Psychological therapies for post-traumatic stress disorder in adults: systematic review and meta-analysis
| العنوان: | Psychological therapies for post-traumatic stress disorder in adults: systematic review and meta-analysis |
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| المؤلفون: | Martin Andrew, Jonathan Ian Bisson, Catrin Lewis, Neil P. Roberts, Elise Starling |
| المصدر: | European Journal of Psychotraumatology European Journal of Psychotraumatology, Vol 11, Iss 1 (2020) |
| بيانات النشر: | Taylor & Francis, 2020. |
| سنة النشر: | 2020 |
| مصطلحات موضوعية: | 050103 clinical psychology, Psychotherapist, medicine.medical_treatment, RC435-571, Psychological intervention, TEPT, behavioral disciplines and activities, 系统评价, 03 medical and health sciences, 0302 clinical medicine, systematic review, mental disorders, Medicine, revisión sistemática, 0501 psychology and cognitive sciences, Grading (education), Psychiatry, • This review informed the latest ISTSS treatment guidelines. It summarises the current evidence-base in relation to the effect of specific therapies for PTSD, business.industry, 05 social sciences, terapia psicológica, Traumatic stress, PTSD, 030227 psychiatry, Posttraumatic stress, Systematic review, 心理治疗, psychological therapy, Meta-analysis, Cognitive therapy, Cognitive processing therapy, Reviews that informed the ISTSS guidelines update, business |
| الوصف: | Background: Psychological therapies are the recommended first-line treatment for posttraumatic\ud stress disorder (PTSD). Previous systematic reviews have grouped theoretically\ud similar interventions to determine differences between broadly distinct approaches.\ud Consequently, we know little regarding the relative efficacy of the specific manualised\ud therapies commonly applied to the treatment of PTSD.\ud Objective: To determine the effect sizes of manualised therapies for PTSD.\ud Methods: We undertook a systematic review following Cochrane Collaboration guidelines. A\ud pre determined definition of clinical importance was applied to the results and the quality of\ud evidence was appraised using the Grading of Recommendations, Assessment, Development\ud and Evaluations (GRADE) approach.\ud Results: 114 randomised controlled trials (RCTs) of 8171 participants were included. There\ud was robust evidence that the therapies broadly defined as CBT with a trauma focus (CBT-T),\ud as well as Eye Movement Desensitisation and Reprocessing (EMDR), had a clinically important\ud effect. The manualised CBT-Ts with the strongest evidence of effect were Cognitive\ud Processing Therapy (CPT); Cognitive Therapy (CT); and Prolonged Exposure (PE). There was\ud also some evidence supporting CBT without a trauma focus; group CBT with a trauma focus;\ud guided internet-based CBT; and Present Centred Therapy (PCT). There was emerging\ud evidence for a number of other therapies.\ud Conclusions: A recent increase in RCTs of psychological therapies for PTSD, results in a more\ud confident recommendation of CBT-T and EMDR as the first-line treatments. Among the CBTTs\ud considered by the review CPT, CT and PE should be the treatments of choice. The findings\ud should guide evidence informed shared decision making between patient and clinician. |
| اللغة: | English |
| تدمد: | 2000-8066 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::298a4878902874296ce8d43b4fa109d6 https://orca.cardiff.ac.uk/id/eprint/129819/1/Binder1.pdf |
| حقوق: | OPEN |
| رقم الأكسشن: | edsair.doi.dedup.....298a4878902874296ce8d43b4fa109d6 |
| قاعدة البيانات: | OpenAIRE |
PDF full text from Publisher | تدمد: | 20008066 |
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