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Background: Current psychological trauma-focused interventions have left a gap for individuals who may not be ready for trauma-focused treatment and/or who present with other forms of clinically significant distress, such as subthreshold post-traumatic stress disorder (PTSD). Emotion regulation is a possible transdiagnostic mechanism of change that may promote and maintain some of the varied mental health problems related to trauma exposure. Aims: This study examines the feasibility and initial impact of two brief emotion regulation skill trainings targeting different processes hypothesized to reduce trauma-related problems, compared with an active control. Method: Subjects (n = 156) were randomized to receive one of three brief internet-based trainings: (1) skill training on accepting emotions, (2) skill training on changing emotions, or (3) stress psychoeducation (control). Participants completed measures of emotion regulation, mindfulness, and affect intensity 24 hours pre- and immediately post-training. Results: Results suggested that a brief internet-based skills training programme was feasible and acceptable, with 91.9% completing the training programme to which they were randomized. Results showed that participants in all conditions demonstrated significant decreases in emotion regulation problems over time; yet these improvements did not vary by condition. Participants in the Change condition with higher PTSD symptoms were significantly more likely to have greater increases in positive affect compared with those with lower PTSD symptoms. Conclusions: Although the three conditions did not show different outcomes, all three brief internet-delivered trainings were feasible. Results provide direction for future studies to evaluate the delivery of emotion regulation skills in individuals with trauma-related distress. [ABSTRACT FROM AUTHOR]

Intimate partner violence (IPV) has varied consequences including post-traumatic stress (PTS). One proposed risk factor for PTS is escalating types of violence; however, data are mixed. Because emotion dysregulation acts as a causal mechanism across numerous problems co-occurring in survivors of IPV, this study examined its association with PTS severity versus abuse type. Regression using data from women (n = 89) seeking treatment for IPV-related distress found the following: Type of abuse was not related to emotion dysregulation and emotion dysregulation was more strongly associated with PTS than type of abuse. This suggests emotion dysregulation may be more predictive of PTS than abuse type. [ABSTRACT FROM AUTHOR]

There is increasing support for the use of meditation-based treatments for US military Veterans with posttraumatic stress disorder (PTSD). The Mantram Repetition Program (MRP), which is a portable meditative practice that features mindful repetition of a sacred phrase, is associated with significant reductions in PTSD symptom severity. Although regular practice is emphasized in meditation-based interventions, associations between frequency of practice and clinical outcomes are often not reported. This study will examine whether the frequency of mantram repetition is associated with greater improvements in clinical outcomes. Veterans with PTSD participating in MRP (N = 160; combined experimental groups from two randomized controlled trials). Participants completed pre- and post-treatment self-report measures of anger and well-being and a clinician-administered interview of PTSD severity (CAPS-IV-TR). Veterans also reported average daily mantram repetition practice at post-treatment. We conducted a series of hierarchal multiple regression analyses. When controlling for race/ethnicity and pre-treatment severity, higher frequency of mantram repetition practice was associated with significantly greater improvements (small effect sizes) in PTSD symptom severity (F(3,128) = 6.60, p <.001, β =.21, p =.007), trait anger (F(3,128) = 31.23, p <.001, β =.25, p <.001), state anger (F(3,110) = 17.62, p <.001, β =.16, p =.04), mental health well-being (F(3,128) = 28.38, p <.001, β =.14, p =.04), and spiritual well-being (F(3,127) = 13.15, p <.001, β =.23, p =.003), but not physical health well-being. Higher frequency of mantram repetition practice appears to have beneficial effects on clinical outcomes for Veterans with PTSD. Strategies that promote skills practice may be an important target for improving clinical outcomes for meditation-based interventions. Higher frequency of meditation practice during Mantram Repetition Program was associated with greater reductions in PTSD symptoms and anger as well as improvements in well-being. Strategies to promote at-home meditation practice may optimize the benefits of MRP. [ABSTRACT FROM AUTHOR]

Interpersonal violence is pervasive and is related to numerous negative psychological outcomes. This study examines self-compassion and psychological flexibility as potential protective factors for the range of diverse problems associated with interpersonal trauma. A community sample of 27 women (mean age = 37.74, SD = 16.16) participated in a larger pilot intervention study for psychological distress related to interpersonal violence. In this treatment-seeking sample, self-compassion was positively associated with psychological flexibility and negatively linked to higher levels of trauma-related distress, including posttraumatic stress disorder (PTSD) symptoms as well as problems related to the self and relations with others. The results suggest that self-compassion and psychological flexibility may function as protective factors in the development of problems in survivors of interpersonal violence. [ABSTRACT FROM AUTHOR]

This observational study aims to determine the characteristics of peer support that change attitudes toward recovery and PTSD symptom severity. The study respondents were a sample of 55 VA patients who were residents at a residential rehabilitation program for PTSD where they were the recipients of peer support. Veterans perceived greater support from other veterans (mean = 4.04 on 1-5 scale, SD = 0.78) than from any other source. Greater perceived support from the peer support provider, other veterans and mental health staff was associated with improvements from intake to discharge in recovery attitudes. Greater perceived support from other veterans and mental health staff was associated with an improvement in PTSD symptoms. Results from this study suggest that positive perceptions of peer support favorably influences attitudes toward recovery, from PTSD, in veterans who are the recipients of such support. [ABSTRACT FROM AUTHOR]

Acceptance and commitment therapy (ACT; Hayes, Strosahl, & Wilson, 2012) is proposed as a nonpathologizing approach to trauma-related problems. ACT has at its core a functional approach to understanding the human condition such that problems are maintained by functional processes, such as avoidance. Treatment focuses on these processes to institute change, stepping away from directly pursuing symptoms as an evaluative outcome. A collaborative, client-centered approach is used in defining valued life directions and committing to action based on those values. ACT presents a method of approaching trauma-related problems that is structured to support a client in finding a life beyond trauma that has value. [ABSTRACT FROM AUTHOR]

The authors argues that a peer support intervention has the potential to be a assist in Veterans Administration (VA) post-traumatic stress disorder (PTSD) treatment. They describe the four pillars of peer support, including a lived experience with the same illness, and peer support competencies. They also discuss evidence from scientific literature about the efficacy of peer support.