Figure 2.

WHOQOL-BREF health related quality of life. Results indicated significant improvement in health related quality of life (p = 0.028) on the WHOQOL-BREF. While the sample size is too small to clearly identify trends it is notable that there was a flattening of the trend line during the intermediate training year i.e., between the final beginning class (Beginning III) and final intermediate class (Intermediate III). Intermediate year training focuses on addressing specific types of traumas and focuses less on training of emotional regulation skills. It is possible that the exposure to learning about specific traumatic events may lead to a short-term level of distress that is reduced in the final two advanced year trainings.