The Trauma Recovery and Resiliency Research Project - Full Text View

Sponsored by:	Cambridge Health Alliance
Information provided by:	Cambridge Health Alliance
ClinicalTrials.gov Identifier:	NCT00131534

Purpose

The overall purpose of this study is the assessment of treatment outcome among traumatized patients seeking individual and/or group therapy at the Victims of Violence Program. The study gathers information from patients using quantitative (self-report) and qualitative (interview-based) approaches, to determine changes in symptom patterns and domains of functioning relevant to psychological trauma.

Condition	Intervention	Phase
Posttraumatic Stress Disorders	Behavioral: Individual therapy Behavioral: Group therapy	Phase II

MedlinePlus related topics: Injuries Post-Traumatic Stress Disorder Wounds

U.S. FDA Resources

Study Type:	Observational
Study Design:	Prospective
Official Title:	The Trauma Recovery and Resiliency Research Project

Further study details as provided by Cambridge Health Alliance:

Biospecimen Retention: None Retained

Biospecimen Description:

Estimated Enrollment:	1000
Study Start Date:	August 1991
Estimated Study Completion Date:	August 2010

Intervention Details:

Stage-based individual therapy for trauma survivors

Stage-based group therapy for trauma survivors

Detailed Description:

The focus of the Trauma Recovery and Resiliency Project is primarily the evaluation of treatment outcome among complexly traumatized patients seeking individual and/or group therapy at the Victims of Violence (VOV) Program, a specialty clinic located in the Outpatient Psychiatry Department of the Cambridge Health Alliance and affiliated with Harvard Medical School. The project has two major components: (1) All patients seeking VOV treatment are administered a battery of self-report measures assessing symptoms associated with complex trauma (i.e., interpersonal trauma that is usually repeated and prolonged) (2) A subsample of patients are interviewed using the Multidimensional Trauma Recovery and Resiliency Interview (MTRRI) and its companion rating scale (MTRR; Harvey et al, 1994, 2000, 2003) to assess trauma impact, recovery and resiliency on eight domains of psychological functioning. Data is analyzed using quantitative and qualitative approaches to evaluate treatment effectiveness and elucidate the recovery trajectories of patients receiving VOV treatment. Two subprojects include (a) preparation of a treatment manual documenting the Women's Trauma Recovery Group, and (b) pilot testing a new interview-based measure of complex trauma symptoms, the Symptoms of Trauma Scale (SOTS).

Eligibility

Ages Eligible for Study:	18 Years to 65 Years
Genders Eligible for Study:	Both
Accepts Healthy Volunteers:	No
Sampling Method:	Non-Probability Sample

Study Population

Trauma survivors receiving outpatient treatment.

Criteria

Inclusion Criteria:

In individual or group therapy at VOV program
Consents to research participation

Exclusion Criteria:

Insufficient proficiency in English to complete self-report measures and/or interview
Research participation clinically counterindicated

Contacts and Locations

Please refer to this study by its ClinicalTrials.gov identifier: NCT00131534

Contacts

Contact: Michaela Mendelsohn, Ph.D.	(617) 575-5283	mmendelsohn@challiance.org
Contact: Jocelyn Levitan, BA	(617) 591-6444	jlevitan@challiance.org

Locations

United States, Massachusetts
Victims of Violence Program, Cambridge Health Alliance	Recruiting
Somerville, Massachusetts, United States, 02143
Contact: Michaela Mendelsohn, Ph.D. 617-575-5283 mmendelsohn@challiance.org
Contact: Bernadette Louis (617) 591-6361 blouis@challiance.org

Sponsors and Collaborators

Cambridge Health Alliance

Investigators

Principal Investigator:	Mary R. Harvey, Ph.D.	Victims of Violence Program, Cambridge Health Alliance
Principal Investigator:	Judith L. Herman, MD	Victims of Violence Program, Cambridge Health Alliance
Principal Investigator:	Michaela Mendelsohn, Ph.D.	Victims of Violence Program, Cambridge Health Alliance

More Information

Publications of Results:

Forman EM, Lynch SM, Bryant TS, Herman JL. Using effectiveness and patient-focused data to evaluate outcome of a community-based trauma treatment. Paper presented at the 17th Annual Meeting of the International Society for Traumatic Stress Studies, New Orleans, LA, 2001.

Mendelsohn M, Forman EM, Lynch SM, Herman JL. Group therapy at the Victims of Violence Program: Preliminary Findings. Paper presented at 20th Annual Meeting of the International Society for Traumatic Stress Studies; New Orleans, LA, 2004.

Lynch S, Forman E, Mendelsohn M, Herman, JL. A comparison of high and low dissociators' response to trauma-focused treatment. Paper presented at the 21st Conference of the International Society for the Study of Dissociation; New Orleans, LA; 2004.

Dutra L, Callahan K, Forman E, Mendelsohn M, Herman J. Core schemas and suicidality in a chronically traumatized population. J Nerv Ment Dis. 2008 Jan;196(1):71-4.

Lynch SM, Keasler AL, Reaves, RC, Channer EG, Bukowski LT. The Story of My Strength: An Exploration of Resilience in the Narratives of Trauma Survivors Early in Recovery. Journal of Aggression, Maltreatment & Trauma 14: 75-97, 2007 Publisher: Haworth Press

Other Publications:

Harney PA, Harvey MR. Group psychotherapy: An overview. In BH Young & DD Blake (Eds.), Group treatments for post-traumatic stress disorder (pp. 1-13). New York, NY: Brunner/Mazel, 1999.

Harvey MR. An ecological view of psychological trauma and trauma recovery. J Trauma Stress. 1996 Jan;9(1):3-23.

Harvey MR, Harney PA. Individual psychotherapy. In C Classen & ID Yalom (Eds.), Treating women molested in childhood (pp. 63-91). San Francisco, CA: Jossey-Bass Publishers, 1995.

Harvey MR, Liang B, Harney PA, Koenen K, Tummala-Narra P, Lebowitz L. A multidimensional approach to the assessment of trauma impact, recovery and resiliency: Initial psychometric findings. Journal of Aggression, Maltreatment and Trauma, 6: 87-109, 2003.

Harvey MR, Mishler EG, Koenen K, Harney PA. In the aftermath of sexual abuse: Making and remaking meaning in narratives of trauma and recovery. Narrative Inquiry, 10: 291-311, 2000.

Harvey MR, Weston D. Multidimensional trauma recovery and resiliency measures: The MTRRI (Interview) and the MTRRQ (Sort). In BH Stamm (Ed.), Measurement of stress, trauma, and adaptation (pp. 209-211). Lutherville, MD: The Sidran Press, 1996.

Herman, JL. Complex PTSD: A syndrome in survivors of prolonged and repeated trauma. Journal of Traumatic Stress, 3: 377-391, 1992.

Herman JL. Trauma and recovery. New York: Basic Books, 1992.

Study ID Numbers:	CHA-IRB-0031/01/04
Study First Received:	August 16, 2005
Last Updated:	June 17, 2008
ClinicalTrials.gov Identifier:	NCT00131534
Health Authority:	United States: Institutional Review Board

Keywords provided by Cambridge Health Alliance:

Complex trauma
Trauma recovery
Resiliency

Posttraumatic stress
Individual psychotherapy
Group psychotherapy

Study placed in the following topic categories:

Anxiety Disorders
Mental Disorders
Wounds and Injuries

Stress Disorders, Post-Traumatic
Stress
Stress Disorders, Traumatic

ClinicalTrials.gov processed this record on January 16, 2009