Psychological trauma : theory, research, practice and policy · 2026
Effectiveness of a strengths-based integrative health approach to trauma recovery: The milestones resilience care model.
СтатьяНазвание и аннотация: Перевод в очереди
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Benight Charles C, Yeager Carolyn M, Decker Lisa L, Beck Brigitta M
Аннотация
OBJECTIVE: This study evaluates Milestones Resilience Care (MRC), a trauma recovery program grounded in the resilience portfolio model (Hamby et al., 2018) and social cognitive theory (Benight & Bandura, 2004). The program aims to strengthen modifiable psychosocial assets-such as self-efficacy, emotion regulation, and social support-across psychological, physical, social, and existential domains.
METHOD: Sixty-eight trauma survivors, including military veterans and community members, participated in the MRC program, receiving an average of 56 integrative health sessions over 11.89 months. Services included psychotherapy, somatic therapies, creative expression, and outdoor immersion. Validated measures of psychological strength, physical health, social connection, and purpose/meaning were administered at intake, midterm, and program completion. Analyses included completers (n = 28) and an intent-to-treat group (n = 35), with missing data handled through last observation carried forward.
RESULTS: Both analytic groups demonstrated significant improvements in psychological, physical, and social domains, with consistently large effect sizes (ηp² > .14). Psychological strength increased through improved coping self-efficacy and psychological well-being, and reduced anxiety, depression, and posttraumatic stress disorder symptoms (ηp² = .162-.331). Physical well-being improved through reductions in pain and insomnia (ηp² = .266-.288). Social connection gains included enhanced role functioning and decreased loneliness (ηp² = .171-.212). No significant changes were observed in purpose and meaning.
CONCLUSIONS: MRC was associated with multidimensional improvements in resilience among trauma survivors. Its strengths-based, person-centered approach may offer a compelling alternative to symptom-focused care. Future randomized clinical trials are needed. (PsycInfo Database Record (c) 2026 APA, all rights reserved).
METHOD: Sixty-eight trauma survivors, including military veterans and community members, participated in the MRC program, receiving an average of 56 integrative health sessions over 11.89 months. Services included psychotherapy, somatic therapies, creative expression, and outdoor immersion. Validated measures of psychological strength, physical health, social connection, and purpose/meaning were administered at intake, midterm, and program completion. Analyses included completers (n = 28) and an intent-to-treat group (n = 35), with missing data handled through last observation carried forward.
RESULTS: Both analytic groups demonstrated significant improvements in psychological, physical, and social domains, with consistently large effect sizes (ηp² > .14). Psychological strength increased through improved coping self-efficacy and psychological well-being, and reduced anxiety, depression, and posttraumatic stress disorder symptoms (ηp² = .162-.331). Physical well-being improved through reductions in pain and insomnia (ηp² = .266-.288). Social connection gains included enhanced role functioning and decreased loneliness (ηp² = .171-.212). No significant changes were observed in purpose and meaning.
CONCLUSIONS: MRC was associated with multidimensional improvements in resilience among trauma survivors. Its strengths-based, person-centered approach may offer a compelling alternative to symptom-focused care. Future randomized clinical trials are needed. (PsycInfo Database Record (c) 2026 APA, all rights reserved).