Trauma Healing Via Cognitive Behavior Therapy
in Chronically Hospitalized Patients
Brian Trappler Æ Howard Newville
Published online: 9 October 2007
Ó Springer Science+Business Media, LLC 2007
This study examines the effect of Skill Training In Affect Regulation
(STAIR) on a cohort of 24 inpatients with Schizophrenia with histories of signiﬁcant
trauma and Complex PTSD.
Using a model of Trauma Healing proposed by the NYS Ofﬁce of Mental
Health, 24 patients underwent 12 weeks of group-based Cognitive Behavior Therapy.
Treatment modalities focused on trust, safety, affect-regulation, identiﬁcation of trauma
triggers, and disrupting abuse-driven behaviors. A comparison group of patients received
12 weeks of supportive psychotherapy by therapists unfamiliar with Trauma Management.
Treatment outcome was compared using the Modiﬁed Impact of Events, and Brief Psy-
chiatric Rating Scales.
Following completion of 12 weeks of therapy, only those patients undergoing
therapy in Trauma Recovery showed improvement on items such as tension, excitement,
hostility, suspiciousness, and anger-control.
These ﬁndings are an encouraging ﬁrst step in trauma recovery of patients
with chronic mental illness, histories of prolonged trauma, and Complex PTSD.
Keywords Skill-training Á Trauma-healing Á PTSD
Studies investigating the overall prevalence of traumatic events in the general population
indicate surprisingly high rates for lifetime exposure to any type of traumatic event .
Using sensitive screening instruments, Norris  revealed 69% prevalence in a normal
population survey of individuals experiencing at least one traumatic event in their lifetime
. An independent study conducted by Resnick, using an instrument that included a
detailed assessment of trauma found a lifetime exposure to any kind of trauma of 68.9%
B. Trappler (&) Á H. Newville
SUNY Downstate, Kingsboro Psychiatric Center, Clarkson Avenue, Brooklyn, NY 11203, USA
Psychiatr Q (2007) 78:317–325