{"id":7689,"date":"2026-03-19T05:14:53","date_gmt":"2026-03-19T04:14:53","guid":{"rendered":"https:\/\/www.nkvts.no\/english\/project\/individual-dynamics-in-trauma-treatment\/"},"modified":"2026-10-26T05:16:48","modified_gmt":"2026-10-26T04:16:48","slug":"individual-dynamics-in-trauma-treatment","status":"publish","type":"project","link":"https:\/\/www.nkvts.no\/english\/project\/individual-dynamics-in-trauma-treatment\/","title":{"rendered":"ZoomIn: Individual dynamics in trauma treatment"},"content":{"rendered":"<!DOCTYPE html PUBLIC \"-\/\/W3C\/\/DTD HTML 4.0 Transitional\/\/EN\" \"http:\/\/www.w3.org\/TR\/REC-html40\/loose.dtd\">\n<?xml encoding=\"utf-8\" ?><html><body><div class=\"nkvts-project-intro alignwide without-image wp-block-nkvts-project-intro\">\n\t\t\t\t<div class=\"nkvts-project-intro__content\">\n\t\t\t\t\t\t\t<ul class=\"nkvts-project-intro__topics\">\n\t\t\t\t\t\t\t\t\t\t\t<li class=\"nkvts-project-intro__topic\">Implementation and Treatment<\/li>\n\t\t\t\t\t\t\t\t\t\t\t<li class=\"nkvts-project-intro__topic\">Violence and abuse<\/li>\n\t\t\t\t\t\t\t\t\t<\/ul>\n\t\t\t\n\t\t\t<h1 class=\"nkvts-project-intro__title\">ZoomIn: Individual dynamics in trauma treatment<\/h1>\n\n\t\t\t\t\t\t\t<p class=\"nkvts-project-intro__text\">NKVTS is conducting the first study examining changes in daily symptoms during evidence-based treatment for PTSD among youth. It is also the first study to investigate individual recovery processes after PTSD.<\/p>\n\t\t\t\t\t<\/div>\n\t<\/div>\n\t\n\n<div class=\"nkvts-project-table-of-contents wp-block-nkvts-project-table-of-contents\">\n\t\t\t<button type=\"button\" class=\"nkvts-project-table-of-contents__trigger\" aria-expanded=\"false\" aria-controls=\"nkvts-project-table-of-contents-panel\">\n\t\t\t\t<span class=\"nkvts-project-table-of-contents__trigger-label\">Mobile page navigation<\/span>\n\t\t\t\t<span class=\"nkvts-project-table-of-contents__icon is-closed-icon\"><svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewbox=\"0 0 24 24\" height=\"24\" width=\"24\" class=\"t2-icon t2-icon-chevrondown\" aria-hidden=\"true\" focusable=\"false\"><path d=\"M12 14.9c-.1 0-.3 0-.4-.1-.1 0-.2-.1-.3-.2L6.7 10c-.2-.1-.3-.4-.3-.6 0-.3.1-.5.3-.7.2-.2.4-.3.7-.3s.5.1.7.3l3.9 3.9 3.9-3.9c.2-.2.4-.3.7-.3.3 0 .5.1.7.3.2.2.3.4.3.7s-.1.5-.3.7l-4.6 4.6c-.1.1-.2.2-.3.2H12z\" 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t2-icon-arrowright\" aria-hidden=\"true\" focusable=\"false\"><path d=\"M4.1665 10H15.8332\" stroke=\"#3A2F2A\" stroke-width=\"1.5\" stroke-linecap=\"round\" stroke-linejoin=\"round\"><\/path><path d=\"M10 4.16797L15.8333 10.0013L10 15.8346\" stroke=\"#3A2F2A\" stroke-width=\"1.5\" stroke-linecap=\"round\" stroke-linejoin=\"round\"><\/path><\/svg> Contact the research group<\/a><\/li><li class=\"nkvts-project-table-of-contents__item\"><a href=\"#project-facts\"><svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewbox=\"0 0 24 24\" height=\"24\" width=\"24\" class=\"t2-icon t2-icon-arrowright\" aria-hidden=\"true\" focusable=\"false\"><path d=\"M4.1665 10H15.8332\" stroke=\"#3A2F2A\" stroke-width=\"1.5\" stroke-linecap=\"round\" stroke-linejoin=\"round\"><\/path><path d=\"M10 4.16797L15.8333 10.0013L10 15.8346\" stroke=\"#3A2F2A\" stroke-width=\"1.5\" stroke-linecap=\"round\" stroke-linejoin=\"round\"><\/path><\/svg> Facts about the project<\/a><\/li><li class=\"nkvts-project-table-of-contents__item\"><a href=\"#project-description\"><svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewbox=\"0 0 24 24\" height=\"24\" width=\"24\" class=\"t2-icon t2-icon-arrowright\" aria-hidden=\"true\" focusable=\"false\"><path d=\"M4.1665 10H15.8332\" stroke=\"#3A2F2A\" stroke-width=\"1.5\" stroke-linecap=\"round\" stroke-linejoin=\"round\"><\/path><path d=\"M10 4.16797L15.8333 10.0013L10 15.8346\" stroke=\"#3A2F2A\" stroke-width=\"1.5\" stroke-linecap=\"round\" stroke-linejoin=\"round\"><\/path><\/svg> Project description<\/a><\/li><\/ul>\n\t\t\t<\/nav>\n\t\t<\/div>\n\n\t<div class=\"nkvts-project-researchers wp-block-nkvts-project-researchers\" id=\"project-researchers\">\n\t\t<div class=\"block-inner-container\">\n\t\t\t<div class=\"nkvts-project-researchers__header\">\n\t\t\t\t<div class=\"nkvts-project-researchers__header-left\">\n\t\t\t\t\t\t\t\t\t\t\t<h2 class=\"nkvts-project-researchers__title\">Contact the research group<\/h2>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"nkvts-project-researchers__header-right\">\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\t<div class=\"nkvts-project-researchers__content\">\n\t\t\t\t<div class=\"nkvts-project-researchers__content-left\">\n\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"nkvts-project-researchers__card is-linked\">\n\t\t<div class=\"nkvts-project-researchers__card-image\">\n\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" width=\"300\" height=\"261\" src=\"https:\/\/www.nkvts.no\/content\/uploads\/sites\/2\/2015\/12\/Marianne-Skogbrott-Birkeland1-e1657798264674-300x261.jpg\" class=\"nkvts-project-researchers__card-image-img wp-post-image\" alt=\"\" srcset=\"https:\/\/www.nkvts.no\/content\/uploads\/sites\/2\/2015\/12\/Marianne-Skogbrott-Birkeland1-e1657798264674-300x261.jpg 300w, https:\/\/www.nkvts.no\/content\/uploads\/sites\/2\/2015\/12\/Marianne-Skogbrott-Birkeland1-e1657798264674-1024x892.jpg 1024w, https:\/\/www.nkvts.no\/content\/uploads\/sites\/2\/2015\/12\/Marianne-Skogbrott-Birkeland1-e1657798264674-768x669.jpg 768w, https:\/\/www.nkvts.no\/content\/uploads\/sites\/2\/2015\/12\/Marianne-Skogbrott-Birkeland1-e1657798264674-459x400.jpg 459w, https:\/\/www.nkvts.no\/content\/uploads\/sites\/2\/2015\/12\/Marianne-Skogbrott-Birkeland1-e1657798264674.jpg 1440w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\">\t\t\t\t\t<\/div>\n\t\t<div class=\"nkvts-project-researchers__card-person-details\">\n\t\t\t\t\t\t\t<span class=\"nkvts-project-researchers__pill\">Project lead<\/span>\n\t\t\t\n\t\t\t<p class=\"nkvts-project-researchers__card-name\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a href=\"https:\/\/www.nkvts.no\/english\/employee\/birkeland-marianne-skogbrott\/\" class=\"nkvts-project-researchers__card-link\">Marianne Skogbrott Birkeland<\/a>\n\t\t\t\t\t\t\t<\/p>\n\t\t\t\t\t\t\t<div class=\"nkvts-project-researchers__card-contact\">\n\t\t\t\t\t\t\t\t\t\t\t<a href=\"mailto:m.s.birkeland@nkvts.no\" class=\"nkvts-project-researchers__card-email\">m.s.birkeland@nkvts.no<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a href=\"tel:+4741433496\" class=\"nkvts-project-researchers__card-phone\">+4741433496<\/a>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t<\/div>\n\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"nkvts-project-researchers__content-right\">\n\t\t\t\t\t\t\t\t\t\t\t<div class=\"nkvts-project-researchers__grid\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"nkvts-project-researchers__card is-linked\">\n\t\t<div class=\"nkvts-project-researchers__card-image\">\n\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" width=\"300\" height=\"300\" src=\"https:\/\/www.nkvts.no\/content\/uploads\/sites\/2\/2023\/06\/anna-harpviken-crop-300x300.jpg\" class=\"nkvts-project-researchers__card-image-img wp-post-image\" alt=\"\" srcset=\"https:\/\/www.nkvts.no\/content\/uploads\/sites\/2\/2023\/06\/anna-harpviken-crop-300x300.jpg 300w, https:\/\/www.nkvts.no\/content\/uploads\/sites\/2\/2023\/06\/anna-harpviken-crop-150x150.jpg 150w, https:\/\/www.nkvts.no\/content\/uploads\/sites\/2\/2023\/06\/anna-harpviken-crop-400x400.jpg 400w, https:\/\/www.nkvts.no\/content\/uploads\/sites\/2\/2023\/06\/anna-harpviken-crop.jpg 500w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\">\t\t\t\t\t<\/div>\n\t\t<div class=\"nkvts-project-researchers__card-person-details\">\n\t\t\t\n\t\t\t<p class=\"nkvts-project-researchers__card-name\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a href=\"https:\/\/www.nkvts.no\/english\/employee\/harpviken-anna\/\" class=\"nkvts-project-researchers__card-link\">Anna Harpviken<\/a>\n\t\t\t\t\t\t\t<\/p>\n\t\t\t\t\t<\/div>\n\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"nkvts-project-researchers__card is-linked\">\n\t\t<div class=\"nkvts-project-researchers__card-image\">\n\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" width=\"300\" height=\"261\" src=\"https:\/\/www.nkvts.no\/content\/uploads\/sites\/2\/2015\/12\/Ines-Blix-e1657798593899-300x261.jpg\" class=\"nkvts-project-researchers__card-image-img wp-post-image\" alt=\"\" srcset=\"https:\/\/www.nkvts.no\/content\/uploads\/sites\/2\/2015\/12\/Ines-Blix-e1657798593899-300x261.jpg 300w, https:\/\/www.nkvts.no\/content\/uploads\/sites\/2\/2015\/12\/Ines-Blix-e1657798593899-1024x892.jpg 1024w, https:\/\/www.nkvts.no\/content\/uploads\/sites\/2\/2015\/12\/Ines-Blix-e1657798593899-768x669.jpg 768w, https:\/\/www.nkvts.no\/content\/uploads\/sites\/2\/2015\/12\/Ines-Blix-e1657798593899-459x400.jpg 459w, https:\/\/www.nkvts.no\/content\/uploads\/sites\/2\/2015\/12\/Ines-Blix-e1657798593899.jpg 1433w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\">\t\t\t\t\t<\/div>\n\t\t<div class=\"nkvts-project-researchers__card-person-details\">\n\t\t\t\n\t\t\t<p class=\"nkvts-project-researchers__card-name\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a href=\"https:\/\/www.nkvts.no\/english\/employee\/blix-ines\/\" class=\"nkvts-project-researchers__card-link\">Ines Blix<\/a>\n\t\t\t\t\t\t\t<\/p>\n\t\t\t\t\t<\/div>\n\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"nkvts-project-researchers__card nkvts-project-researchers__card--manual\">\n\t\t<div class=\"nkvts-project-researchers__card-image nkvts-project-researchers__card-image--placeholder\"><\/div>\n\t\t<div class=\"nkvts-project-researchers__card-person-details\">\n\t\t\t\t\t\t\t\t\t\t<p class=\"nkvts-project-researchers__card-name\">Harald B&aelig;kkelund<\/p>\n\t\t\t\t\t<\/div>\n\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/div>\n\t<\/div>\n\t\n\n\t<div class=\"nkvts-project-facts alignwide wp-block-nkvts-project-facts\" id=\"project-facts\">\n\t\t<h2 class=\"nkvts-project-facts__title\">Facts about the project<\/h2>\n\t\t<div class=\"nkvts-project-facts__grid\">\n\t\t\t\n\t<div class=\"nkvts-project-facts__box wp-block-nkvts-project-fact-item\">\n\t\t<h3 class=\"nkvts-project-facts__box-heading\">Period<\/h3>\n\t\t<p class=\"nkvts-project-facts__box-value\">2023-2027<\/p>\n\t<\/div>\n\t\n\t<div class=\"nkvts-project-facts__box wp-block-nkvts-project-fact-item\">\n\t\t<h3 class=\"nkvts-project-facts__box-heading\">Category<\/h3>\n\t\t<p class=\"nkvts-project-facts__box-value\"><a href=\"https:\/\/www.nkvts.no\/english\/projects\/?sd-topic_tax%5B%5D=Implementation%20and%20Treatment\">Implementation and Treatment<\/a>, <a href=\"https:\/\/www.nkvts.no\/english\/projects\/?sd-topic_tax%5B%5D=Violence%20and%20abuse\">Violence and abuse<\/a><\/p>\n\t<\/div>\n\t\n\n\n\n\n\n\n\t\t<\/div>\n\t<\/div>\n\t\n\n\t<div class=\"nkvts-project-description alignwide wp-block-nkvts-project-description\" id=\"project-description\">\n\t\t<h2 class=\"nkvts-project-description__title\">Project description<\/h2>\n\t\t<div class=\"nkvts-project-description__accordion\">\n\t\t\t\n\n\n<div class=\"t2-accordion wp-block-t2-accordion\" role=\"list\">\n<div class=\"t2-accordion-item wp-block-t2-accordion-item\" role=\"listitem\">\n\t\t\t<h2 class=\"t2-accordion-title\">\n\t\t\t\t<button type=\"button\" class=\"t2-accordion-trigger\" id=\"main-objective\" aria-controls=\"accordion-panel\" aria-expanded=\"false\">\n\t\t\t\t\tMain objective\n\t\t\t\t\t<span class=\"t2-accordion-icon is-closed-icon\"><svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewbox=\"0 0 24 24\" height=\"24\" width=\"24\" class=\"t2-icon t2-icon-add\" aria-hidden=\"true\" focusable=\"false\"><path d=\"M12 19c-.285156 0-.519531-.097656-.710938-.289062C11.097656 18.519531 11 18.285156 11 18v-5H6c-.285156 0-.519531-.097656-.710938-.289062C5.097656 12.519531 5 12.285156 5 12c0-.285156.097656-.519531.289062-.710938C5.480469 11.097656 5.714844 11 6 11h5V6c0-.285156.097656-.519531.289062-.710938C11.480469 5.097656 11.714844 5 12 5c.285156 0 .519531.097656.710938.289062C12.902344 5.480469 13 5.714844 13 6v5h5c.285156 0 .519531.097656.710938.289062C18.902344 11.480469 19 11.714844 19 12c0 .285156-.097656.519531-.289062.710938C18.519531 12.902344 18.285156 13 18 13h-5v5c0 .285156-.097656.519531-.289062.710938C12.519531 18.902344 12.285156 19 12 19Zm0 0\" fill=\"currentColor\"><\/path><\/svg><\/span>\n\t\t\t\t\t<span class=\"t2-accordion-icon is-open-icon\"><svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewbox=\"0 0 24 24\" height=\"24\" width=\"24\" class=\"t2-icon t2-icon-remove\" aria-hidden=\"true\" focusable=\"false\"><path d=\"M6 13c-.285156 0-.519531-.097656-.710938-.289062C5.097656 12.519531 5 12.285156 5 12c0-.285156.097656-.519531.289062-.710938C5.480469 11.097656 5.714844 11 6 11h12c.285156 0 .519531.097656.710938.289062C18.902344 11.480469 19 11.714844 19 12c0 .285156-.097656.519531-.289062.710938C18.519531 12.902344 18.285156 13 18 13Zm0 0\" fill=\"currentColor\"><\/path><\/svg><\/span>\n\t\t\t\t<\/button>\n\t\t\t<\/h2>\n\t\t\t<div class=\"t2-accordion-item__inner-container is-layout-flow\" id=\"accordion-panel\" aria-labelledby=\"main-objective\" role=\"region\" hidden>\n\t\t\t\t\n\n\n<p>Experiencing traumatic events can have significant consequences, both for the individual affected, their close ones, and for society. Youth who have experienced trauma face more mental and physical challenges and have poorer connections to education and the future job market compared to their peers. More than one in four Norwegian youths have experienced one or more traumatic events.&nbsp;<\/p>\n<p>Common reactions to trauma include re-experiencing, avoidance of reminders of the event, negative thoughts, or feelings, and\/or hyperarousal. For many, these symptoms resolve on their own, but for some, the symptoms endure, leading to post-traumatic stress disorder (PTSD). It is therefore important to offer effective treatment for PTSD.<\/p>\n<h3>Treatment effectiveness varies<\/h3>\n<p>There are several evidence-based treatments for PTSD, but even for the recommended first-line treatment for children and adolescents, Trauma-Focused Cognitive Behavioral Therapy (TF-CBT), treatment effectiveness varies considerably. Preliminary figures from 2018-20 suggest that 30-40 % of children receiving TF-CBT do not experience clinically significant improvement and\/or drop out. This means that TF-CBT is not equally effective for everyone.&nbsp;<\/p>\n<p>A better understanding of individual trajectories of change or lack of change would be a useful step towards more personalized treatment. To pinpoint what should be done for youth who do not experience improvement, it would be useful to look at trajectories of change in individual symptoms from before to after treatment and identify common residual symptoms. There is also need for a better understanding of how recovery from PTSD occurs from day to day and how positive improvement in one symptom can be followed by improvement in other symptoms, creating a positive chain reaction.<\/p>\n<p>In collaboration with user panels (youth who have had PTSD as well as therapists), The Norwegian Council for Mental Health (NCMH), and national and international researchers, NKVTS will conduct the first study examining changes in daily symptoms during evidence-based treatment for PTSD, among youth. It is also the first study to investigate individual recovery processes after PTSD. ZoomIn has the potential to contribute to a better understanding of individual change processes, which is necessary to make trauma treatment more personalized and effective for more people.<\/p>\n<h2>\n\n\n\t\t\t<\/h2><\/div>\n\t\t<\/div>\n\n<div class=\"t2-accordion-item wp-block-t2-accordion-item\" role=\"listitem\">\n\t\t\t<h2 class=\"t2-accordion-title\">\n\t\t\t\t<button type=\"button\" class=\"t2-accordion-trigger\" id=\"method\" aria-controls=\"accordion-panel-1\" aria-expanded=\"false\">\n\t\t\t\t\tMethod\n\t\t\t\t\t<span class=\"t2-accordion-icon is-closed-icon\"><svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewbox=\"0 0 24 24\" height=\"24\" width=\"24\" class=\"t2-icon t2-icon-add\" aria-hidden=\"true\" focusable=\"false\"><path d=\"M12 19c-.285156 0-.519531-.097656-.710938-.289062C11.097656 18.519531 11 18.285156 11 18v-5H6c-.285156 0-.519531-.097656-.710938-.289062C5.097656 12.519531 5 12.285156 5 12c0-.285156.097656-.519531.289062-.710938C5.480469 11.097656 5.714844 11 6 11h5V6c0-.285156.097656-.519531.289062-.710938C11.480469 5.097656 11.714844 5 12 5c.285156 0 .519531.097656.710938.289062C12.902344 5.480469 13 5.714844 13 6v5h5c.285156 0 .519531.097656.710938.289062C18.902344 11.480469 19 11.714844 19 12c0 .285156-.097656.519531-.289062.710938C18.519531 12.902344 18.285156 13 18 13h-5v5c0 .285156-.097656.519531-.289062.710938C12.519531 18.902344 12.285156 19 12 19Zm0 0\" fill=\"currentColor\"><\/path><\/svg><\/span>\n\t\t\t\t\t<span class=\"t2-accordion-icon is-open-icon\"><svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewbox=\"0 0 24 24\" height=\"24\" width=\"24\" class=\"t2-icon t2-icon-remove\" aria-hidden=\"true\" focusable=\"false\"><path d=\"M6 13c-.285156 0-.519531-.097656-.710938-.289062C5.097656 12.519531 5 12.285156 5 12c0-.285156.097656-.519531.289062-.710938C5.480469 11.097656 5.714844 11 6 11h12c.285156 0 .519531.097656.710938.289062C18.902344 11.480469 19 11.714844 19 12c0 .285156-.097656.519531-.289062.710938C18.519531 12.902344 18.285156 13 18 13Zm0 0\" fill=\"currentColor\"><\/path><\/svg><\/span>\n\t\t\t\t<\/button>\n\t\t\t<\/h2>\n\t\t\t<div class=\"t2-accordion-item__inner-container is-layout-flow\" id=\"accordion-panel-1\" aria-labelledby=\"method\" role=\"region\" hidden>\n\t\t\t\t\n\n\n<p>By combining studies of group-level associations with in-depth studies of individual youths&rsquo; symptom levels from day to day, we will have the opportunity to better understand similarities and differences in recovery. This will provide us with more information and new ideas on how TF-CBT can be made more personalized and thereby help even more youth.<\/p>\n<h3>Sample data<\/h3>\n<p>The project will utilize data from two clinical samples of children and youth aged 8 to 18 years. Both samples have undergone TF-CBT in child and adolescent psychiatric outpatient clinics (BUP).&nbsp;<\/p>\n<ul>\n<li>Sample 1 consists of 567 children who have answered questions about their PTSD symptoms three times &ndash; before, during, and after treatment.&nbsp;<\/li>\n<li>Sample 2 consists of 60 youths who have answered daily questions about PTSD symptoms throughout the treatment. Their therapists have also recorded therapy sessions and their content.&nbsp;<\/li>\n<\/ul>\n\n\n\t\t\t<\/div>\n\t\t<\/div>\n<\/div>\n\t\t<\/div>\n\t<\/div>\n\t\n\n\n\n<\/body><\/html>\n","protected":false},"parent":0,"menu_order":0,"template":"","meta":{"_acf_changed":false,"from_year":2023,"to_year":2027,"lead_text":"NKVTS is conducting the first study examining changes in daily symptoms during evidence-based treatment for PTSD among youth. 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