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Coping School: A proof-of-concept feasibility study of a primary care psychoeducational group promoting self-care after adverse events
Capio Primary Care, Region Värmland, Sweden.
Karlstad University, Faculty of Arts and Social Sciences (starting 2013), Department of Social and Psychological Studies (from 2013). Karlstad University, Faculty of Arts and Social Sciences (starting 2013), Service Research Center (from 2013).ORCID iD: 0000-0002-8744-0425
School of Medical Sciences, Örebro University, Örebro Sweden.
Karlstad University, Faculty of Arts and Social Sciences (starting 2013), Department of Social and Psychological Studies (from 2013). Karlstad University, Faculty of Arts and Social Sciences (starting 2013), Service Research Center (from 2013).ORCID iD: 0000-0001-5749-0774
2026 (English)In: European Journal of Trauma & Dissociation, E-ISSN 2468-7499, Vol. 10, no 2, article id 100685Article in journal (Refereed) Published
Abstract [en]

Introduction PTSD is defined by the presence of a qualifying traumatic event (Criterion A), yet considerable debate remains regarding how this criterion should be operationalized, as individuals exposed to non–Criterion A stressors may develop clinically significant PTSD-like symptoms. This diagnostic complexity poses challenges for identification and treatment of trauma-related distress in primary care settings. Objective The aim of the study was to investigate whether Coping School , a psychoeducational group for patients and their relatives, is feasible and associated with symptom reduction, how participants experience the intervention, and therapists’ perspectives on recruitment difficulties. Method Eleven assessment interviews with potential participants were conducted, of which only four were deemed eligible. The study used a within-group design with measurements conducted pre, mid, and post intervention, and three-month follow-up. Results At follow-up, changes in symptom ratings relative to baseline varied across participants. Participants perceived the intervention as valuable for increasing self-understanding, but that an overly condensed intervention led to the loss of important therapeutic elements. Therapists were also interviewed (n = 11) regarding their views on the intervention and factors that may have contributed to recruitment difficulties. The thematic analysis resulted in three themes: A limited eligible patient population, Hesitation toward group treatment, and Organizational barriers to collaboration and development. Conclusions These preliminary findings suggest that Coping School may be feasible and acceptable for some participants, but recruitment challenges – including how to engage and motivate other therapists to refer patients – highlight the need for further development and larger studies to evaluate effectiveness and generalizability. 

Place, publisher, year, edition, pages
Elsevier, 2026. Vol. 10, no 2, article id 100685
Keywords [en]
Coping, Open group intervention, Posttraumatic stress, Primary care, Proof-of-concept, Psychoeducation, Trauma
National Category
Psychiatry
Research subject
Psychology
Identifiers
URN: urn:nbn:se:kau:diva-109972DOI: 10.1016/j.ejtd.2026.100685ISI: 001756165100001Scopus ID: 2-s2.0-105036183862OAI: oai:DiVA.org:kau-109972DiVA, id: diva2:2057658
Available from: 2026-05-05 Created: 2026-05-05 Last updated: 2026-05-22Bibliographically approved

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Bäccman, CharlotteStöre, Siri Jakobsson

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