Inpatient Group and Individual Trauma- and Dissociation Informed Stabilization Therapy for Adult Survivors of Childhood Trauma
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- Modum Bad
- 入组人数
- 30
- 试验地点
- 1
- 主要终点
- Progress in Treatment Questionnaire (PITQ-p)
研究概览
简要总结
The purpose of the pilot is to examine the usefulness of the psychoeducational program, Finding Solid Ground, for patients with dissociative disorders in a naturalistc observational study, involving a 3-months inpatient treatment followed by patients continuation with the program in their local outpatient settings, by examining outcome of main trauma-related symptoms and adaptive coping. In addition, performing focus-group interviews with the patient groups at discharge and at follow-up, to gain information on their subjective experiences from participating in the program. The patients' therapists in the outpatient settings are invited to give written feedback on their experiences from working with FSG.
详细描述
Adult survivors of childhood trauma have complex and diverse symptoms profiles. A subgroup develop a complex dissociative disorder. Modum Bad has for years offered a 3-months inpatient treatment program for this patient group. Patients leave the hospital after this treatment period and continue with treatment in their local outpatient settings. They come back for a 5-days follow-up 9 months after discharge from the residential setting. The aim of the pilot study is to examine changes in posttraumatic and dissociative symptoms and adaptive coping in this patient-group within the described naturalistic context, following patients' participation in Finding Solid Ground (FSG). FSG is developed by dr Bethany Brand, dr. Hygge Schielke, and dr Ruth Lanius (2022), and designed for this patient-group. It has 30 topics. Patients start up with FSG and complete 8 topics in the inpatient setting, and are offered to continue with the remaining topics during the outpatient period in collaboration with local treatment providers. 32 patients were recruited. Two of them were not included: one did not want to participate, and the other patient had a different focus in her treatment than FSG. Patients were assigned from referrals to the residential Department for Trauma treatment, Modum Bad, in Norway. As part of the usual clinical practice they were referred to our treatment group if they had a complex dissociative disorder in need of stabilization. The inpatient treatment lasts for 11 weeks and combines group- and individual therapies with different treatment modalities, all within the framework of FSG. Patients came back for a 5-days follow-up stay, 9 months after discharge from the inpatient treatment.
研究设计
- 研究类型
- Observational
- 观察模型
- Case Only
- 时间视角
- Prospective
入排标准
- 年龄范围
- 18 Years 至 70 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •The study include adults (minimum age of 18 years) with a complex dissociative disorder related to childhood trauma. All patients had received outpatient therapy with insufficient effect. Patients were diagnosed with at DSM-IV dissociative disorder, transformed to the ICD-10 dissociative disorders.
排除标准
- •Ongoing psychosis, severe ongoing drug addiction, very disturbed group functioning, ongoing severe life crisis, mental disability, severe unsafe behavior (suicidality, self-harm).
研究组 & 干预措施
Adults with compelx dissociative disorders and histories of childhood trauma
All group and individual therapies were in line with the model presented in Finding Solid Ground, developed by dr. Bethany Brand et al. (2022). Patients were admitted for the inpatient pre-planned treatment for a 3-months period, continue with therapy in their local outpatient settings after discharge from the inpatient period, and come back for a 5-days follow-up stay 9 months after discharge from the inpatient treatment.
干预措施: Psychotherapy (Behavioral)
结局指标
主要结局
Progress in Treatment Questionnaire (PITQ-p)
时间窗: at respectively: baseline (T1); 3 months (T2); and 1-year follow-up (T3)
Asesses adaptive capacities. It has 32 items scored on an 11-point scale ranging from 0% to 100%. Scores are averaged. Higher scores indicate higher capacitiy for adaptive coping.
PTSD Checklist for DSM-5 (PCL-5)
时间窗: assessmentsat respectively: baseline (T1); 3 months (T2); and 1-year follow-up (T3)
Posttraumaticstress disorder checklist for DSM-5, scale and subscales. Sum scores range from 20-80, with higher scores indicating greater PTSD symptoms severity
Difficulties in emotion regulation scale (DERS)
时间窗: assessments at respectively: baseline (T1); 3 months (T2); and 1-year follow-up (T3)
Difficulties in emotion regulation scale, scale and subscales. It has 36 items ranging from 1 to 5. Scores are averaged. Higher scores indicate higher level of difficulties in emotion regulation.
Self-compassion Scale - Short Form (SCS-SF)
时间窗: assessments at respectively: baseline (T1); 3 months (T2); and 1-year follow-up (T3)
Self-compassion scale short form (SCS-SF) has 12 items ranging from 1 to 5. Scores are averaged. Total average socres are calculated after reverse scoring of relevant items, with higher scores indicating higher level of self-compassion.
Dissociative Experiences Scale (DES-II)
时间窗: assessments at respectively: baseline (T1); 3 months (T2); and 1-year follow-up (T3)
Dissociative experiences scale - version II has 28 items ranging from 0% to 100%. Scores are averaged. Higher scores indicate higher levels of dissociation.
次要结局
- Hedonic deficits and interference scale (HDIS)(Assessment at respectively: 1) baseline (T1); 2) 3-months (T2); and 3) 1-year follow-up.)