Child abuse & neglect · 2026
"We have traveled into the past, which had already stretched out its shadows towards me" - What patients experience as helpful in two trauma-focused psychotherapies for PTSD related to childhood maltreatment.
СтатьяРандомизированное исследованиеНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Siebert Marie, Marin Nina, Hitzler Melissa, Hoyer Jürgen, Kabbathas Elena, Knaevelsrud Christine, Kolassa Iris-Tatjana, Krakau Lina, Kruse Johannes, Leichsenring Falk, Logé Charline, Niemeyer Helen, Nöske Fatima, Palmer Sebastian, Salzer Simone, Sell Christian, Tumani Visal, von Wietersheim Jörn, Weidner Kerstin, Witthöft Michael, Steinert Christiane
Аннотация
BACKGROUND: People who have experienced childhood abuse and neglect are at risk of developing various mental problems or disorders including post-traumatic stress disorder (PTSD). To enhance therapeutic approaches for PTSD, patient participation in research is promising.
OBJECTIVE: Since it remains unclear what patients with PTSD associated with childhood maltreatment find most beneficial within their respective trauma-focused psychotherapies, our study aims to identify these crucial elements.
PARTICIPANTS AND SETTING: Data was collected within the ENHANCE study, a large-scale randomized controlled trial comparing two manual guided trauma-focused treatments, trauma-focused psychodynamic therapy and STAIR narrative therapy.
METHODS: We conducted and analyzed semi-structured Client-Change Interviews post-treatment with 30 trial participants, employing a qualitative deductive-inductive content analysis.
RESULTS: Our findings emphasize the importance of patients realizing the impact of trauma on their current lives. Moreover, therapeutic practices such as creating safety and understanding were found to be central. Equally important was the therapist's compassionate, containing, and validating attitude, supporting patients in acquiring coping skills, setting boundaries, and practicing self-care. Some of the patients who underwent trauma confrontation experienced it as relieving, even though they felt it was accompanied by distress.
CONCLUSIONS: Our research shows that knowledge about helpful aspects of psychotherapy can be deepened through the active participation of patients, thereby being open for unexpected findings. Implications for integrating the findings in future studies are discussed.
OBJECTIVE: Since it remains unclear what patients with PTSD associated with childhood maltreatment find most beneficial within their respective trauma-focused psychotherapies, our study aims to identify these crucial elements.
PARTICIPANTS AND SETTING: Data was collected within the ENHANCE study, a large-scale randomized controlled trial comparing two manual guided trauma-focused treatments, trauma-focused psychodynamic therapy and STAIR narrative therapy.
METHODS: We conducted and analyzed semi-structured Client-Change Interviews post-treatment with 30 trial participants, employing a qualitative deductive-inductive content analysis.
RESULTS: Our findings emphasize the importance of patients realizing the impact of trauma on their current lives. Moreover, therapeutic practices such as creating safety and understanding were found to be central. Equally important was the therapist's compassionate, containing, and validating attitude, supporting patients in acquiring coping skills, setting boundaries, and practicing self-care. Some of the patients who underwent trauma confrontation experienced it as relieving, even though they felt it was accompanied by distress.
CONCLUSIONS: Our research shows that knowledge about helpful aspects of psychotherapy can be deepened through the active participation of patients, thereby being open for unexpected findings. Implications for integrating the findings in future studies are discussed.