Karatzias Thanos, Ferguson Sandra, Gullone Angela, Cosgrove Katie
a Faculty of Health , Life and Social Sciences, Edinburgh Napier University , Edinburgh , UK.
b NHS Lothian, Rivers Centre for Traumatic Stress , Edinburgh , UK , and.
J Ment Health. 2016 Dec;25(6):512-519. doi: 10.3109/09638237.2016.1139062. Epub 2016 Feb 5.
There is limited evidence on manualised group interventions that facilitate the development of trauma recovery skills, affect regulation and meaning making for survivors of interpersonal trauma.
The study aimed to provide preliminary evidence on the effectiveness of group psychotherapy (based on Trauma Recovery and Empowerment Model, TREM) for psychological distress in adult survivors of interpersonal trauma.
Participants were a consecutive series of female patients (n = 71) from the waiting lists of five National Health Service (NHS) Boards in Scotland. Participants completed a set of self-rated measures (PCL, CORE, SCL-90, DES and RSES) at baseline, mid-intervention, post-intervention and 3-month follow-up.
Effect sizes were small to medium across measures and assessment points at post-treatment and follow-up. With regard to clinical significance, at post-treatment, a proportion of 9.9% to 54.9% of participants achieved clinical significance across measures. At follow-up, a proportion of 9.9% to 62.0% of participants achieved clinical significance across measures.
Group psychotherapy may be useful for a proportion of participants and especially so for symptoms of dissociation and self-esteem. Survivors of interpersonal trauma should be offered a choice of individual or group treatment modalities to reduce drop-out rate and maximise outcomes.
关于促进人际创伤幸存者创伤恢复技能发展、情绪调节和意义建构的手册化团体干预措施的证据有限。
本研究旨在为团体心理治疗（基于创伤恢复与赋权模型，TREM）对人际创伤成年幸存者心理困扰的有效性提供初步证据。
参与者是来自苏格兰五个国民健康服务（NHS）委员会等候名单的连续系列女性患者（n = 71）。参与者在基线、干预中期、干预后和3个月随访时完成了一组自评量表（PCL、CORE、SCL - 90、DES和RSES）。
在治疗后和随访时，各量表和评估点的效应量为小到中等。关于临床意义，治疗后，9.9%至54.9%的参与者在各量表上达到临床意义。随访时，9.9%至62.0%的参与者在各量表上达到临床意义。
团体心理治疗可能对一部分参与者有用，尤其是对解离症状和自尊方面。人际创伤幸存者应可选择个体或团体治疗方式，以降低脱落率并使治疗效果最大化。
