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Comparing phase-based treatment, prolonged exposure, and skills-training for Complex Posttraumatic Stress Disorder: A randomized controlled trial.
Sele, Peter; Hoffart, Asle; Cloitre, Marylène; Hembree, Elizabeth; Øktedalen, Tuva.
Afiliación
  • Sele P; Research Institute, Modum Bad Psychiatric Hospital, Vikersund N-3370, Norway; Department of Psychology, University of Oslo, Norway. Electronic address: peter.sele@modum-bad.no.
  • Hoffart A; Research Institute, Modum Bad Psychiatric Hospital, Vikersund N-3370, Norway; Department of Psychology, University of Oslo, Norway.
  • Cloitre M; National Center for PTSD, Division of Dissemination and Training, VA Palo Alto Health Care System, CA 94025, USA; Department of Psychiatry and Behavioral Sciences, Standford University, Stanford, CA 94305, USA.
  • Hembree E; Department of Psychiatry, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA 19104, USA.
  • Øktedalen T; Research Institute, Modum Bad Psychiatric Hospital, Vikersund N-3370, Norway.
J Anxiety Disord ; 100: 102786, 2023 Dec.
Article en En | MEDLINE | ID: mdl-37871452
OBJECTIVE: This study examines treatment effects in STAIR Narrative Therapy (SNT), a phase-based treatment where Skills Training in Affective and Interpersonal Regulation (STAIR) precedes Narrative Therapy (NT), compared to Prolonged Exposure (PE) and to STAIR. METHOD: Ninety-two adult patients diagnosed with DSM-5 PTSD and ICD-11 CPTSD following childhood abuse were randomly assigned to enhanced versions of SNT (12 group STAIR sessions + 8 individual NT sessions), PE (8-16 individual sessions), or STAIR (12 group STAIR sessions) provided in residential care. Outcome was assessed by mixed models. RESULTS: PE produced greater improvements in DSM-5 PTSD symptoms compared to SNT from pre-treatment to post-treatment, but not compared to STAIR. Reductions in ICD-11 CPTSD symptoms were not significantly different among conditions. From pre-treatment to 1 year follow-up, PE produced greater PTSD symptom improvements than SNT and STAIR, and PE and STAIR produced greater CPTSD symptom improvements than SNT. CONCLUSIONS: The predicted stronger effect of SNT compared to PE and STAIR on DSM-5 PTSD and ICD-11 CPTSD symptoms was not supported by the findings. The benefits of immediate trauma-focused treatments (TFT) as compared to phase-based treatments, and the potential non-inferiority of skills-training as compared to TFT in CPTSD needs to be further investigated.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Trastornos por Estrés Postraumático Límite: Adult / Humans Idioma: En Revista: J Anxiety Disord Asunto de la revista: PSIQUIATRIA Año: 2023 Tipo del documento: Article Pais de publicación: Países Bajos
Texto completo
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XML
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Trastornos por Estrés Postraumático Límite: Adult / Humans Idioma: En Revista: J Anxiety Disord Asunto de la revista: PSIQUIATRIA Año: 2023 Tipo del documento: Article Pais de publicación: Países Bajos