Treating trauma more effectively: A review of psychosocial programming

Sinkler, Margaret A.; Furdock, Ryan; Vallier, Heather A.

doi:10.1016/j.injury.2022.04.022

Cited by 20 publications

(22 citation statements)

References 97 publications

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“…Experiences of psychosocial trauma are common, with most adults reporting at least one traumatic event in their lifetimes (Benjet et al, 2016). Such exposure has been linked to adverse physical and psychological health outcomes, impaired functioning, and reduced quality of life (Sinkler et al, 2022; Sowder et al, 2018). In addition to trauma, many individuals experience interpersonal and intrapsychic conflicts such as social rejection, secrecy, and struggles with intimacy/vulnerability or autonomy/assertion, which are also associated with poor health outcomes (Krohner et al, 2022; Kross et al, 2011; Lumley & Schubiner, 2019).…”

Section: Increasing Therapists’ Emotional Processing Skillsmentioning

confidence: 99%

Experiential training of mental health graduate students in emotional processing skills: A randomized, controlled trial.

Yamin¹,

Cannoy²,

Gibbins³

et al. 2023

Psychotherapy

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Emotional processing interventions for trauma and psychological conflicts are underutilized. Lack of adequate training in emotional processing techniques and therapists’ lack of confidence in utilizing such interventions are barriers to implementation. We developed and tested an experiential training to improve trainees’ performance in a set of transtheoretical emotional processing skills: eliciting patient disclosure of difficult experiences, responding to defenses against disclosure, and eliciting adaptive emotions. Mental health trainees (N = 102) were randomized to experiential or standard training, both of which presented a 1-hr individual session administered remotely. Before and after training and at 5-week follow-up, trainees were videorecorded as they responded to videos of challenging therapy situations, and responses were coded for demonstrated skill. Trainees also completed measures of therapeutic self-efficacy, anxiety, and depression at baseline and follow-up. Repeated-measures analysis of variance indicated all three skills increased from pre- to posttraining for both conditions, which were maintained at follow-up. Importantly, experiential training led to greater improvements than standard training in the skills of eliciting disclosure (η2 = .05, p = .03), responding to defenses (η2 = .04, p = .05), and encouraging adaptive emotions (η2 = .23, p < .001) at posttraining, and the training benefits for eliciting disclosure were maintained at follow-up. Both conditions led to improved self-efficacy. Trainees’ anxiety decreased in the standard training, but not in the experiential. One session of experiential training improved trainees’ emotional processing therapy skills more than didactic training, although more training and practice likely are needed to yield longer lasting skills.

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Section: Increasing Therapists’ Emotional Processing Skillsmentioning

confidence: 99%

Experiential training of mental health graduate students in emotional processing skills: A randomized, controlled trial.

Yamin¹,

Cannoy²,

Gibbins³

et al. 2023

Psychotherapy

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“…Chronic pain from the inciting injury is known to be significantly related to poorer mental health outcomes [9]. Accompanying substance use, inadequate postdischarge follow-up and health literacy may also be contributing factors [10 ▪▪ ]. Individuals sustaining injuries during a traumatic event are more likely to develop psychiatric sequelae than those who did not suffer a physical injury, with a threat to life being associated with the highest risk of developing psychiatric morbidity [8].…”

Section: Risk Factorsmentioning

confidence: 99%

“…Studies have suggested less than 10% of USA level I and level II trauma centres routinely provide postinjury screening or integrated treatment targeting PTSD [23 ▪ ]. Current studies evaluating intermediate interventions include utilizing multidisciplinary collaborative care models during the initial hospitalization [10 ▪▪ ], identifying at-risk patients who experienced life-threatening injuries for stepped collaborative care targeting care fragmentation combining medication and psychotherapeutic interventions by front-line clinicians during acute hospitalization [23 ▪ ], and utilizing mindfulness interventions during acute hospitalization for trauma [24 ▪ ]. Although promising, studies of these interventions are limited by variations in patient population, implementation strategies and available system resources such as specialty providers for psychiatric care.…”

Section: Therapeutic Interventionsmentioning

confidence: 99%

“…Long-term interventions involve psychiatric treatment of developed disorders and improving access to social services [8]. Access to social services has demonstrated reductions in recidivism, and subsequently cost savings [10 ▪▪ ]. Unfortunately, the majority of treatment consultations occur during acute hospital care, and are primarily for acute stress and delirious states, whereas many mental disorders such as PTSD and depression may develop later, during the rehabilitation phase of treatment [25].…”

Section: Therapeutic Interventionsmentioning

confidence: 99%

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Psychiatric sequelae and interventions in critically ill trauma survivors

Chow

Lancman

2023

Current Opinion in Anaesthesiology

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Purpose of reviewPsychiatric disorders following trauma impact functional recovery in trauma survivors and are a significant source of disability. Although research has traditionally focused on the physical sequelae of trauma, more attention is being directed towards the significant morbidity and mortality associated with the psychologic sequelae of trauma. This review evaluates the existing literature.Recent findingsUse of multidisciplinary collaborative programmes in combination with psychiatric treatment and pharmacotherapy may be necessary to improve the care of trauma patients with psychiatric sequelae. Improving identification of vulnerable patients may help in the prevention and treatment of psychiatric disorders and is an area of current research initiatives.SummaryThere are few interventions that have demonstrated efficacy in managing the psychiatric sequelae of trauma. The development of strategies to guide early identification of at-risk patients and recommend prevention and treatment may improve the care of trauma survivors.

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“…Yet the proportionate amount and types of available services are much less compared to acute medical care, even among wealthier individuals and locales. [11][12][13][14][15][16][17] It has further been shown that individuals with adverse social circumstances and underlying mental illness are at elevated risk for protracted and poor recovery. [17][18][19][20] The reasons for this are numerous, including limited access to relevant services due to insufficient income or insurance.…”

Section: Introductionmentioning

confidence: 99%

Optimizing recovery after trauma: overview of existing literature and practices

Vallier,

Breslin,

Tayler

et al. 2023

Bone &Amp; Joint 360

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Treating trauma more effectively: A review of psychosocial programming

Cited by 20 publications

References 97 publications

Experiential training of mental health graduate students in emotional processing skills: A randomized, controlled trial.

Experiential training of mental health graduate students in emotional processing skills: A randomized, controlled trial.

Psychiatric sequelae and interventions in critically ill trauma survivors

Optimizing recovery after trauma: overview of existing literature and practices

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