Cassandra R W Harmsen, Marlee Salisbury, Kristina Cordeiro, Sara Rependa, Anna Baranowsky, Robert T Muller
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Posttraumatic symptoms (Post-Traumatic Stress Disorder Checklist for <i>Diagnostic and Statistical Manual of Mental Disorders,</i> fifth edition) and trauma-related distress (Trauma Symptom Checklist [TSC-40]) were measured at baseline, after each phase, and at 6 months posttherapy.</p><p><strong>Results: </strong>Mixed effects models, nested by participants and clinician education level, showed significant decreases in posttraumatic symptoms and trauma symptom distress, reflecting a shift from clinical to nonclinical levels with robust effect sizes and reliable change indices. Phase-based analyses indicated symptom improvement during each treatment phase, with the greatest improvement observed in Phase I. 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引用次数: 0
摘要
目的:本研究考察了创伤实践(TP)的有效性,这是一种多模式、三相的创伤治疗方法,在社区环境中,包括对治疗结果的阶段性影响。方法:患者39例,临床医生15例。参与者在创伤暴露和共病心理健康方面各不相同,以增加结果的普遍性和研究中各种创伤表现的代表性。在基线、每个阶段结束后和治疗后6个月分别测量创伤后症状(《精神障碍诊断与统计手册》第五版创伤后应激障碍检查表)和创伤相关痛苦(《创伤症状检查表[TSC-40]》)。结果:由被试和临床医生受教育程度嵌套的混合效应模型显示,创伤后症状和创伤症状困扰显著减少,反映了从临床到非临床水平的转变,效应量稳健,变化指标可靠。基于阶段的分析表明,在每个治疗阶段症状都有所改善,在第一阶段观察到的改善最大。然而,随访时的样本量很小。结论:本研究为TP的有效性和临床应用提供了坚实的基础,鼓励进一步探索其在创伤治疗中的阶段性益处和更广泛的应用。(PsycInfo Database Record (c) 2025 APA,版权所有)。
Posttraumatic symptom improvement in trauma practice triphasic therapy: Preliminary findings from a multisite, community-based setting.
Objective: This study examined the effectiveness of trauma practice (TP), a multimodal, triphasic approach to trauma therapy, within a community-based setting, including phase-linked effects on therapeutic outcomes.
Method: The sample included 39 clients and 15 clinicians. Participants varied in terms of trauma exposure and comorbid mental health to increase generalizability of results and representation of various trauma presentations in research. Posttraumatic symptoms (Post-Traumatic Stress Disorder Checklist for Diagnostic and Statistical Manual of Mental Disorders, fifth edition) and trauma-related distress (Trauma Symptom Checklist [TSC-40]) were measured at baseline, after each phase, and at 6 months posttherapy.
Results: Mixed effects models, nested by participants and clinician education level, showed significant decreases in posttraumatic symptoms and trauma symptom distress, reflecting a shift from clinical to nonclinical levels with robust effect sizes and reliable change indices. Phase-based analyses indicated symptom improvement during each treatment phase, with the greatest improvement observed in Phase I. Treatment gains were maintained at follow-up; however, sample sizes at follow-up were small.
Conclusions: This study's implications suggest a strong foundation for TP's effectiveness and clinical utility, encouraging further exploration into its phase-specific benefits and broader application in trauma therapy. (PsycInfo Database Record (c) 2025 APA, all rights reserved).
期刊介绍:
Psychological Trauma: Theory, Research, Practice, and Policy publishes empirical research on the psychological effects of trauma. The journal is intended to be a forum for an interdisciplinary discussion on trauma, blending science, theory, practice, and policy.
The journal publishes empirical research on a wide range of trauma-related topics, including:
-Psychological treatments and effects
-Promotion of education about effects of and treatment for trauma
-Assessment and diagnosis of trauma
-Pathophysiology of trauma reactions
-Health services (delivery of services to trauma populations)
-Epidemiological studies and risk factor studies
-Neuroimaging studies
-Trauma and cultural competence