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Exposing therapists to trauma-focused treatment in psychosis: effects on credibility, expected burden, and harm expectancies.

Abstract：

BACKGROUND:Despite robust empirical support for the efficacy of trauma-focused treatments, the dissemination proves difficult, especially in relation to patients with comorbid psychosis. Many therapists endorse negative beliefs about the credibility, burden, and harm of such treatment. OBJECTIVE:This feasibility study explores the impact of specialized training on therapists' beliefs about trauma-focused treatment within a randomized controlled trial. METHOD:Therapist-rated (n=16) credibility, expected burden, and harm expectancies of trauma-focused treatment were assessed at baseline, post-theoretical training, post-technical training, post-supervised practical training, and at 2-year follow-up. Credibility and burden beliefs of therapists concerning the treatment of every specific patient in the trial were also assessed. RESULTS:Over time, therapist-rated credibility of trauma-focused treatment showed a significant increase, whereas therapists' expected burden and harm expectancies decreased significantly. In treating posttraumatic stress disorder (PTSD) in patients with psychotic disorders (n=79), pre-treatment symptom severity was not associated with therapist-rated credibility or expected burden of that specific treatment. Treatment outcome had no influence on patient-specific credibility or burden expectancies of therapists. CONCLUSIONS:These findings support the notion that specialized training, including practical training with supervision, has long-term positive effects on therapists' credibility, burden, and harm beliefs concerning trauma-focused treatment.

journal_name

Eur J Psychotraumatol

journal_title

European journal of psychotraumatology

authors

van den Berg DP,van der Vleugel BM,de Bont PA,Thijssen G,de Roos C,de Kleine R,Kraan T,Ising H,de Jongh A,van Minnen A,van der Gaag M

doi

10.3402/ejpt.v7.31712

subject

Has Abstract

pub_date

2016-09-06 00:00:00

pages

31712

issn

2000-8066

pii

31712

journal_volume

7

pub_type

杂志文章

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