title: Group trauma-informed treatment for adolescent psychiatric inpatients: a preliminary uncontrolled trial.
abstract: Despite high rates of trauma exposure (46%-96%) and significant posttraumatic stress disorder (PTSD; 21%-29%) symptoms in adolescent psychiatric inpatients, there is a dearth of research on effective interventions delivered in inpatient settings. The current report describes the development of Brief STAIR-A, a repeatable 3-module version of skills training in affective and interpersonal regulation (STAIR) developed for adolescents in inpatient care. An uncontrolled design was used to conduct a preliminary examination of the group intervention's effectiveness. Adolescent psychiatric inpatients (N = 38; ages 12 years-17 years) admitted to a public hospital participated in Brief STAIR-A and attended a median of 6 sessions (range 3-36). They completed measures of PTSD and depressive symptom severity, coping skill use, and coping efficacy upon admission and again prior to discharge. Participants reported significant reductions in symptom severity (d = 0.65-0.67), no change in the absolute level of coping skills used (d = 0.16), but greater coping efficacy when discharged from care (d = 0.75). Results from this pilot study suggest that this brief group treatment shows promise for treating adolescents' trauma-related difficulties in inpatient psychiatry settings, but additional research examining its effectiveness is essential.
authors: Department of Psychology, University of Denver, Denver, Colorado, USA.
authors: Omar G
authors: OG
authors: Gudiño
authors: J Rebecca
authors: JR
authors: Weis
authors: Jennifer F
authors: JF
authors: Havens
authors: Emily A
authors: EA
authors: Biggs
authors: Ursula N
authors: UN
authors: Diamond
authors: Mollie
authors: M
authors: Marr
authors: Christie
authors: C
authors: Jackson
authors: Marylene
authors: M
authors: Cloitre
mesh_terms: D000223:Adaptation, Psychological; D000293:Adolescent; D000339:Affect; D002648:Child; D003863:Depression / Q000523:psychology / Q000628:therapy*; D056348:Emotional Intelligence; D005260:Female; D006801:Humans; D007297:Inpatients / Q000523:psychology; D008297:Male; D010865:Pilot Projects; D011569:Psychiatric Status Rating Scales; D011615:Psychotherapy, Group / Q000379:methods*; D011619:Psychotropic Drugs / Q000627:therapeutic use; D013313:Stress Disorders, Post-Traumatic / Q000523:psychology / Q000628:therapy*
chemical_list: D011619:Psychotropic Drugs