Qualitative Study of Complex PTSD Treatment | #QualitativeResearch #MentalHealthResearch #ClinicalPsychology #TherapyOutcomes #EvidenceBasedPractice

Patient Perspectives on Group-Based Stabilization and Individual Therapy for Long-Term Trauma: A Qualitative Analysis

1. Introduction

  • 1.1 Background on Complex PTSD (C-PTSD)

    • Definition (ICD-11)

    • Differences from PTSD

    • Symptoms: affect dysregulation, negative self-concept, interpersonal issues

  • 1.2 Prevalence and Clinical Impact

    • Higher burden in mental health care settings

    • Associated with long-term functional impairments



2. Rationale for Combined Treatment Approach

  • 2.1 Limitations of Unimodal Trauma-Focused Treatments

    • Residual symptoms

    • Limited applicability due to exclusion of comorbid conditions

  • 2.2 Potential Benefits of Stabilizing and Skill Training (SST)

    • Psychoeducation

    • Emotion regulation skills

    • Safe therapeutic environment

  • 2.3 Role of Individual Therapy (TAU)

    • Customization of care

    • Deeper individual support alongside group learning

3. Study Objective

  • To explore how individuals with long-term posttraumatic reactions experience a combined treatment format (group SST + individual TAU), focusing on therapeutic processes and perceived impact on recovery.

4. Methodology

  • 4.1 Study Design

    • Qualitative interviews

    • Reflexive thematic analysis

  • 4.2 Participants

    • 5 female participants with long-standing trauma reactions

  • 4.3 Treatment Format

    • Group-SST: 20-session structured program based on “Back to the Present”

    • Individual therapy: TAU with psychologists or other clinicians

5. Key Findings

  • 5.1 Relational Healing in Groups

    • Feeling less isolated

    • Normalization of trauma responses

    • Challenges and growth in group dynamics

  • 5.2 Value of Skill Training

    • Tools for self-regulation

    • Gaining insight into trauma reactions

    • Initial difficulty but long-term benefit

  • 5.3 Importance of Individual Therapy

    • Addressing unique challenges

    • Processing more sensitive material

    • Bridging insights from group into personal context

6. Discussion

  • 6.1 Therapeutic Change Mechanisms

    • Interpersonal learning

    • Emotion regulation

    • Safe exposure to relational situations

  • 6.2 Group vs. Individual Modality Strengths

    • Group: Normalization, support, shared experience

    • Individual: Customization, deeper processing

  • 6.3 Clinical Implications

    • Support for integrative models of care

    • Need for flexibility in trauma treatment

  • 6.4 Limitations

    • Small sample size

    • All participants were women from one clinical site

7. Conclusion

  • Combined SST and TAU shows promise as a meaningful, patient-valued approach for treating long-term posttraumatic symptoms.

  • Further research needed, particularly through larger randomized controlled trials, to assess generalizability and long-term effects.

#QualitativeResearch #MentalHealthResearch #ClinicalPsychology #TherapyOutcomes #EvidenceBasedPractice

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