Universität zu Köln

March, Silke, Kuwert, Philipp, Freyberger, Harald J., Tschuschke, Volker and Klauer, Thomas (2016). Patterns of early traumatization and the effects of inpatient psychotherapy. Psychotherapeut, 61 (3). S. 208 - 216. NEW YORK: SPRINGER. ISSN 1432-2080

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Abstract

Early traumatic experiences of neglect, physical and sexual abuse in adult patients undergoing inpatient psychotherapeutic treatment were retrospectively assessed. Associations between these three forms of trauma and with patient gender were analyzed. The effects of early traumatization in general, gender and patterns of specific experiences on the symptom level, level of everyday functioning and treatment outcome were also investigated. A total of 191 patients in a psychosomatic psychotherapy ward of a university hospital were assessed using standardized questionnaires on sociodemographic and clinical variables on admission and at discharge. The type and extent of early traumatization before the age of 18 years were estimated after the initial interview from standardized reports of the therapists. The results indicate that the probability of being exposed to one of the traumatic experiences under study are not independent of each other. Furthermore, female patients were victims of sexual abuse and neglectmore often thanmales. Compared to non-traumatized patients, trauma victims exhibitedmore psychological symptoms in the symptomchecklist 90 revised (SCL-90-R) and a lower level of functioning according to the global assessment of functioning (GAF) but achieved a comparable relative benefit from treatment. Sexual abuse (SCL-90-R and GAF) and neglect (SCL-90-R only) affected the levels of impairment on admission and at discharge in a similar way; however, only weak evidence for differential effects of trauma patterns on therapy outcomes was found. Methodological limitations of the present approach and implications for the design of inpatient psychotherapeutic interventions in adult patients with early traumatic experiences are discussed.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code March, Silke UNSPECIFIED UNSPECIFIED UNSPECIFIED Kuwert, Philipp UNSPECIFIED UNSPECIFIED UNSPECIFIED Freyberger, Harald J. UNSPECIFIED UNSPECIFIED UNSPECIFIED Tschuschke, Volker UNSPECIFIED UNSPECIFIED UNSPECIFIED Klauer, Thomas UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-276291
DOI:	10.1007/s00278-016-0102-7
Journal or Publication Title:	Psychotherapeut
Volume:	61
Number:	3
Page Range:	S. 208 - 216
Date:	2016
Publisher:	SPRINGER
Place of Publication:	NEW YORK
ISSN:	1432-2080
Language:	German
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language CHILDHOOD ABUSE Multiple languages Psychology, Clinical; Psychology, Psychoanalysis Multiple languages
Refereed:	Yes
URI:	http://kups.ub.uni-koeln.de/id/eprint/27629