Effects of psychotherapeutic treatments for PTSD: A meta-analysis of controlled clinical trials

被引:117
作者
Sherman, JJ [1 ]
机构
[1] Univ Washington, Coll Med, Dept Psychiat & Behav Sci, Seattle, WA 98195 USA
关键词
PTSD; treatment; outcome; control;
D O I
10.1023/A:1024444410595
中图分类号
B849 [应用心理学];
学科分类号
040203 ;
摘要
This meta-analysis synthesized the results from controlled clinical trials of psychotherapeutic treatments for posttraumatic stress disorder (PTSD). Psychotherapeutic modalities included behavioral, cognitive, and psychodynamic treatments, in group and individual settings. Participants in the studies included combat veterans from the Vietnam and Lebanon Wars, crime-related victims, and severe bereavement sufferers. The impact of psychotherapy on PTSD and psychiatric symptomatology was significant, d = .52, r = .25, when measured immediately after treatments were administered Similarly, there was no decay in the effect of treatment at follow-up, d = .64, r = .31. Moreover for target symptoms of PTSD and general psychological symptoms (intrusion, avoidance, hyperarousal, anxiety, and depression), effect sizes were significant, ranging from r's of .2-.49. Results suggest substantial promise for improving psychological health and decreasing related symptoms for those suffering from PTSD.
引用
收藏
页码:413 / 435
页数:23
相关论文
共 99 条
[1]  
ALLEN SN, 1994, PSYCHIAT CLIN N AM, V17, P425
[2]  
[Anonymous], J TRAUMATIC STRESS
[3]  
[Anonymous], METAANALYSIS PROCEDU
[4]  
[Anonymous], 1989, DSTAT: Software for the meta-analytic review of research literatures
[5]   AN INVENTORY FOR MEASURING DEPRESSION [J].
BECK, AT ;
ERBAUGH, J ;
WARD, CH ;
MOCK, J ;
MENDELSOHN, M .
ARCHIVES OF GENERAL PSYCHIATRY, 1961, 4 (06) :561-&
[6]  
BLAKE DD, 1993, CLIN PSYCHOL CLIN NE, V3, P14
[7]   PSYCHIATRIC MORBIDITY ASSOCIATED WITH MOTOR-VEHICLE ACCIDENTS [J].
BLANCHARD, EB ;
HICKLING, EJ ;
TAYLOR, AE ;
LOOS, W .
JOURNAL OF NERVOUS AND MENTAL DISEASE, 1995, 183 (08) :495-504
[8]  
Boudewyns P A, 1996, Prog Behav Modif, V30, P165
[9]   PHYSIOLOGICAL-RESPONSE TO COMBAT MEMORIES AND PRELIMINARY TREATMENT OUTCOME IN VIETNAM VETERAN PTSD PATIENTS TREATED WITH DIRECT THERAPEUTIC EXPOSURE [J].
BOUDEWYNS, PA ;
HYER, L .
BEHAVIOR THERAPY, 1990, 21 (01) :63-87
[10]  
Boudewyns PA, 1996, CLIN PSYCHOL PSYCHOT, V3, P185, DOI 10.1002/(SICI)1099-0879(199609)3:3<185::AID-CPP101>3.0.CO