A systematic review and meta-analysis of group treatments for adults with symptoms associated with complex post-traumatic stress disorder - PubMed (original) (raw)
Meta-Analysis
. 2019 Jan 15:243:305-321.
doi: 10.1016/j.jad.2018.09.059. Epub 2018 Sep 17.
Affiliations
- PMID: 30261446
- DOI: 10.1016/j.jad.2018.09.059
Meta-Analysis
A systematic review and meta-analysis of group treatments for adults with symptoms associated with complex post-traumatic stress disorder
Adam Mahoney et al. J Affect Disord. 2019.
Abstract
Background: No previous meta-analyses have specifically investigated the effectiveness of psychological group therapy for symptoms associated with complex interpersonal trauma, including whether trauma memory processing (TMP) therapies are superior to psychoeducational approaches alone.
Methods: A systematic review identified 36 randomised control trials (RCTs) which were included in the meta-analysis.
Results: Large significant effect sizes were evident for TMP interventions when compared to usual care for three outcome domains including: PTSD (k = 6, g = -0.98, 95% CI -1.53, -0.43), Depression (k = 7, g = -1.12, 95% CI -2.01, -0.23) and Psychological Distress (k = 6, g = -0.98, 95% CI 1.66, -0.40). When TMP and psychoeducation interventions were directly compared, results indicated a small non-significant effect in favour of the former for PTSD symptoms, (k = 4, g = -0.34, 95% CI -1.05, 0.36) and small non-significant effect sizes in favour of the latter for Depression (k = 3, g = 0.29, 95% CI -0.83, 1.4) and Psychological Distress (k = 6, g = 0.19, 95% CI -0.34, 0.71).
Limitations: Heterogeneity and a limited number of high quality RCTs, particularly in the Substance Misuse and Dissociation domains, resulted in uncertainty regarding meta-analytical estimates and subsequent conclusions.
Conclusions: Results suggest that TMP interventions are useful for traumatic stress whereas non-TMP interventions can be useful for symptoms of general distress (e.g. anxiety and depression). Thus, both TMP and psychoeducation can be useful for the treatment of complex interpersonal trauma symptoms and further research should unravel appropriate sequencing and dose of these interventions.
Keywords: Abuse; Complex trauma; Group treatment; Meta-analysis; PTSD.
Copyright © 2018. Published by Elsevier B.V.
Similar articles
- Psychological therapies for the treatment of post-traumatic stress disorder in children and adolescents (Review).
Gillies D, Taylor F, Gray C, O'Brien L, D'Abrew N. Gillies D, et al. Evid Based Child Health. 2013 May;8(3):1004-116. doi: 10.1002/ebch.1916. Evid Based Child Health. 2013. PMID: 23877914 Review. - Psychological therapies for the treatment of post-traumatic stress disorder in children and adolescents.
Gillies D, Taylor F, Gray C, O'Brien L, D'Abrew N. Gillies D, et al. Cochrane Database Syst Rev. 2012 Dec 12;12:CD006726. doi: 10.1002/14651858.CD006726.pub2. Cochrane Database Syst Rev. 2012. PMID: 23235632 Review. - Psychological treatment of post-traumatic stress disorder (PTSD).
Bisson J, Andrew M. Bisson J, et al. Cochrane Database Syst Rev. 2005 Apr 18;(2):CD003388. doi: 10.1002/14651858.CD003388.pub2. Cochrane Database Syst Rev. 2005. PMID: 15846661 Updated. Review. - Relative efficacy of psychological interventions following interpersonal trauma on anxiety, depression, substance use, and PTSD symptoms in young people: A meta-analysis.
Peters W, Rice S, Alvarez-Jimenez M, Hetrick SE, Halpin E, Kamitsis I, Santesteban-Echarri O, Bendall S. Peters W, et al. Early Interv Psychiatry. 2022 Nov;16(11):1175-1184. doi: 10.1111/eip.13265. Epub 2022 Feb 1. Early Interv Psychiatry. 2022. PMID: 35106931 Free PMC article. Review. - Efficacy of group psychotherapy for posttraumatic stress disorder: Systematic review and meta-analysis of randomized controlled trials.
Schwartze D, Barkowski S, Strauss B, Knaevelsrud C, Rosendahl J. Schwartze D, et al. Psychother Res. 2019 May;29(4):415-431. doi: 10.1080/10503307.2017.1405168. Epub 2017 Nov 27. Psychother Res. 2019. PMID: 29179647
Cited by
- The Trauma PORTAL-A Blended e-Health Intervention for Survivors of Childhood Interpersonal Trauma: An Open-Label Pilot Study.
Behdinan T, Truuvert AK, Adekunte A, McCallum N, Vigod SN, Butt A, Rojas D, Soklaridis S, Ross DC. Behdinan T, et al. Telemed Rep. 2024 Jul 12;5(1):195-204. doi: 10.1089/tmr.2024.0020. eCollection 2024. Telemed Rep. 2024. PMID: 39081455 - Long-term follow-up of a multimodal day clinic, group-based treatment program for patients with very high risk for complex posttraumatic stress disorder, and for patients with non-complex trauma-related disorders.
Bever-Philipps A, Silbermann A, Morawa E, Schäflein E, Stemmler M, Erim Y. Bever-Philipps A, et al. Front Psychiatry. 2023 Jun 15;14:1152486. doi: 10.3389/fpsyt.2023.1152486. eCollection 2023. Front Psychiatry. 2023. PMID: 37398576 Free PMC article. - Treatment of Posttraumatic Stress Disorder: A State-of-the-art Review.
Burback L, Brémault-Phillips S, Nijdam MJ, McFarlane A, Vermetten E. Burback L, et al. Curr Neuropharmacol. 2024;22(4):557-635. doi: 10.2174/1570159X21666230428091433. Curr Neuropharmacol. 2024. PMID: 37132142 Free PMC article. Review. - Dialectical behaviour therapy for posttraumatic stress disorder (DBT-PTSD): transportability to everyday clinical care in a residential mental health centre.
Oppenauer C, Sprung M, Gradl S, Burghardt J. Oppenauer C, et al. Eur J Psychotraumatol. 2023;14(1):2157159. doi: 10.1080/20008066.2022.2157159. Eur J Psychotraumatol. 2023. PMID: 37052092 Free PMC article. - PROTOCOL: Group-based community interventions to support the social reintegration of marginalised adults with mental illness.
Dalgaard NT, Flensborg Jensen MC, Bengtsen E, Krassel KF, Vembye MH. Dalgaard NT, et al. Campbell Syst Rev. 2022 Jul 14;18(3):e1254. doi: 10.1002/cl2.1254. eCollection 2022 Sep. Campbell Syst Rev. 2022. PMID: 36909877 Free PMC article.
Publication types
MeSH terms
LinkOut - more resources
Full Text Sources
Other Literature Sources
Medical