TY - JOUR PY - 2014// TI - The body can change the score: empirical support for somatic regulation in the treatment of traumatized adolescents JO - Journal of child and adolescent trauma A1 - Warner, Elizabeth A1 - Spinazzola, Joseph A1 - Westcott, Anne A1 - Gunn, Cecile A1 - Hodgdon, Hilary SP - 237 EP - 246 VL - 7 IS - 4 N2 - Traumatized adolescents have pervasive problems with self-regulation and often have difficulties in language-based treatment models. This paper provides preliminary empirical support for the efficacy of Sensory Motor Arousal Regulation Treatment (SMART), a treatment model which targets somatic regulation as an avenue to behavioral and emotional regulation. A case vignette illustrates the intervention model. Outcomes are presented from a quasi-experimental pilot study employing a matched control design comparing the additive benefit of SMART intervention to treatment as usual (TAU) in two adolescent residential treatment sites, with a polyvictimized sample. There were significant reductions in domains targeted by SMART: Internalizing symptoms on the Child Behavior Checklist (CBCL), and the Somatic Complaints and Anxious/Depressed subscales. In secondary analyses, a trend approaching significance was found on the Overarousal subscale of the Posttraumatic Stress Disorder-Reaction Index (PTSD-RI). This pilot study suggests the contribution somatic regulation can make to stabilization and skills building in complex trauma treatment for adolescents.
Language: en
LA - en SN - 1936-1521 UR - http://dx.doi.org/10.1007/s40653-014-0030-z ID - ref1 ER -