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The DOI matches its Crossref record; 14 of the 14 references it cites were found in a registry or an index.

Comparing phase-based treatment, prolonged exposure, and skills-training for Complex Posttraumatic Stress Disorder: A randomized controlled trial

Sele, Peter, Hoffart, Asle, Cloitre, Marylène, Hembree, Elizabeth, Øktedalen, Tuva·2023·Journal of Anxiety Disorders
DOI 10.1016/j.janxdis.2023.102786
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Abstract

Objective This study examines treatment effects in STAIR Narrative Therapy (SNT), a phase-based treatment where Skills Training in Affective and Interpersonal Regulation (STAIR) precedes Narrative Therapy (NT), compared to Prolonged Exposure (PE) and to STAIR. Method Ninety-two adult patients diagnosed with DSM-5 PTSD and ICD-11 CPTSD following childhood abuse were randomly assigned to enhanced versions of SNT (12 group STAIR sessions + 8 individual NT sessions), PE (8-16 individual sessions), or STAIR (12 group STAIR sessions) provided in residential care. Outcome was assessed by mixed models. Results PE produced greater improvements in DSM-5 PTSD symptoms compared to SNT from pre-treatment to post-treatment, but not compared to STAIR. Reductions in ICD-11 CPTSD symptoms were not significantly different among conditions. From pre-treatment to 1 year follow-up, PE produced greater PTSD symptom improvements than SNT and STAIR, and PE and STAIR produced greater CPTSD symptom improvements than SNT. Conclusions The predicted stronger effect of SNT compared to PE and STAIR on DSM-5 PTSD and ICD-11 CPTSD symptoms was not supported by the findings. The benefits of immediate trauma-focused treatments (TFT) as compared to phase-based treatments, and the potential non-inferiority of skills-training as compared to TFT in CPTSD needs to be further investigated.

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Research works printed but not linked: 29

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Metadata

Authors
Sele, P., Hoffart, A., Cloitre, M., Hembree, E., & Øktedalen, T.
ORCID
Sele, Peter
Venue
Journal of Anxiety Disorders
Publisher
Elsevier BV
Published
2023-12
Volume
100
Pages
102786
ISSN
0887-6185
DOI
10.1016/j.janxdis.2023.102786
Cited by
30
References
14
Language
en
Licence

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