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首页> 外文期刊>Trials >A combined individual and group-based stabilization and skill training intervention versus treatment as usual for patients with long lasting posttraumatic reactions receiving outpatient treatment in specialized mental health care – a study protocol for a randomized controlled trial
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A combined individual and group-based stabilization and skill training intervention versus treatment as usual for patients with long lasting posttraumatic reactions receiving outpatient treatment in specialized mental health care – a study protocol for a randomized controlled trial

机译：持续治疗专业精神保健治疗门诊治疗的患者的患者持续患者对持久性的基于个体和基于组的稳定和技能培训干预 - 一种随机对照试验的研究议定书

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BACKGROUND:Suffering linked to previous interpersonal trauma is common among patients in mental health care. Diagnostic labels may vary, but the clinical picture is often characterized by long-lasting and complex psychological and somatic symptoms, subjective distress and reduced quality of health and life. A substantial proportion of patients do not recover after individual treatment in ordinary specialized mental healthcare settings, despite the proven usefulness of individual trauma-specific treatments. The therapeutic factors that arise in group settings, such as normalization, shame reduction and corrective relational experiences, may be particularly useful for trauma survivors. However, evidence in support of group treatment for trauma survivors is scarce. This study aims to test whether combining a novel group intervention to individual treatment is superior to conventional individual out-patient treatment in an ordinary community mental health hospital.METHODS:In a single-site, non-blinded, randomized controlled trial (RCT), the effect of a combined group-based stabilization and skill-training (SST) intervention added to individual treatment will be compared to conventional treatment (treatment as usual, TAU) alone. Participants (N?=?160) with ongoing and long-lasting reactions related to known adverse life events from the past will be recruited among patients at general outpatient clinics in a community mental health centre at St. Olav's University Hospital, Trondheim, Norway. Following baseline assessment and randomization, participants will complete follow-up measures at 4, 8, 13 and 19?months post-baseline. The primary outcome is personal recovery (The questionnaire about the process of recovery , QPR). Secondary outcomes include (1) self-reported symptoms of posttraumatic stress, general mental and somatic health symptoms, well-being, functional impairment and client satisfaction, (2) immunological and endocrine response measured in blood samples and (3) national registry data on occupational status, use of mental health services and pharmacological treatment. Additionally, mechanisms of change via posttraumatic cognitions will be examined.DISCUSSION:The addition of a group-based intervention to individual treatment for trauma survivors might prove to be an efficient way to meet the need of long-lasting high-intensity treatment in a large group of patients in mental health care, thereby reducing their suffering and increasing their psychosocial functioning.TRIAL REGISTRATION:ClinicalTrials.gov: NCT03887559. Registered on 25 March 2019.
机译：背景：患有先前的人际关系创伤的痛苦是心理保健患者的常见。诊断标签可能会有所不同，但临床影像通常是持久性和复杂的心理和体细胞症状，主观痛苦和减少健康和生活质量的特征。尽管验证了对特异性创伤治疗的有用性，但在普通的专业精神医疗保健环境中，患者在普通的专业精神医疗保健环境中没有复苏。在群体环境中产生的治疗因素，例如归一化，羞耻和纠正关系经验，对创伤幸存者特别有用。然而，支持对创伤幸存者的群体治疗的证据是稀缺的。本研究旨在测试组合新型小组干预的单个治疗是否优于普通社区心理健康医院的常规个体门诊治疗。方法：在一次性，非蒙蔽，随机对照试验（RCT）中，将添加到个体治疗的基于基础基组的稳定和技能培训（SST）干预的效果将与单独的常规治疗（常规，Tau）进行比较。与参与者（N？=？160）与过去的已知不利生活事件相关的持续和持久反应，将在挪威圣奥拉夫大学医院的社区心理健康中心的一般门诊诊所招募患者。在基线评估和随机化之后，参与者将在4,8,13和19岁及19个月后完成后续措施？基线后几个月。主要结果是个人恢复（关于恢复过程的问卷，QPR）。二次结果包括（1）自我报告的创宫压力症状，一般精神和体细胞健康症状，福祉，功能性损伤和客户满意度，（2）在血液样本中测量的免疫和内分泌反应，（3）国家注册表数据职业地位，心理健康服务的使用和药理治疗。此外，通过错误的认知方式改变机制。探讨了探讨：增加基于团体的干预对创伤幸存者的个体治疗可能被证明是满足大型持久高强度治疗的需要的有效方法一群心理保健患者，从而减少他们的痛苦和增加他们的心理社会功能。关于注册：ClinicalTrials.gov：NCT03887559。 2019年3月25日注册。

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