Abstract

Background

Complex-PTSD causes distressing symptoms. NICE guidelines recommend a phased treatment approach, but there are often gaps within services providing psychological treatments for CPTSD. A pilot service in East Anglia aimed to fill gaps in current service provision. An online CPTSD group intervention was developed, focusing on phase one of trauma treatment: stabilisation.

Aim

This project aimed to evaluate the pilot online CPTSD stabilisation group intervention by exploring if group attendance was associated with changes in CPTSD symptoms, and to explore participant experiences.

Method

Participants attended a 12-session, two-hour, weekly group programme, held online via MS Teams. Three additional individual sessions were offered before, during and after the group. Sixty-six participants completed the programme; of whom 40 completed four pre-post outcome measures (DERS, PTCI, TMQQ, ITQ), and 25 completed an anonymous feedback survey.

Results

Paired t-tests comparing pre-post measure scores showed statistically significant differences across all measures, with medium effect sizes. Lower scores were seen after group completion, indicating the group was associated with reduced CPTSD symptoms. Participant feedback indicated most participants (83 %) expressed a preference for online delivery and 68 % found the intervention beneficial.

Conclusions & implications

Attendance of the pilot online CPTSD stabilisation group intervention was associated with symptom reduction and positive feedback. This appears to be the first online, mixed-gender CPTSD stabilisation group evaluation. Ultimately results are promising, though suggest further research is warranted to establish if such groups would provide an effective treatment for CTPSD and help reduce NHS waitlists. Service recommendations are discussed.

成人心理健康服务中 "复杂创伤稳定 "小组干预在线试点评估
背景复杂性创伤后应激障碍会导致令人痛苦的症状。NICE 指南建议采取分阶段治疗的方法,但为 CPTSD 提供心理治疗的服务往往存在缺口。在东英吉利亚地区开展的一项试点服务旨在填补当前服务中的空白。该项目旨在通过探究参加小组活动是否与 CPTSD 症状的变化有关,并探究参与者的经历,从而对 CPTSD 稳定小组干预试点在线服务进行评估。方法参与者参加每周一次、每次两小时、共 12 节课的小组活动,该活动通过 MS Teams 在线进行。在小组活动之前、期间和之后,还提供了三次额外的个人课程。66 名参与者完成了该计划;其中 40 人完成了四项前后结果测量(DERS、PTCI、TMQQ、ITQ),25 人完成了匿名反馈调查。小组活动结束后,得分有所降低,这表明该小组活动与 CPTSD 症状的减少有关。参与者的反馈表明,大多数参与者(83%)表示更喜欢在线进行干预,68%的参与者认为干预有益。这似乎是首个在线男女混合 CPTSD 稳定小组评估。尽管最终结果令人鼓舞,但仍需进一步研究,以确定此类小组是否能有效治疗 CPTSD,并帮助减少 NHS 的候诊人数。本文还讨论了服务建议。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
2.40
自引率
4.80%
发文量
60
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