مورد إلكتروني
Impact of dissociation on the effectiveness of psychotherapy for post-traumatic stress disorder: Meta-analysis
| العنوان: | Impact of dissociation on the effectiveness of psychotherapy for post-traumatic stress disorder: Meta-analysis |
|---|---|
| المؤلفون: | Hoeboer, C.M., Kleine, R.A. de, Molendijk, M.L., Schoorl, M., Oprel, D.A.C., Mouthaan, J., Does, A.J.W. van der, Minnen, A. van |
| المصدر: | British Journal of Psychiatry Open; 2056-4724; 3; vol. 6; e53; ~British Journal of Psychiatry Open~~~~~2056-4724~3~6~~e53 |
| بيانات النشر: | 2020 |
| نوع الوثيقة: | Electronic Resource |
| مستخلص: | Contains fulltext : 219067.pdf (publisher's version ) (Open Access) Background: Many patients with post-traumatic stress disorder (PTSD) experience dissociative symptoms. The question of whether these dissociative symptoms negatively influence the effectiveness of psychotherapy for PTSD is unresolved. AIMS: To determine the influence of dissociative symptoms on psychotherapy outcome in PTSD. Method: We conducted a systematic search in Cochrane, Embase, PILOTS, PsycINFO, PubMed and Web of Science for relevant clinical trials. A random-effects meta-analysis examined the impact of dissociation on psychotherapy outcome in PTSD (pre-registered at Prospero CRD42018086575). Results: Twenty-one trials (of which nine were randomised controlled trials) with 1714 patients were included. Pre-treatment dissociation was not related to treatment effectiveness in patients with PTSD (Pearson's correlation coefficient 0.04, 95% CI -0.04 to 0.13). Between-study heterogeneity was high but was not explained by moderators such as trauma focus of the psychotherapy or risk of bias score. There was no indication for publication bias. Conclusions: We found no evidence that dissociation moderates the effectiveness of psychotherapy for PTSD. The quality of some of the included studies was relatively low, emphasising the need for high-quality clinical trials in patients with PTSD. The results suggest that pre-treatment dissociation does not determine psychotherapy outcome in PTSD. |
| الإتاحة: | Open access content. Open access content |
| أرقام أخرى: | NLQGE oai:repository.ubn.ru.nl:2066/219067 https://repository.ubn.ru.nl//bitstream/handle/2066/219067/219067.pdf https://hdl.handle.net/2066/219067 https://doi.org/10.1192/bjo.2020.30 1284104517 |
| المصدر المساهم: | RADBOUD UNIVERSITEIT NAJMEGEN From OAIster®, provided by the OCLC Cooperative. |
| رقم الأكسشن: | edsoai.on1284104517 |
| قاعدة البيانات: | OAIster |
| الوصف غير متاح. |