Skip to main page content
Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2019 Nov 7;10:800.
doi: 10.3389/fpsyt.2019.00800. eCollection 2019.

Effectiveness of a Multimodal, Day Clinic Group-Based Treatment Program for Trauma-Related Disorders: Differential Therapy Outcome for Complex PTSD vs. Non-Complex Trauma-Related Disorders

Affiliations
Free PMC article

Effectiveness of a Multimodal, Day Clinic Group-Based Treatment Program for Trauma-Related Disorders: Differential Therapy Outcome for Complex PTSD vs. Non-Complex Trauma-Related Disorders

Anke Philipps et al. Front Psychiatry. .
Free PMC article

Abstract

Background: The effectiveness of the psychotherapeutic treatment of posttraumatic stress disorder is evidence-based and generally considered proven. However, the effectiveness of multimodal, group-based day clinic treatment programs has rarely been investigated. Moreover, there is no consensus in the literature concerning the question whether psychotherapeutic approaches for trauma-related disorders are also applicable for patients with complex PTSD (cPTSD). The aim of the study was to evaluate our multimodal group-based treatment program regarding a change of psychiatric burden, a change of protective factors, and possible differences in therapy outcome for patients with or without cPTSD. Methods: The group-based treatment for patients with trauma-related disorders was examined in 66 patients who filled out the following questionnaires in the first and in the last week of treatment: Essen Trauma Inventory (ETI), Screening for complex PTSD (SkPTBS), Patient Health Questionnaire-somatization module (PHQ-15), Beck Depression Inventory-Revised (BDI-II), Posttraumatic Growth Inventory (PTGI), and Questionnaire on social support (F-SozU). Results: The treatment was shown to significantly reduce depressive symptoms (p < 0.001, d = -0.536) and increase posttraumatic growth (New Possibilities: p = 0.004, d = 0.405; Personal Strength: p = 0.005, d = 0.414). For patients with cPTSD, depressive (p = 0.010, d = -0.63) as well as cPTSD symptoms (p = 0.020, d = -0.796) were significantly reduced; perceived social support was increased after day clinic treatment (p = 0.003, d = 0.61). Contrary to our expectations, somatoform symptoms were increased after therapy. Conclusions: The present work expands previous research by demonstrating that multimodal group-based, day clinic treatment is effective in the treatment of trauma-related disorders, also in their complex form.

Keywords: complex PTSD; day clinic treatment; depression; posttraumatic growth; posttraumatic stress disorder; social support; therapy outcome; trauma.

Similar articles

See all similar articles

References

    1. Kessler RC, Sonnega A, Bromet E, Hughes M, Nelson CB. Posttraumatic stress disorder in the national comorbidity survey. Arch Gen Psychiatry (1995) 52(12):1048. 10.1001/archpsyc.1995.03950240066012 - DOI - PubMed
    1. Flatten G, Gast U, Hofmann A, Knaevelsrud C, Lampe A, Liebermann P, et al. S3 guideline Posttraumatic stress disorder. Trauma Gewalt (2011) 3:202–10.
    1. Kessler RC, Aguilar-Gaxiola S, Alonso J, Benjet C, Bromet EJ, Cardoso G, et al. Trauma and PTSD in the WHO World Mental Health Surveys. Eur J Psychotraumatology (2017) 8(5):1353383. 10.1080/20008198.2017.1353383 - DOI - PMC - PubMed
    1. Maercker A, Hecker T, Augsburger M, Kliem S. ICD-11 prevalence rates of posttraumatic stress disorder and complex posttraumatic stress disorder in a German nationwide sample. J Nervous Ment Dis (2018) 206(4):270–6. 10.1097/NMD.0000000000000790 - DOI - PubMed
    1. Van Etten M, Taylor S. Comparative efficacy of treatments for posttraumatic stress disorder: a meta-analysis. Clin Psychol Psychother (1998) 5:126–45. 10.1002/(SICI)1099-0879(199809)5:3<126::AID-CPP153>3.0.CO;2-H - DOI

LinkOut - more resources

Feedback