Trust-Based Relational Intervention (TBRI): A Systemic Approach to Complex Developmental Trauma

Purvis, Karyn B.; Cross, David; Dansereau, Donald F.; Parris, Sheri R.

doi:10.1080/0145935x.2013.859906

Cited by 87 publications

(46 citation statements)

References 94 publications

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“…Future research should invariably include a focus on identifying viable options and avenues for facilitating trust among those affected by combat-related PTSD symptomatology. At present, (re)establishing the capacity to trust is described as a secondary outcome of existing PTSD treatment options, with cognitive behavioral therapy being the most promising treatment for facilitating general trust ( 58 – 60 ).…”

Section: Discussionmentioning

confidence: 99%

Association Between Trust and Mental, Social, and Physical Health Outcomes in Veterans and Active Duty Service Members With Combat-Related PTSD Symptomatology

2018

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Background: Trust represents a complex emotion and interpersonal concept which assumes abandoning control over a given situation or set of circumstances, in turn yielding such control to another party. Advances in our knowledge of post-traumatic stress disorder and moral injury have underscored the need to more closely examine how trust stands to impact health outcomes in these disorders. The aim of the present study is to examine and identify relationships linking general trust with select health outcomes in a mixed sample of Veterans and Service members with a self-reported history of deployment to a combat theater and PTSD symptomatology.Methods: This study applied a cross-sectional methodology, surveying n = 427 participants recruited across six sites. This included 373 Veterans and 54 active duty Service members in the United States. Measures included demographic characteristics, combat exposure, general trust, post-traumatic stress disorder symptomatology, depressive/anxiety symptomatology, alcohol use, social involvement, religiosity, and physical health. Data were analyzed descriptively as well as using Pearson correlations, Student's t-test, and multivariate regression.Results: Several significant relationships were identified, indicating an inverse relationship between trust and PTSD, depressive, and anxiety symptomatology. Greater levels of trust were also significantly associated with increased social interaction and religiosity. Lastly, no significant associations were identified with either physical functioning or pain level.Conclusion: The findings suggest that trust is correlated with a variety of health outcomes in Veterans and Service members affected by combat-related PTSD. Additional, hypothesis-driven research, informed by longitudinal data, is needed to better understand how trust stands to impact health outcomes, including the development of strategies and intervention options for repairing trust.

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Section: Discussionmentioning

confidence: 99%

Association Between Trust and Mental, Social, and Physical Health Outcomes in Veterans and Active Duty Service Members With Combat-Related PTSD Symptomatology

2018

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“…The Correcting Principles are used to deliberately shape behavior, but will only be effective to the extent that their practice is based on a firm foundation of Empowering and Connecting. A more detailed explanation of TBRI and how the principles are applied can be found in previous publications (e.g., Purvis et al 2013a , b ).…”

Section: Trust-based Relational Intervention As Trauma-informed Carementioning

confidence: 99%

Decrease in Behavioral Problems and Trauma Symptoms Among At-Risk Adopted Children Following Trauma-Informed Parent Training Intervention

Purvis

Razuri

Howard

et al. 2015

Journ Child Adol Trauma

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Children who have experienced early adversities are at risk for behavioral problems and trauma symptoms. Using a two-group, pre-post intervention design, the current study evaluated the effectiveness of a parent training utilizing Trust-Based Relational Intervention, a trauma-informed, attachment-based intervention, in reducing behavioral problems and trauma symptoms in at-risk adopted children. Children of parents in the treatment group (n = 48) demonstrated significant decreases in behavioral problems on the Strengths and Difficulties Questionnaire and significant decreases in trauma symptoms on the Trauma Symptoms Checklist for Young Children after intervention. Scores for children in a matched-sample control group did not change. Findings suggest that Trust-Based Relational Intervention is effective at addressing many behavioral problems and trauma symptoms in children with histories of adversities.

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“…Developed at the Institute of Child Development at Texas Christian University, TBRI has been used successfully with families, group homes, summer camps, and school environments. Other publications describe the components of TBRI in more detail (Purvis et al 2013a(Purvis et al , 2011(Purvis et al , 2007b(Purvis et al , 2009, empirical evidence supporting TBRI (Purvis and Cross 2007;Purvis et al 2007aPurvis et al , b, 2012, and implementation in a public school setting (Parris et al 2014). In one study (Purvis et al 2007a), children who attended a TBRI summer camp demonstrated significant decreases in thought problems, attention problems, aggressive behavior, depressive symptoms, negative mood, and salivary cortisol levels (indicating reduced stress and anxiety) as well as improvements in attachment behaviors and interpersonal relationships.…”

Section: Trust-based Relational Interventionmentioning

confidence: 99%

Implementing Trust-Based Relational Intervention® in a Charter School at a Residential Facility for At-Risk Youth

Parris

Dozier

Purvis

et al. 2014

Contemp School Psychol

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This study examines the implementation of Trust-Based Relational Intervention® (TBRI®) in a secondary charter school located at a residential facility for at-risk youth. This intervention has been used successfully with individual families, group homes, summer camps, and more recently, school environments. Through TBRI, school staff created conditions to help children succeed behaviorally with strategies grouped into three evidenced-based principles: (a) empowering, (b) connecting, and (c) correcting. After implementation, results showed that students were more likely to discuss their problematic issues with counselors, used less profanity, were less likely to complain and had fewer behavioral incidents (i.e., physical and verbal aggression, disruptive behavior). In addition, school staff reported improved school culture including an overall more positive mood and countenance among staff and students.

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Trust-Based Relational Intervention (TBRI): A Systemic Approach to Complex Developmental Trauma

Cited by 87 publications

References 94 publications

Association Between Trust and Mental, Social, and Physical Health Outcomes in Veterans and Active Duty Service Members With Combat-Related PTSD Symptomatology

Association Between Trust and Mental, Social, and Physical Health Outcomes in Veterans and Active Duty Service Members With Combat-Related PTSD Symptomatology

Decrease in Behavioral Problems and Trauma Symptoms Among At-Risk Adopted Children Following Trauma-Informed Parent Training Intervention

Implementing Trust-Based Relational Intervention® in a Charter School at a Residential Facility for At-Risk Youth

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