Daring to process the trauma: using a web-based training to reduce psychotherapists’ fears and reservations around implementing trauma-focused therapy

Figures & data

Table 1. Correlation matrix of all scales used in the analyses (t1).

	KT	K	CO	SC	SR	OC	SEE	W	FR
Knowledge test (KT)	1
General knowledge (K)	.26**	1
Competencies (CO)	.26**	.68**	1
Self-care (SC)	.06	.18**	.16*	1
Self-reflection (SR)	.14*	.24**	.08	.26**	1
Overcoming concerns (OC)	.20**	.38**	.43**	.17**	.10	1
Self-efficacy (SEE)	.16**	.54**	.54**	.25**	.13	.49**	1
Willingness (W)	.22**	.30**	.46**	.14	.02	.54*	.38**	1
Fears (FR)	−.17	−.11	−.09	−.02	.06	−.15	−.13	−.22*	1
Contraindications (C)	.13	.23**	.22**	.12	.03	.08	.14*	.10	−.06

*p < .05, **p < .01, ***p < .001 (all p-values adjusted using the Holm-Bonferroni method).

Table 2. Multiple regression analysis for the prediction of willingness to conduct trauma-focused therapy.

Variable	r	Standardized β
Sociodemographic variables
Gender	.06	.11**
Age	−.27***	−.25***
Work experience	.20***	.05
Cognitive behavioural approach	.35***	.13*
Psychodynamic approach	−.29***	−.02
Course outcome variables
General knowledge	.30***	−.01
Specific competences	.46***	.22***
Self-reflection	.02	.00
Self-care	.14**	.03
Overcoming concerns	.54***	.36***
Self-efficacy expectations	.38***	.06
Knowledge test	.22***	−.02

*p < .05, **p < .01, ***p < .001 (adjusted using the Holm-Bonferroni method).

Table 3. Percentages of retrospectively estimated changes in fears and reservations, intervention group (N = 183).

Item	Decrease % (1/2)^a	No change (3)^a	Increase (4/5)^a
Fears about increase of
Re-experiencing and arousal	82	18	2
Avoidance behaviour	70	21	0
Dissociation	87	14	0
Substance abuse or addiction	76	24	21
Self-harming behaviour	84	15	1
Suicidal ideation	81	18	1
Numbing	77	22	1
Overwhelming fear of the patient	84	15	1
Endangerment of others	65	34	21
Dropping out of treatment	79	22	0
Physical aggression	67	33	1
Deterioration of relationships
In general	50	44	5
Therapeutic relationship	75	26	0

^a1 = ‘fear markedly decreased’ to 5 = ‘fear markedly increased’.

Table 4. Pre–post comparison of the conviction regarding fears and reservations regarding trauma-focused therapy (1 = ‘not at all convinced’ to 5 = ‘strongly convinced’), wait-list control group (N = 151).

	Pre	Post
Item	M (SD)	M (SD)	Partial η^2	Analysis
Fears about increase of
Re-experiencing and arousal	2.59 (1.16)	2.03 (1.11)	.14	**
Avoidance behaviour	1.60 (0.83)	1.28 (0.61)	.13	**
Dissociation	2.15 (0.96)	1.44 (0.67)	.30	**
Substance abuse or addiction	1.85 (0.84)	1.46 (0.67)	.15	**
Self-harming behaviour	2.03 (0.89)	1.52 (0.70)	.22	**
Suicidal ideation	2.03 (0.90)	1.40 (0.69)	.28	**
Numbing	1.87 (0.87)	1.36 (0.62)	.22	**
Overwhelming fear of the patient	2.21 (1.05)	1.48 (0.71)	.31	**
Endangerment of others	1.58 (0.74)	1.26 (0.58)	.12	**
Dropping out of treatment	2.08 (0.96)	1.33 (0.59)	.35	**
Physical aggression	1.75 (0.83)	1.33 (0.65)	.18	**
Deterioration of relationships
In general	2.11 (0.89)	2.27 (0.89)	.02	p = .072
Therapeutic relationship	1.42 (0.71)	1.09 (0.31)	.18	**

**p < .01 (adjusted using the Holm-Bonferroni method).

Table 5. Mean scores of dependent variables separated by group.

		t1	t2	t3
Variable	Group	M (SD)	M (SD)	M (SD)	d between group t1 to t2
Perceived contraindications	IG	65.60 (20.12)	63.76 (18.93)	64.35 (20.46)	0.12
	WG	64.75 (21.60)	65.30 (21.82)	61.18 (18.09)