Trauma-Related Symptom Improvement in Multimodal Triphasic Trauma Therapy: Findings From a Community-Based Study

IF 3.2 3区心理学 Q1 PSYCHOLOGY, CLINICAL

Clinical psychology & psychotherapy Pub Date : 2025-03-10 DOI:10.1002/cpp.70055

George A. Langdon, Cassandra R. W. Harmsen, Kristina Cordeiro, Anna Baranowsky, Robert T. Muller

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Abstract

Objective

This single-arm effectiveness study explored changes in trauma-related symptoms—including dissociation, depression, anxiety, sexual issues and sleep disturbances—throughout a multimodal, phased trauma intervention, to explore treatment response in real-world settings with varied populations and complex clinical presentations, as well as varied degrees of clinician experience.

Method

Symptom change was assessed among participants undergoing a triphasic trauma therapy called trauma practice. Data were collected at five time points: pretreatment (n = 41), Phase 1 (n = 37), Phase 2 (n = 25), Phase 3 (n = 20) and follow-up (n = 16). Participants completed self-report measures at the start of therapy, after each therapy phase and 6 months post treatment. The average age of participants was 37.6 years (SD = 12.5). Approximately 63.8% identified as female, 55% were born in Canada and 47.5% identified as Caucasian.

Results

The findings revealed statistically and clinically significant reductions in symptoms across all measured domains. On average, participants transitioned from clinically elevated levels of dissociation, anxiety, depression, sexual difficulties and sleep disturbances at baseline to non-clinical levels by the end of therapy. Moderate to large effect sizes, clinically significant reliable change indices and sustained treatment gains were demonstrated at follow-up.

Conclusion

These results suggest that trauma practice holds promise as an effective intervention for trauma in community clinical settings.

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多模式三相创伤治疗中创伤相关症状的改善：一项基于社区的研究结果

目的：本单臂有效性研究探讨了创伤相关症状的变化，包括分离、抑郁、焦虑、性问题和睡眠障碍，通过多模式、分阶段的创伤干预，探索现实世界中不同人群、复杂临床表现和不同临床医生经验的治疗反应。方法对接受创伤治疗的三阶段创伤患者进行症状变化评估。在预处理（n = 41）、第一阶段（n = 37）、第二阶段（n = 25）、第三阶段（n = 20）和随访（n = 16）五个时间点收集数据。参与者在治疗开始时、每个治疗阶段后和治疗后6个月完成自我报告测量。参与者的平均年龄为37.6岁（SD = 12.5）。大约63.8%为女性，55%在加拿大出生，47.5%为白种人。结果研究结果显示，在统计和临床显著减少症状在所有测量领域。平均而言，在治疗结束时，参与者从临床水平升高的分离、焦虑、抑郁、性困难和睡眠障碍基线过渡到非临床水平。在随访中证实了中到大的效应量、临床显著的可靠变化指数和持续的治疗收益。结论创伤实践有望成为社区临床创伤治疗的有效干预手段。

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

Clinical psychology & psychotherapy PSYCHOLOGY, CLINICAL-

CiteScore

6.30

自引率

5.60%

发文量

106

期刊介绍： Clinical Psychology & Psychotherapy aims to keep clinical psychologists and psychotherapists up to date with new developments in their fields. The Journal will provide an integrative impetus both between theory and practice and between different orientations within clinical psychology and psychotherapy. Clinical Psychology & Psychotherapy will be a forum in which practitioners can present their wealth of expertise and innovations in order to make these available to a wider audience. Equally, the Journal will contain reports from researchers who want to address a larger clinical audience with clinically relevant issues and clinically valid research.