PMID- 33537118 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20210928 IS - 2000-8066 (Print) IS - 2000-8066 (Electronic) IS - 2000-8066 (Linking) VI - 12 IP - 1 DP - 2021 Jan 22 TI - Stabilizing group treatment for childhood-abuse related PTSD: a randomized controlled trial. PG - 1859079 LID - 10.1080/20008198.2020.1859079 [doi] LID - 1859079 AB - Background: Patients with PTSD related to childhood-abuse often experience additional problems such as emotional dysregulation and interpersonal difficulties. Psychotherapy focused on stabilization of symptoms, emotion-regulation, and skills training has been suggested as a treatment for this patient population, either as preparation for further treatment or as a stand-alone intervention. Objective: The present study tests the efficacy of treatment using a group-protocol for stabilizing treatment delivered adjunct with conventional individual therapy. Methods: In a delayed-treatment design with switching replication, a clinically representative sample of 89 patients with PTSD and histories of childhood abuse were randomly assigned to either 20-week stabilizing group treatment or a corresponding waiting-period, both adjunct with conventional individual therapy. After the waiting-period, patients in the control condition were offered group treatment. The primary outcome was psychosocial functioning, measured with interview - assessed Global Assessment of Functioning (GAF), while secondary outcome was self-reported PTSD symptoms. These were measured before treatment, after treatment and at 6 months follow up. The trial was preregistered at Clinical Trials (NCT02450617). Results: We found large within-group effect sizes in both conditions on GAF and moderate effects on PTSD symptoms. Linear mixed-models did not indicate significant differences in treatment trajectories between conditions. Conclusion: Stabilizing group treatment focused on emotional-regulation and skills-training does not improve outcomes beyond individual-treatment alone, and should not be recommended as first-line treatment for this patient-group. CI - (c) 2021 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group. FAU - Baekkelund, Harald AU - Baekkelund H AUID- ORCID: 0000-0001-9510-7713 AD - Research Institute, Modum Bad, Vikersund, Norway. AD - Norwegian Center for Violence and Traumatic Stress Studies, Oslo, Norway. FAU - Karlsrud, Ida AU - Karlsrud I AD - Research Institute, Modum Bad, Vikersund, Norway. FAU - Hoffart, Asle AU - Hoffart A AUID- ORCID: 0000-0002-8042-8570 AD - Research Institute, Modum Bad, Vikersund, Norway. FAU - Arnevik, Espen Ajo AU - Arnevik EA AUID- ORCID: 0000-0003-1071-0017 AD - Department of Addiction Treatment, Oslo University Hospital, Oslo, Norway. LA - eng PT - Journal Article DEP - 20210122 PL - United States TA - Eur J Psychotraumatol JT - European journal of psychotraumatology JID - 101559025 PMC - PMC7833018 OTO - NOTNLM OT - Post-traumatic stress disorder OT - Stabilizing group treatment focused on emotional-regulation and skills-training does not improve outcomes beyond individual-treatment alone for patients with PTSD after childhood abuse. OT - group psychotherapy OT - randomized controlled trial OT - trauma OT - 'childhood abuse COIS- The authors have nothing to disclose. EDAT- 2021/02/05 06:00 MHDA- 2021/02/05 06:01 PMCR- 2021/01/22 CRDT- 2021/02/04 05:51 PHST- 2021/02/04 05:51 [entrez] PHST- 2021/02/05 06:00 [pubmed] PHST- 2021/02/05 06:01 [medline] PHST- 2021/01/22 00:00 [pmc-release] AID - 1859079 [pii] AID - 10.1080/20008198.2020.1859079 [doi] PST - epublish SO - Eur J Psychotraumatol. 2021 Jan 22;12(1):1859079. doi: 10.1080/20008198.2020.1859079.