Stabilizing group treatment for complex posttraumatic stress disorder related to child abuse based on psychoeducation and cognitive behavioural therapy: a multisite randomized controlled trial

Psychotherapy and Psychosomatics
Ethy DorrepaalNel Draijer

Abstract

Evidence-based treatments for complex posttraumatic stress disorder (PTSD) related to childhood abuse are scarce. This is the first randomized controlled trial to test the efficacy of psycho-educational and cognitive behavioural stabilizing group treatment in terms of both PTSD and complex PTSD symptom severity. Seventy-one patients with complex PTSD and severe comorbidity (e.g., 74% axis II comorbidity) were randomly assigned to either a 20-week group treatment in addition to treatment as usual or to treatment as usual only. Primary outcome measures were the Davidson trauma scale (DTS) for PTSD and the structured interview for disorders of extreme stress (SIDES) for complex PTSD symptoms. Statistical analysis was conducted in the intention-to-treat (ITT) and in the completer sample. Subjects were considered responders when scoring at 20 weeks at least 1 standard deviation below pretest findings. The 16% attrition was relatively low. After 20 weeks, the experimental condition (large effect sizes) and control condition (medium effect sizes) both showed significant decreases on the DTS and SIDES, but differences between the conditions were not significant. The secondary responder analysis (ITT) revealed significantly more respond...Continue Reading

References

Dec 1, 1986·The Journal of Nervous and Mental Disease·E M Bernstein, F W Putnam
Dec 1, 1995·Archives of General Psychiatry·R C KesslerC B Nelson
Apr 1, 1996·Journal of Traumatic Stress·C ZlotnickE Simpson
Apr 17, 2001·Annals of Internal Medicine·D G AltmanUNKNOWN CONSORT GROUP (Consolidated Standards of Reporting Trials)
Mar 28, 2003·Journal of Personality Disorders·Arnoud ArntzArthur J H T de Bie
Jan 29, 2005·The American Journal of Psychiatry·Rebekah BradleyDrew Westen
Jun 11, 2005·Psychotherapy and Psychosomatics·Ulrich Schnyder
Jun 11, 2005·Psychotherapy and Psychosomatics·Carlotta BelaiseIsaac M Marks
Nov 11, 2005·Journal of Traumatic Stress·Bessel A van der KolkJoseph Spinazzola
Feb 1, 2006·Acta Psychiatrica Scandinavica. Supplementum·T BurnsC Wright
Feb 3, 2007·The British Journal of Psychiatry : the Journal of Mental Science·Jonathan I BissonStuart Turner
Mar 27, 2009·Psychotherapy and Psychosomatics·Bret R RutherfordSteven P Roose
Apr 3, 2010·The American Journal of Psychiatry·Ruth A LaniusDavid Spiegel
Jul 3, 2010·The American Journal of Psychiatry·Marylene CloitreEva Petkova
Aug 3, 2010·The Journal of Clinical Psychiatry·Kathleen ThomaesDick J Veltman
Jul 1, 2005·Psychotherapy Research : Journal of the Society for Psychotherapy Research·Dawn E Peleikis, Alv A Dahl

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Citations

Apr 12, 2013·European Journal of Psychotraumatology·Maria W MauritzTheo van Achterberg
Jan 5, 2014·European Journal of Psychotraumatology·Ellen K K JepsenTrond Heir
Dec 11, 2013·Journal of Psychiatric Research·Kathleen ThomaesAnton J van Balkom
Jul 2, 2014·Journal of Trauma & Dissociation : the Official Journal of the International Society for the Study of Dissociation (ISSD)·Maria W MauritzNel Draijer
May 15, 2013·European Journal of Psychotraumatology·Eric Vermetten, Miranda Olff
Jan 8, 2015·European Journal of Psychotraumatology·Ethy DorrepaalAnton J L M van Balkom
Nov 29, 2017·Psychotherapy Research : Journal of the Society for Psychotherapy Research·D SchwartzeJ Rosendahl
Mar 13, 2020·Journal of Personality Disorders·Danielle VoestermansHein J F van Marle
May 6, 2020·The Cochrane Database of Systematic Reviews·Ole Jakob StorebøErik Simonsen
Jul 19, 2020·The Cochrane Database of Systematic Reviews·Christina A GanslevUlf Søgaard
Sep 15, 2020·Health Technology Assessment : HTA·Hollie MeltonPeter Coventry
Jun 27, 2017·European Journal of Psychotraumatology·Mia ScheffersJooske T van Busschbach
Jan 9, 2013·Psychotherapy and Psychosomatics·Maartje SchoorlWillem Van Der Does
Apr 15, 2020·European Journal of Psychotraumatology·Catrin LewisJonathan I Bisson
Oct 9, 2020·European Journal of Psychotraumatology·Kali S BarawiJonathan I Bisson
Feb 5, 2021·European Journal of Psychotraumatology·Harald BækkelundEspen Ajo Arnevik

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