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Z Psychosom Med Psychother. 2014;60(3):267-82. doi: 10.13109/zptm.2014.60.3.267.

Long-term course in female survivors of childhood abuse after psychodynamically oriented, trauma-specific inpatient treatment: a naturalistic two-year follow-up.

Abstract

OBJECTIVES:

This study examined the long-term course of 43 female survivors of childhood abuse after receiving inpatient treatment based on psychodynamic-orientated trauma therapy.

METHODS:

Data on symptom load was assessed at admission, discharge and two-year follow-up. Further information on post-discharge treatment and life events in the follow-up period was collected.

RESULTS:

At two-year follow-up global symptom load (GSI), PTSD, depression (d = 0.43-0.57) and self-soothing ability (d = 0.72) were significantly improved compared to the admission status with no change in dissociative symptoms. 40% of the sample showed good long-term outcome (clinical significant change, GSI) with a significant reduction in depressive, dissociative and by trend in PTSD symptoms. There were no group differences in the amount of stressful life-events and treatment in the follow-up period. Patients with good outcome showed more previous inpatient treatment.

CONCLUSIONS:

Inpatient treatment leads to a significant symptom reduction in women with severe childhood abuse. The treatment effects remain stable for two years under further outpatient psychotherapy.

KEYWORDS:

Childhood Abuse; Inpatient Treatment; Psychodynamic Orientated Trauma Therapy; Two-year Follow-up

PMID:
25331923
DOI:
10.13109/zptm.2014.60.3.267
[Indexed for MEDLINE]

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