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  • 标题:Stabilizing group treatment for childhood-abuse related PTSD: a randomized controlled trial
  • 本地全文:下载
  • 作者:Harald Bækkelund ; Ida Karlsrud ; Asle Hoffart
  • 期刊名称:European Journal of Psychotraumatology
  • 印刷版ISSN:2000-8198
  • 电子版ISSN:2000-8066
  • 出版年度:2021
  • 卷号:12
  • 期号:1
  • 页码:1859079-1859091
  • DOI:10.1080/20008198.2020.1859079
  • 出版社:Taylor & Francis Group
  • 摘要:Background : Patients with PTSD related to childhood-abuse often experience additional problems such as emotional dysregulation and interpersonal difficulties. Psychotherapy focused on stabilization of symptoms, emotion-regulation, and skills training has been suggested as a treatment for this patient population, either as preparation for further treatment or as a stand-alone intervention. Objective : The present study tests the efficacy of treatment using a group-protocol for stabilizing treatment delivered adjunct with conventional individual therapy. Methods : In a delayed-treatment design with switching replication, a clinically representative sample of 89 patients with PTSD and histories of childhood abuse were randomly assigned to either 20-week stabilizing group treatment or a corresponding waiting-period, both adjunct with conventional individual therapy. After the waiting-period, patients in the control condition were offered group treatment. The primary outcome was psychosocial functioning, measured with interview – assessed Global Assessment of Functioning (GAF), while secondary outcome was self-reported PTSD symptoms. These were measured before treatment, after treatment and at 6 months follow up. The trial was preregistered at Clinical Trials (NCT02450617). Results : We found large within-group effect sizes in both conditions on GAF and moderate effects on PTSD symptoms. Linear mixed-models did not indicate significant differences in treatment trajectories between conditions. Conclusion : Stabilizing group treatment focused on emotional-regulation and skills-training does not improve outcomes beyond individual-treatment alone, and should not be recommended as first-line treatment for this patient-group.
  • 关键词:Post-traumatic stress disorder group psychotherapy ‘childhood abuse trauma randomized controlled trial
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