Louison Vang M, Ali S A, Christiansen D M, Dokkedahl S, Elklit A
School of Psychology, Ulster University, Northern Ireland, UK.
The Collaborative Network for Training and Excellence in Psychotraumatology (CONTEXT).
Eur J Psychotraumatol. 2020 Jan 13;11(1):1701778. doi: 10.1080/20008198.2019.1701778. eCollection 2020.
The STEPS programme has been succesfully implemented as a group-based treatment of trauma symptoms after rape for adolescents. The STEPS intervention was translated from Dutch to Danish and offered to adults in addition to adolescents as well as an individual intervention in addition to a group-based intervention at a Danish Centre for Rape Victims through 2011 to 2014. The programme was translated from Dutch to Danish and expanded to adults in addition to adolescents as well as to an individual intervention in addition to a group-based intervention at a Danish Centre for Rape Victims through 2011 to 2014. The present study observes development in trauma symptoms and ICD-11 diagnostic status during an adapted version of the intervention programme 'STEPS' for survivors of sexual assault. : A prospective uncontrolled study was conducted, monitoring symptoms of posttraumatic stress and other trauma-related symptomatology before treatment, after treatment and at 6 and 12 months' follow up for 103 referrals receiving individual or group-based STEPS. Tentative diagnoses of posttraumatic stress disorder (PTSD) and complex PTSD were assigned to participants according to the ICD-11 to observe the development in diagnostic status across time, and multilevel modelling was used to assess the development of symptom severity and to assess the moderating effect of age-group and mode of delivery. : A loglinear function representing large and statistically significant decline in symptomatology over time provided the best fit for all measures of trauma-related symptomatology. The decline was not moderated by age-group or mode of intervention. Dropout rates were independent of mode of intervention and age. The adaption of the STEPS programme to adults and as an individual intervention is feasible and maintains effect sizes comparable to those observed in the original intervention. Further research using randomized controlled trials is needed to ascribe the observed effect to the STEPS programme.
STEPS项目已成功作为针对青少年强奸创伤症状的团体治疗方案实施。STEPS干预方案从荷兰语翻译成丹麦语，并在2011年至2014年期间，除了青少年之外还提供给成年人，同时在丹麦一家强奸受害者中心，除了团体干预之外还提供个体干预。该方案从荷兰语翻译成丹麦语，并在2011年至2014年期间，除了青少年之外还扩展到成年人，同时在丹麦一家强奸受害者中心，除了团体干预之外还扩展到个体干预。本研究观察了针对性侵犯幸存者的干预方案“STEPS”的改编版实施过程中创伤症状和国际疾病分类第11版（ICD-11）诊断状态的变化。：进行了一项前瞻性非对照研究，对103名接受个体或团体STEPS治疗的转诊患者在治疗前、治疗后以及6个月和12个月随访时的创伤后应激症状和其他创伤相关症状进行监测。根据ICD-11对参与者进行创伤后应激障碍（PTSD）和复杂性PTSD的初步诊断，以观察诊断状态随时间的变化，并使用多水平模型评估症状严重程度的变化以及评估年龄组和治疗方式的调节作用。：一个代表随着时间推移症状学出现大幅且具有统计学意义下降的对数线性函数最适合所有创伤相关症状学指标。这种下降不受年龄组或干预方式的影响。脱落率与干预方式和年龄无关。将STEPS方案改编用于成年人并作为个体干预是可行的，且维持的效应大小与原始干预中观察到的相当。需要使用随机对照试验进行进一步研究，以确定观察到的效果归因于STEPS方案。
