{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,2]],"date-time":"2025-08-02T18:58:23Z","timestamp":1754161103246,"version":"3.41.2"},"reference-count":65,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2025,3,10]],"date-time":"2025-03-10T00:00:00Z","timestamp":1741564800000},"content-version":"vor","delay-in-days":9,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Clin Psychology and Psychoth"],"published-print":{"date-parts":[[2025,3]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>This single\u2010arm effectiveness study explored changes in trauma\u2010related symptoms\u2014including dissociation, depression, anxiety, sexual issues and sleep disturbances\u2014throughout a multimodal, phased trauma intervention, to explore treatment response in real\u2010world settings with varied populations and complex clinical presentations, as well as varied degrees of clinician experience.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>Symptom change was assessed among participants undergoing a triphasic trauma therapy called trauma practice. Data were collected at five time points: pretreatment (<jats:italic>n<\/jats:italic>\u2009=\u200941), Phase 1 (<jats:italic>n<\/jats:italic>\u2009=\u200937), Phase 2 (<jats:italic>n<\/jats:italic>\u2009=\u200925), Phase 3 (<jats:italic>n<\/jats:italic>\u2009=\u200920) and follow\u2010up (<jats:italic>n<\/jats:italic>\u2009=\u200916). Participants completed self\u2010report measures at the start of therapy, after each therapy phase and 6\u2009months post treatment. The average age of participants was 37.6\u2009years (SD\u2009=\u200912.5). Approximately 63.8% identified as female, 55% were born in Canada and 47.5% identified as Caucasian.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The findings revealed statistically and clinically significant reductions in symptoms across all measured domains. On average, participants transitioned from clinically elevated levels of dissociation, anxiety, depression, sexual difficulties and sleep disturbances at baseline to non\u2010clinical levels by the end of therapy. Moderate to large effect sizes, clinically significant reliable change indices and sustained treatment gains were demonstrated at follow\u2010up.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>These results suggest that trauma practice holds promise as an effective intervention for trauma in community clinical settings.<\/jats:p><\/jats:sec>","DOI":"10.1002\/cpp.70055","type":"journal-article","created":{"date-parts":[[2025,3,12]],"date-time":"2025-03-12T00:12:07Z","timestamp":1741738327000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Trauma\u2010Related Symptom Improvement in Multimodal Triphasic Trauma Therapy: Findings From a Community\u2010Based Study"],"prefix":"10.1002","volume":"32","author":[{"given":"George\u00a0A.","family":"Langdon","sequence":"first","affiliation":[{"name":"Psychology Department York University  Toronto Ontario Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8607-3152","authenticated-orcid":false,"given":"Cassandra\u00a0R.\u00a0W.","family":"Harmsen","sequence":"additional","affiliation":[{"name":"Psychology Department York University  Toronto Ontario Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6683-3465","authenticated-orcid":false,"given":"Kristina","family":"Cordeiro","sequence":"additional","affiliation":[{"name":"Psychology Department York University  Toronto Ontario Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anna","family":"Baranowsky","sequence":"additional","affiliation":[{"name":"Bear Psychology  Toronto Ontario Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Robert\u00a0T.","family":"Muller","sequence":"additional","affiliation":[{"name":"Psychology Department York University  Toronto Ontario Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,3,10]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1503\/cmaj.131792"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpsychires.2021.01.030"},{"volume-title":"Trauma Practice: Tools for Stabilization and Recovery","year":"2015","author":"Baranowsky A. 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