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Psychological therapies for post-traumatic stress disorder in adults: systematic review and meta-analysis

التفاصيل البيبلوغرافية
العنوان: Psychological therapies for post-traumatic stress disorder in adults: systematic review and meta-analysis
المؤلفون: Catrin Lewis, Neil P. Roberts, Martin Andrew, Elise Starling, Jonathan I. Bisson
المصدر: European Journal of Psychotraumatology, Vol 11, Iss 1 (2020)
بيانات النشر: Taylor & Francis Group, 2020.
سنة النشر: 2020
المجموعة: LCC:Psychiatry
مصطلحات موضوعية: ptsd, systematic review, psychological therapy, Psychiatry, RC435-571
الوصف: Background: Psychological therapies are the recommended first-line treatment for post-traumatic stress disorder (PTSD). Previous systematic reviews have grouped theoretically similar interventions to determine differences between broadly distinct approaches. Consequently, we know little regarding the relative efficacy of the specific manualized therapies commonly applied to the treatment of PTSD. Objective: To determine the effect sizes of manualized therapies for PTSD. Methods: We undertook a systematic review following Cochrane Collaboration guidelines. A pre-determined definition of clinical importance was applied to the results and the quality of evidence was appraised using the Grading of Recommendations, Assessment, Development and Evaluations (GRADE) approach. Results: 114 randomized-controlled trials (RCTs) of 8171 participants were included. There was robust evidence that the therapies broadly defined as CBT with a trauma focus (CBT-T), as well as Eye Movement Desensitization and Reprocessing (EMDR), had a clinically important effect. The manualized CBT-Ts with the strongest evidence of effect were Cognitive Processing Therapy (CPT); Cognitive Therapy (CT); and Prolonged Exposure (PE). There was also some evidence supporting CBT without a trauma focus; group CBT with a trauma focus; guided internet-based CBT; and Present Centred Therapy (PCT). There was emerging evidence for a number of other therapies. Conclusions: A recent increase in RCTs of psychological therapies for PTSD, results in a more confident recommendation of CBT-T and EMDR as the first-line treatments. Among the CBT-Ts considered by the review CPT, CT and PE should be the treatments of choice. The findings should guide evidence informed shared decision-making between patient and clinician.
نوع الوثيقة: article
وصف الملف: electronic resource
اللغة: English
تدمد: 2000-8066
20008198
Relation: https://doaj.org/toc/2000-8066
DOI: 10.1080/20008198.2020.1729633
URL الوصول: https://doaj.org/article/a6bd469ee82c475dac4daf7578bed545
رقم الأكسشن: edsdoj.6bd469ee82c475dac4daf7578bed545
قاعدة البيانات: Directory of Open Access Journals
الوصف
تدمد:20008066
20008198
DOI:10.1080/20008198.2020.1729633