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Trauma informed interventions: A systematic review

Show simple item record Han, Hae-Ra Miller, Hailey Nkimbeng, Manka Budhathoki, Chakra Mikhael, Tanya Rivers, Emerald Gray, Ja'Lynn Trimble, Kristen Chow, Sotera Wilson, Patty 2021-10-22T21:26:07Z 2021-10-22T21:26:07Z 2021
dc.identifier.citation Han, Hae-Ra; Miller, Hailey; Nkimbeng, Manka; Budhathoki, Chakra; Mikhael, Tanya; Rivers, Emerald; Gray, Ja'Lynn; Trimble, Kristen; Chow, Sotera; Wilson, Patty. (2021). Trauma informed interventions: A systematic review. PLoS One: 16(6), e0252747. en_US
dc.description.abstract Background Health inequities remain a public health concern. Chronic adversity such as discrimination or racism as trauma may perpetuate health inequities in marginalized populations. There is a growing body of the literature on trauma informed and culturally competent care as essential elements of promoting health equity, yet no prior review has systematically addressed trauma informed interventions. The purpose of this study was to appraise the types, setting, scope, and delivery of trauma informed interventions and associated outcomes. Methods We performed database searches— PubMed, Embase, CINAHL, SCOPUS and PsycINFO—to identify quantitative studies published in English before June 2019. Thirty-two unique studies with one companion article met the eligibility criteria. Results More than half of the 32 studies were randomized controlled trials (n = 19). Thirteen studies were conducted in the United States. Child abuse, domestic violence, or sexual assault were the most common types of trauma addressed (n = 16). While the interventions were largely focused on reducing symptoms of post-traumatic stress disorder (PTSD) (n = 23), depression (n = 16), or anxiety (n = 10), trauma informed interventions were mostly delivered in an outpatient setting (n = 20) by medical professionals (n = 21). Two most frequently used interventions were eye movement desensitization and reprocessing (n = 6) and cognitive behavioral therapy (n = 5). Intervention fidelity was addressed in 16 studies. Trauma informed interventions significantly reduced PTSD symptoms in 11 of 23 studies. Fifteen studies found improvements in three main psychological outcomes including PTSD symptoms (11 of 23), depression (9 of 16), and anxiety (5 of 10). Cognitive behavioral therapy consistently improved a wide range of outcomes including depression, anxiety, emotional dysregulation, interpersonal problems, and risky behaviors (n = 5). Conclusions There is inconsistent evidence to support trauma informed interventions as an effective approach for psychological outcomes. Future trauma informed intervention should be expanded in scope to address a wide range of trauma types such as racism and discrimination. Additionally, a wider range of trauma outcomes should be studied. (Author Abstract) en_US
dc.language.iso en_US en_US
dc.publisher National Institutes of Health en_US
dc.subject Systematic Review en_US
dc.subject Trauma en_US
dc.subject Trauma-informed en_US
dc.subject Marginalized Populations en_US
dc.subject Health Inequities en_US
dc.subject Racism en_US
dc.subject Discrimination en_US
dc.subject Interventions en_US
dc.subject Child Abuse en_US
dc.subject Domestic Violence en_US
dc.subject Sexual Assault en_US
dc.subject Symptoms en_US
dc.subject Eye Movement Desensitization and Reprocessing en_US
dc.subject EMDR en_US
dc.subject Cognitive Behavioral Therapy en_US
dc.subject Psychological Consequences en_US
dc.subject PTSD en_US
dc.subject Depression en_US
dc.title Trauma informed interventions: A systematic review en_US
dc.type Article en_US

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