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Posttraumatic symptom improvement in trauma practice triphasic therapy: Preliminary findings from a multisite,
Cassandra R W Harmsen1, Marlee Salisbury1, Kristina Cordeiro1
1Department of Psychology, Faculty of Health, York University.
Psychological Trauma : Theory, Research, Practice and Policy
|September 18, 2025
Summary
Trauma practice (TP), a triphasic therapy, effectively reduced posttraumatic symptoms and distress in a community setting. Gains were maintained at follow-up, supporting TP
Area of Science:
- Psychology
- Clinical Psychology
- Trauma Therapy
Background:
- Trauma exposure and comorbid mental health conditions present complex challenges in therapy.
- Community-based mental health services require effective and generalizable treatment modalities.
Purpose of the Study:
- To evaluate the effectiveness of trauma practice (TP), a multimodal, triphasic trauma therapy.
- To examine phase-linked effects of TP on therapeutic outcomes in a community setting.
Main Methods:
- A sample of 39 clients and 15 clinicians participated in the study.
- Posttraumatic symptoms (PTSD Checklist for DSM-5) and trauma-related distress (Trauma Symptom Checklist-40) were measured at baseline, post-phase, and 6-month follow-up.
- Mixed effects models analyzed data, accounting for participant and clinician education level.
Main Results:
- Significant decreases in posttraumatic symptoms and trauma-related distress were observed, shifting from clinical to nonclinical levels.
- Symptom improvement occurred during each phase of TP, with the most substantial gains in Phase I.
- Treatment gains were maintained at 6-month follow-up, though sample sizes were limited.
Conclusions:
- The findings provide a strong foundation for the effectiveness and clinical utility of trauma practice (TP).
- Further research is warranted to explore the phase-specific benefits and broader applicability of TP in trauma therapy.
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