The role of age and mode of delivery in the STEPS intervention: A longitudinal pilot-study in treatment of posttraumatic stress symptoms in Danish survivors of sexual assault

Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

Resumé

Background: The STEPS programme has been succesfully implemented as a group-based treatment of trauma symptoms after rape for adolescents. The STEPS intervention was translated from Dutch to Danish and offered to adults in addition to adolescents as well as an individual intervention in addition to a group-based intervention at a Danish Centre for Rape Victims through 2011 to 2014. The programme was translated from Dutch to Danish and expanded to adults in addition to adolescents as well as to an individual intervention in addition to a group-based intervention at a Danish Centre for Rape Victims through 2011 to 2014. Objective: The present study observes  development in trauma symptoms and ICD-11 diagnostic status during an adapted version of the intervention programme ‘STEPS’ for survivors of sexual assault. Methods: A prospective uncontrolled study was conducted, monitoring symptoms of posttraumatic stress and other trauma-related symptomatology before treatment, after treatment and at 6 and 12 months' follow up for 103 referrals receiving individual or group-based STEPS. Tentative diagnoses of posttraumatic stress disorder (PTSD) and complex PTSD were assigned to participants according to the ICD-11 to observe the development in diagnostic status across time, and multilevel modelling was used to assess the development of symptom severity and to assess the moderating effect of age-group and mode of delivery. Results: A loglinear function representing large and statistically significant decline in symptomatology over time provided the best fit for all measures of trauma-related symptomatology. The decline was not moderated by age-group or mode of intervention. Dropout rates were independent of mode of intervention and age. Conclusion: The adaption of the STEPS programme to adults and as an individual intervention is feasible and maintains effect sizes comparable to those observed in the original intervention. Further research using randomized controlled trials is needed to ascribe the observed effect to the STEPS programme.

OriginalsprogEngelsk
Artikelnummer1701778
TidsskriftEuropean Journal of Psychotraumatology
Vol/bind11
Udgave nummer1
ISSN2000-8198
DOI
StatusUdgivet - 13. jan. 2020

Fingeraftryk

Longitudinal Studies
Survivors
Wounds and Injuries
Age Groups
Referral and Consultation
Randomized Controlled Trials
Prospective Studies
Research

Bibliografisk note

The role of age and mode of delivery in the STEPS intervention: a longitudinal pilot-study in treatment of posttraumatic stress symptoms in Danish survivors of sexual assault
El rol de la edad y el modo de entregar la intervención de STEPS: un estudio piloto longitudinal en el tratamiento de los síntomas de estrés postraumático en sobrevivientes de abuso sexual daneses
年龄和分娩方式在STEPS干预中的作用:一项对丹麦性侵幸存者创伤后应激症状治疗的纵向试点研究

Emneord

  • CPTSD
  • ICD-11
  • Intervention
  • PTSD
  • STEPS
  • Sexual assault
  • rape
  • treatment

Citer dette

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title = "The role of age and mode of delivery in the STEPS intervention: A longitudinal pilot-study in treatment of posttraumatic stress symptoms in Danish survivors of sexual assault",
abstract = "Background: The STEPS programme has been succesfully implemented as a group-based treatment of trauma symptoms after rape for adolescents. The STEPS intervention was translated from Dutch to Danish and offered to adults in addition to adolescents as well as an individual intervention in addition to a group-based intervention at a Danish Centre for Rape Victims through 2011 to 2014. The programme was translated from Dutch to Danish and expanded to adults in addition to adolescents as well as to an individual intervention in addition to a group-based intervention at a Danish Centre for Rape Victims through 2011 to 2014. Objective: The present study observes  development in trauma symptoms and ICD-11 diagnostic status during an adapted version of the intervention programme ‘STEPS’ for survivors of sexual assault. Methods: A prospective uncontrolled study was conducted, monitoring symptoms of posttraumatic stress and other trauma-related symptomatology before treatment, after treatment and at 6 and 12 months' follow up for 103 referrals receiving individual or group-based STEPS. Tentative diagnoses of posttraumatic stress disorder (PTSD) and complex PTSD were assigned to participants according to the ICD-11 to observe the development in diagnostic status across time, and multilevel modelling was used to assess the development of symptom severity and to assess the moderating effect of age-group and mode of delivery. Results: A loglinear function representing large and statistically significant decline in symptomatology over time provided the best fit for all measures of trauma-related symptomatology. The decline was not moderated by age-group or mode of intervention. Dropout rates were independent of mode of intervention and age. Conclusion: The adaption of the STEPS programme to adults and as an individual intervention is feasible and maintains effect sizes comparable to those observed in the original intervention. Further research using randomized controlled trials is needed to ascribe the observed effect to the STEPS programme.",
keywords = "CPTSD, ICD-11, Intervention, PTSD, STEPS, Sexual assault, rape, treatment",
author = "Vang, {Maria Louison} and {Al Ali}, Sara and Christiansen, {Dorte M{\o}lgaard} and Dokkedahl, {Sarah B{\o}gelund} and Ask Elklit",
note = "The role of age and mode of delivery in the STEPS intervention: a longitudinal pilot-study in treatment of posttraumatic stress symptoms in Danish survivors of sexual assault El rol de la edad y el modo de entregar la intervenci{\'o}n de STEPS: un estudio piloto longitudinal en el tratamiento de los s{\'i}ntomas de estr{\'e}s postraum{\'a}tico en sobrevivientes de abuso sexual daneses 年龄和分娩方式在STEPS干预中的作用:一项对丹麦性侵幸存者创伤后应激症状治疗的纵向试点研究",
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month = "1",
day = "13",
doi = "10.1080/20008198.2019.1701778",
language = "English",
volume = "11",
journal = "European Journal of Psychotraumatology",
issn = "2000-8198",
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TY - JOUR

T1 - The role of age and mode of delivery in the STEPS intervention: A longitudinal pilot-study in treatment of posttraumatic stress symptoms in Danish survivors of sexual assault

AU - Vang, Maria Louison

AU - Al Ali, Sara

AU - Christiansen, Dorte Mølgaard

AU - Dokkedahl, Sarah Bøgelund

AU - Elklit, Ask

N1 - The role of age and mode of delivery in the STEPS intervention: a longitudinal pilot-study in treatment of posttraumatic stress symptoms in Danish survivors of sexual assault El rol de la edad y el modo de entregar la intervención de STEPS: un estudio piloto longitudinal en el tratamiento de los síntomas de estrés postraumático en sobrevivientes de abuso sexual daneses 年龄和分娩方式在STEPS干预中的作用:一项对丹麦性侵幸存者创伤后应激症状治疗的纵向试点研究

PY - 2020/1/13

Y1 - 2020/1/13

N2 - Background: The STEPS programme has been succesfully implemented as a group-based treatment of trauma symptoms after rape for adolescents. The STEPS intervention was translated from Dutch to Danish and offered to adults in addition to adolescents as well as an individual intervention in addition to a group-based intervention at a Danish Centre for Rape Victims through 2011 to 2014. The programme was translated from Dutch to Danish and expanded to adults in addition to adolescents as well as to an individual intervention in addition to a group-based intervention at a Danish Centre for Rape Victims through 2011 to 2014. Objective: The present study observes  development in trauma symptoms and ICD-11 diagnostic status during an adapted version of the intervention programme ‘STEPS’ for survivors of sexual assault. Methods: A prospective uncontrolled study was conducted, monitoring symptoms of posttraumatic stress and other trauma-related symptomatology before treatment, after treatment and at 6 and 12 months' follow up for 103 referrals receiving individual or group-based STEPS. Tentative diagnoses of posttraumatic stress disorder (PTSD) and complex PTSD were assigned to participants according to the ICD-11 to observe the development in diagnostic status across time, and multilevel modelling was used to assess the development of symptom severity and to assess the moderating effect of age-group and mode of delivery. Results: A loglinear function representing large and statistically significant decline in symptomatology over time provided the best fit for all measures of trauma-related symptomatology. The decline was not moderated by age-group or mode of intervention. Dropout rates were independent of mode of intervention and age. Conclusion: The adaption of the STEPS programme to adults and as an individual intervention is feasible and maintains effect sizes comparable to those observed in the original intervention. Further research using randomized controlled trials is needed to ascribe the observed effect to the STEPS programme.

AB - Background: The STEPS programme has been succesfully implemented as a group-based treatment of trauma symptoms after rape for adolescents. The STEPS intervention was translated from Dutch to Danish and offered to adults in addition to adolescents as well as an individual intervention in addition to a group-based intervention at a Danish Centre for Rape Victims through 2011 to 2014. The programme was translated from Dutch to Danish and expanded to adults in addition to adolescents as well as to an individual intervention in addition to a group-based intervention at a Danish Centre for Rape Victims through 2011 to 2014. Objective: The present study observes  development in trauma symptoms and ICD-11 diagnostic status during an adapted version of the intervention programme ‘STEPS’ for survivors of sexual assault. Methods: A prospective uncontrolled study was conducted, monitoring symptoms of posttraumatic stress and other trauma-related symptomatology before treatment, after treatment and at 6 and 12 months' follow up for 103 referrals receiving individual or group-based STEPS. Tentative diagnoses of posttraumatic stress disorder (PTSD) and complex PTSD were assigned to participants according to the ICD-11 to observe the development in diagnostic status across time, and multilevel modelling was used to assess the development of symptom severity and to assess the moderating effect of age-group and mode of delivery. Results: A loglinear function representing large and statistically significant decline in symptomatology over time provided the best fit for all measures of trauma-related symptomatology. The decline was not moderated by age-group or mode of intervention. Dropout rates were independent of mode of intervention and age. Conclusion: The adaption of the STEPS programme to adults and as an individual intervention is feasible and maintains effect sizes comparable to those observed in the original intervention. Further research using randomized controlled trials is needed to ascribe the observed effect to the STEPS programme.

KW - CPTSD

KW - ICD-11

KW - Intervention

KW - PTSD

KW - STEPS

KW - Sexual assault

KW - rape

KW - treatment

U2 - 10.1080/20008198.2019.1701778

DO - 10.1080/20008198.2019.1701778

M3 - Journal article

VL - 11

JO - European Journal of Psychotraumatology

JF - European Journal of Psychotraumatology

SN - 2000-8198

IS - 1

M1 - 1701778

ER -