Evidence map›Paper›PMID 35578194›Full record

Trial reportBMC psychiatry2022

Group treatment for complex dissociative disorders: a randomized clinical trial.

Harald Bækkelund, Pål Ulvenes, Suzette Boon-Langelaan, Espen Ajo Arnevik

Registry-linked trialOpen access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in BMC psychiatry, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02450617 (Stabilizing Group Treatment of Complex Trauma), which is not on this map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
2.4field-weighted citation impact, top 11% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT02450617 nacompletednot on this map

Stabilizing Group Treatment of Complex Trauma: A Randomized Controlled Trial

TypeinterventionalSponsorModum BadRan2014 to 2019Enrolled158ConditionsPosttraumatic Stress Disorder, Dissociative Identity Disorder, Dissociative DisorderArmsConventional individual treatment, Stabilizing group treatment for PTSD, Stabilizing group treatment for Dissociative disorders
3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 1 synthesis or guideline pooled it, 16 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Observational
  4. Review
  5. Review
  6. Review
  7. Article
  8. Article
  9. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 2 institutions in 1 country.

Harald BækkelundResearch Institute, Modum Bad Psychiatric Hospital, Vikersund, Norway. harald.bakkelund@nkvts.no.
Pål UlvenesResearch Institute, Modum Bad Psychiatric Hospital, Vikersund, Norway.
Suzette Boon-LangelaanPrivate practice, Maarssen, The Netherlands.
Espen Ajo ArnevikSection for clinical addiction research, Oslo University Hospital, Oslo, Norway.
Oslo University Hospital · NOUniversity of Oslo · NO

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPatients with complex dissociative disorders (CDD) report high levels of childhood- abuse experiences, clinical comorbidity, functional impairment, and treatment utilization. Although a few naturalistic studies indicate that these patients can benefit from psychotherapy, no randomized controlled trials have been reported with this patient-group. The current study evaluates a structured protocolled group treatment delivered in a naturalistic clinical setting to patients with CDD, as an add-on to individual treatment.

methodsFifty nine patients with CDD were randomized to 20 sessions of stabilizing group-treatment, conjoint with individual therapy, or individual therapy alone, in a delayed-treatment design. The treatment was based on the manual Coping with Trauma-Related Dissociation. The primary outcome was Global Assessment of Functioning (GAF), while secondary outcomes were PTSD and dissociative symptoms, general psychopathology, and interpersonal difficulties.

resultsMixed effect models showed no condition x time interaction during the delayed treatment period, indicating no immediate differences between conditions in the primary outcome. Similar results were observed for secondary outcomes. Within-group effects were non-significant in both conditions from baseline to end of treatment, but significant improvements in psychosocial function, PTSD symptoms, and general psychopathology were observed over a 6-months follow-up period.

conclusionIn the first randomized controlled trial for the treatment of complex dissociative disorders, stabilizing group treatment did not produce immediate superior outcomes. Treatment was shown to be associated with improvements in psychological functioning.

trial registrationClinical Trials ( NCT02450617 ).

Indexed as

Child AbuseCognitive Behavioral TherapyStress Disorders, Post-TraumaticChildComorbidityDissociative DisordersHumansPsychotherapyTreatment OutcomeDissociative disordersGroup psychotherapyPsychological traumaPsychotherapy outcome researchRandomized clinical trial

Identifiers

PMID35578194
PMCPMC9112598
OpenAlexW4280502466

What OpenQuestion holds

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LicenceCC BY
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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.