PTSD, PTSD and Trauma-related Symptoms
Conditions
Keywords
complex PTSD, childhood trauma, TIST, group treatment, affect regulation, mindfulness, self compassion
Brief summary
The purpose of the study is to examine the effects of residential group and individual Trauma Informed Stabilization Treatment (TIST) for complex symptoms in adult survivors of childhood trauma in a naturalistic observational study.
Detailed description
Adult survivors of childhood trauma have complex and diverse symptom profiles. The aim of the study is to examine the effects of theTrauma Informed Stabilization Treatment (TIST) model, developed by dr Janina Fisher, in adult survivors of childhood trauma. 32 patients will be recruited from referrals to an residential open door trauma clinic in Norway, Modum Bad. Patients will be admitted for in-patient pre-planned treatment over 11 weeks - consisting of individual therapy and group therapy using different modalities, all within the TIST approach and framework. Patients will be summoned for 6 day follow-up 8 months after treatment.
Interventions
BEHAVIORALPsychoterapy
During 11 weeks admission the programme will include group sessions using different modalities (psychoeducation videos, live psychoeducation groups, expressive arts therapy, equine facilitated therapy, mindfulness and discussion groups) all using TIST methodology. Parallell individual therapy with therapist (psychologist or psychiatrist) and milieu therapist. All therapists will be trained minimum in TIST level 1 and recieve supervision from an expert TIST therapist.
Sponsors
Modum Bad
Study design
Observational model
CASE_ONLY
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Adults ≥18 years * Complex symptom presentations connected to childhood trauma * All patients will have undergone outpatient therapy with insufficient effect * Most included patients will have a diagnosis of complex PTSD (diagnosed by M.I.N.I. and clinical evaluation) * Patients may have diagnosis of unspecified dissociative disorder, personality disorders, depression and other comorbidity.
Exclusion criteria
* Dissociative identitiy disorder * Ongoing psychosis * Ongoing drug addiction * Very disturbed group function * Ongoing life crisis * Mental disability * Acute suicidality * Ongoing severe self harm * Patients with complex dissociative disorders and patients eligible for exposure therapy will be referred to/prioritized for other treatment programmes.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Difficulties in emotion regulation scale (DERS) | Week 0 (Admission), week 11-12 (discharge) and 8 months follow up | Difficulties in emotion regulation scale, scale and subscales |
| Five facet mindfulness questionnaire (FFMQ) | Week 0 (Admission), week 11-12 (discharge) and 8 months follow up | Five facet mindfulness questionnaire, all subscales |
| Self-compassion scale long form (SCS-LF) | Week 0 (Admission), week 11-12 (discharge) and 8 months follow up | Self-compassion scale long form, scale and subscales |
| PTSD checklist for DSM-5 (PCL-5) | Week 0 (Admission), week 11-12 (discharge) and 8 months follow up | PTSD checklist for DSM-5, scale and subscales |
| International trauma questionnaire (ITQ) | Week 0 (Admission), week 11-12 (discharge) and 8 months follow up | International trauma questionnaire, scale and subscales |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Patient health questionnaire 9 (PHQ-9) | Week 0 (Admission), week 11-12 (discharge) and 8 months follow up | Patient health questionnaire 9 |
| Quality of life | Week 0 (Admission), week 11-12 (discharge) and 8 months follow up | Self report on scale of 0-10 |
Countries
Norway
Outcome results
None listed