The Development and Evaluation of a Brief Self-practice Compassion Focused Therapy (CFT) Intervention as an Adjunct to TAU for Trauma Patients
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 10
- 试验地点
- 2
- 主要终点
- Depression Anxiety and Stress Scales (DASS-21)
研究概览
简要总结
**PLEASE NOTE** this study is currently open only to clients on the waiting list at the Centre for Trauma Resilience and Growth, UK.
The project will involve adapting and implementing a five minute daily self-practice compassion-focused intervention and evaluate its impact on psychological and physiological factors associated with trauma. It aims to offer a novel intervention which may facilitate further benefits from trauma specific therapy. This would be a unique use of self-practice Compassion Focused Therapy (CFT) specifically for trauma clients. Previous research has found that many factors can impact on client's benefitting from therapy, including depression, anxiety and self-criticism. These things also get in the way of being compassionate towards oneself, and this can be a difficulty for people who have experienced traumatic events. Service users have identified that additional support before trauma specific therapy can be useful and this may offer a positive use of time whilst on therapy waiting lists.
Hypotheses:
i. A brief CFT intervention will decrease levels of depression, anxiety, stress and increase baseline Heart Rate Variability.
ii. The compassion focused intervention will increase experiences of self-compassion, social safeness, and reduce levels of self-criticism.
iii. High 'fear of compassion' will moderate the impact of the intervention and result in smaller changes in depression, anxiety, stress and post traumatic change.
Clients of the Centre for trauma, resilience and growth will be approached to participate in the study. All participants will have experienced trauma for which they are seeking psychological support. The current compassion focused intervention will be offered to participants on the waiting list for trauma specific therapy at the trauma centre. Each participant will be asked to practice the intervention in their own time over a period of three weeks. There will be initial assessments, repeated assessments following the intervention, and repeated assessments pre and post trauma specific therapies engaged in.
详细描述
The project will implement a five-minute daily self-practice CFT intervention and evaluate its impact on psychological and physiological factors associated with trauma. It aims to offer a novel intervention which may facilitate further benefits from trauma-specific therapy. Follow-up data may demonstrate maintenance of positive effects and increased positive effects if self-practice is continued. This would be a unique use of self-practice CFT specifically for trauma clients.
Study Design The study will use a delayed intervention Randomised Controlled Trial (RCT) using a block design.A delayed intervention group will act as a passive control group. Participants will engage in a daily five-minute self-practice CFT intervention prior to engaging in trauma-specific TAU. The CFT intervention will be adapted specifically for trauma clients based on the literature review, involvement of service users, and close collaboration with Professor Paul Gilbert. The project will involve three stages, outlined below.
Stage One: Development of CFT intervention and feasibility testing
Development The final version of the adapted five-minute CFT practice will include consultation with Paul Gilbert as original author of the five-minute CFT intervention (unpublished) as well as consultation with research supervisors. It will be available in both audio and written format. Permission has kindly been given by Paul Gilbert to adapt this for use in the project.
The current version of the CFT intervention includes: instructions, an explanation of compassion and aims of the intervention. It includes several exercises designed to increase self-compassion including breathing exercises and compassionate imagery exercises focused on self and others.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- Single (Participant)
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Able to understand verbal and written English language (due to resources, the adapted intervention will not be translated);
- •***To be on the waiting list for therapy at the Centre for Trauma Resilience and Growth, Nottingham UK***;
- •Able to access a computer, CD player or mp3 file;
- •Had experience of a traumatic event
排除标准
- •participants involved in the pilot phase of the project
- •unable to understand verbal and written English language
结局指标
主要结局
Depression Anxiety and Stress Scales (DASS-21)
时间窗: up to six weeks
21-item version. Self-report measuring negative emotional states of depression, anxiety and stress
次要结局
- Fears of Compassion Scale (FOC) Scale 3: Expressing kindness and compassion towards yourself.(three weeks, six weeks)
- The Forms of Self-Criticising/Attacking & Self-Reassuring Scale (FSCRS)(three weeks, six weeks)
- Social Safeness and Pleasure Scale (SSPS)(three weeks, six weeks)
- Psychological Well-Being - Post-Traumatic Change Questionnaire (PWB-PTCQ)(up to six weeks)
- Self-Compassion Scale (SCS)(three weeks, six weeks)
- Heart Rate Variability (HRV)(three weeks, six weeks)
- Impact of Event Scale Revised (IES-R)(up to six weeks)
研究者
Claire Rycroft
Clinical Psychologist
University of Lincoln