Trauma Severity, Poly-victimization, and Treatment Response: Adults in an Inpatient Trauma Program

Abstract

The goal of the current study was to evaluate the extent to which abuse history predicted change in treatment in an inpatient setting. Poly-victimization and trauma severity were examined as predictors of treatment response measured by the Trauma Symptom Checklist-40 and the Symptom Checklist-90-R at admission, discharge, and 6-months follow-up. Data from 161 clients of an inpatient trauma treatment program were analyzed using structural equation modeling. Results indicate that level of poly-victimization predicted treatment response from admission to discharge on two of four outcome variables; however, this relationship was not found at follow-up. Further analyses suggest that the difference in treatment response at discharge among clients with higher rates of poly-victimization was an artifact of scores at admission. Trauma severity analyses reveal that differing types of abusive experiences generally did not predict treatment response. Overall, results demonstrate that this inpatient treatment program is similarly effective for a broad array of patients, including those with a greater number, and higher severity, of victimizations.