title: Long-term course in female survivors of childhood abuse after psychodynamically oriented, trauma-specific inpatient treatment: a naturalistic two-year follow-up.
abstract: OBJECTIVE
  This study examined the long-term course of 43 female survivors of childhood abuse after receiving inpatient treatment based on psychodynamic-orientated trauma therapy.
  
  
  METHODS
  Data on symptom load was assessed at admission, discharge and two-year follow-up. Further information on post-discharge treatment and life events in the follow-up period was collected.
  
  
  RESULTS
  At two-year follow-up global symptom load (GSI), PTSD, depression (d = 0.43-0.57) and self-soothing ability (d = 0.72) were significantly improved compared to the admission status with no change in dissociative symptoms. 40% of the sample showed good long-term outcome (clinical significant change, GSI) with a significant reduction in depressive, dissociative and by trend in PTSD symptoms. There were no group differences in the amount of stressful life-events and treatment in the follow-up period. Patients with good outcome showed more previous inpatient treatment.
  
  
  CONCLUSIONS
  Inpatient treatment leads to a significant symptom reduction in women with severe childhood abuse. The treatment effects remain stable for two years under further outpatient psychotherapy.
authors.forename: Astrid
authors.initials: A
authors.lastname: Lampe
authors.forename: Peter
authors.initials: P
authors.lastname: Hofmann
authors.forename: Ursula
authors.initials: U
authors.lastname: Gast
authors.forename: Luise
authors.initials: L
authors.lastname: Reddemann
authors.forename: Gerhard
authors.initials: G
authors.lastname: Schüßler
mesh_terms: D000223:Adaptation, Psychological; D000328:Adult; D054523:Adult Survivors of Child Abuse / Q000523:psychology*; D002648:Child; D002650:Child Abuse, Sexual / Q000175:diagnosis / Q000523:psychology* / Q000628:therapy*; D003131:Combined Modality Therapy; D003866:Depressive Disorder / Q000175:diagnosis / Q000523:psychology / Q000628:therapy; D004213:Dissociative Disorders / Q000175:diagnosis / Q000523:psychology / Q000628:therapy; D005260:Female; D005500:Follow-Up Studies; D006760:Hospitalization; D006801:Humans; D008016:Life Change Events; D008134:Long-Term Care; D008875:Middle Aged; D010552:Personality Assessment; D064889:Psychotherapy, Psychodynamic / Q000379:methods*; D012648:Self Care / Q000523:psychology; D013313:Stress Disorders, Post-Traumatic / Q000175:diagnosis / Q000523:psychology / Q000628:therapy*
keywords: Childhood Abuse; Inpatient Treatment; Psychodynamic Orientated Trauma Therapy; Two-year Follow-up