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Trauma-focused psychotherapies for post-traumatic stress disorder: A systematic review and network meta-analysis (Acta Psychiatrica Scandinavica)

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Home / Resources / PTSD / Trauma-focused psychotherapies for post-traumatic stress disorder: A systematic review and network meta-analysis (Acta Psychiatrica Scandinavica)

Trauma-focused psychotherapies for post-traumatic stress disorder: A systematic review and network meta-analysis

This article seeks to determine the efficacy and attrition rates of psychotherapy interventions for PTSD by applying network meta-analysis (NMA).


Article Description

“Introduction: Meta-analytic reviews suggest similar outcomes across trauma-focused psychotherapies for adults with post-traumatic stress disorder (PTSD). However, this conclusion may be premature due to suboptimal statistical-review methodologies. Network meta-analysis (NMA) allows a detailed rank-ordering of the efficacy of established psychotherapy interventions derived from indirect evidence as well as results from direct head-to-head comparisons.

Objective: We sought to determine the efficacy and attrition rates of psychotherapy interventions for PTSD by applying NMA.

Methods: We searched EMBASE, PsychINFO, PTSDPubs and PubMed for randomised controlled trials that compared psychotherapies either head-to-head or against controls for adults with PTSD. A frequentist NMA was used to compare direct and indirect effects to determine the efficacy and attrition rates of psychotherapy interventions.

Results: Of the 5649 papers identified, 82 trials comprising of 5838 patients were included. The network comprised 17 psychotherapies and four control conditions. Network estimates indicated superior efficacy of meta-cognitive therapy and cognitive processing therapy over other psychotherapies (ESs between = 0.26 and 2.32). Written exposure therapy and narrative exposure therapy were associated with lower risk of drop out when considered alongside other psychotherapies. Confidence in the network meta-analytic estimates was considered moderate for both outcomes.

Conclusions: In broad terms, therapeutic commensurability was evident. Nevertheless, with additional studies and larger sample sizes, meta-cognitive and written exposure therapies could indeed differentiate themselves from other approaches as having favourable efficacy and acceptability respectively. These findings may inform clinical decision-making, as well as guide future research for PTSD.”

—Description from publisher

Article Access

Open Access

Jericho, B., Luo, A., & Berle, D. (2021). Trauma-focused psychotherapies for post-traumatic stress disorder: A systematic review and network meta-analysis. Acta Pscyhiatrica Scandinavica, 145(2), 111-228. Open Access: https://doi.org/10.1111/acps.13366  

 

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Basic Info Collapse

Date
February 1, 2022

Creator(s)
Brooke Jericho, Aileen Luo, David Berle

Topics
PTSD

Practice & Methods
Comparative Studies

More Info Collapse

Extent
24 pages

Publisher
John Wiley & Sons Ltd.

Rights
© 2021 The Authors. Acta Psychiatrica Scandinavica published by John Wiley & Sons Ltd.

APA Citation
Jericho, B., Luo, A., & Berle, D. (2021). Trauma-focused psychotherapies for post-traumatic stress disorder: A systematic review and network meta-analysis. Acta Pscyhiatrica Scandinavica, 145(2), 132-155. Open Access: https://doi.org/10.1111/acps.13366  

Audience
EMDR Therapists, Other Mental Health Professionals

Language
English

Content Type
Article, Meta-analyses/Systematic Reviews, Peer-Reviewed

Access Type
External Resource, Open Access

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