The holistic healing arts retreat: An intensive, experiential intervention for survivors of interpersonal trauma.

ABSTRACT

OBJECTIVE: This study examined the effectiveness of an intensive, experiential intervention, the Holistic Healing Arts Retreat, for improving posttraumatic symptoms (primary) and comorbid depression and perceived stress (secondary). METHOD: The sample consisted of women exposed to childhood physical or sexual abuse, sexual assault, or domestic violence in a two-arm randomized control trial comparing retreat now (n = 49) versus retreat later (n = 60) conditions. We also examined the retreat's effectiveness for improving potential transdiagnostic mechanisms (self-compassion, experiential avoidance, nonreactivity, negative self-affect) common to emotional disorders. Assessments were conducted at baseline and 1, 4, and 7 months following the retreat. RESULTS: Linear mixed-effects models, adjusted for age and level of trauma exposure, showed statistically significant improvements in posttraumatic symptoms (d = .65, .55, .70), depression (d = .42, .39, .41), and perceived stress (d = .47, .50, .57) at 1, 4, and 7 months, respectively, with the exception of posttraumatic symptoms at 4 months, which showed a trend (p ≤ .06). Linear mixed-effects models, adjusted for age, also showed statistically significant improvements in self-compassion (d = .78, .71, .62) and experiential avoidance (d = .34, .34, .51) at 1-, 4-, and 7-month time points, respectively; nonreactivity (affect regulation) at 1 and 7 months (d = .58 and .44, respectively) and nonjudging (negative self-affect) at 4 and 7 months (d = .63 and .71, respectively). CONCLUSIONS: These results suggest this intense, experiential, holistic, retreat-based intervention is effective and efficient among trauma-exposed women for lasting change in trauma-related outcomes, as well as transdiagnostic mechanisms. (PsycInfo Database Record (c) 2023 APA, all rights reserved).