Efficacy of group psychotherapy for posttraumatic stress disorder: Systematic review and meta-analysis of randomized controlled trials

Schwartze, D; Barkowski, Sarah; Strauß, Bernhard; Knaevelsrud, Christine; Rosendahl, Jenny

doi:10.1080/10503307.2017.1405168

Cited by 117 publications

(74 citation statements)

References 54 publications

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“…[ 7 32 ] Individuals with higher education may be better equipped to deal with difficult situations, for example, problem-solving strategies, and might have more resources to assist support-seeking behavior, for example, getting professional help in form of cognitive-behavioral therapy, psychotherapy, or medical treatment to help reduce PTSS. 33 We found that single CCS-parents reported more avoidance. They may have fewer resources at hand, including emotional and social support, and face additional stressors, 34 which have been shown to impact PTSS and overall mental health.…”

Section: Discussionmentioning

confidence: 64%

Post-traumatic stress in parents of long-term childhood cancer survivors compared to parents of the Swiss general population

Baenziger

Roser

Mader

et al. 2020

Journal of Psychosocial Oncology Research &Amp; Practice

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Background: We describe post-traumatic stress symptoms (PTSS) and post-traumatic stress disorder (PTSD) in parents of longterm childhood cancer survivors (CCS-parents) and compare them to parents of similar-aged children (comparison-parents) of the Swiss general population (SGP). We compare type of reported stressful event, prevalence of PTSS and PTSD, and psychosocial and cancer-related characteristics associated with PTSS. We further describe the respective normative data for the SGP. Methods: We conducted a nationwide cross-sectional questionnaire survey in a population-based sample of long-term CCS-parents (survivors aged 16 years at diagnosis, ≥20 years at study, >5 years post-diagnosis) and in the SGP. Using the Impact of Event Scale-Revised, we measured PTSS regarding the most stressful event experienced, and computed probable cases of PTSD. Results: Participants included 663 CCS-parents (39.4% fathers) and 1035 individuals of the SGP (40.0% male), of which we identified 391 comparisonparents (41.2% fathers). Illness was most often indicated as stressful event (CCS-parents: 49.5%, comparison-parents: 27.6%, SGP: 25.3%). Prevalence of PTSS and PTSD (CCS-parents: 4.8%, comparison-parents: 6.7%, SGP: 5.6%) did not significantly differ. Lower education was associated with higher intrusion, avoidance, and hyperarousal in all samples (all P .003). Parents of children with a chronic illness reported higher intrusion (all P .004). We found no associations with cancer-related characteristics. Conclusions: No increased risk for PTSS or PTSD was found among CCS-parents. Individuals with lower education and those with a chronically ill child might benefit from additional support to help manage and resolve the stress symptoms in the long term.

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Section: Discussionmentioning

confidence: 64%

Post-traumatic stress in parents of long-term childhood cancer survivors compared to parents of the Swiss general population

Baenziger

Roser

Mader

et al. 2020

Journal of Psychosocial Oncology Research &Amp; Practice

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“…Of these, eight papers were rejected because they were not about CBT, 11 were not meta-analyses, 25 were not about anxiety disorders, 31 were limited in their population scope, two were not about treatment efficacy, five were limited to Internet or computer-based intervention, and six were about CBT-VRexp or MBT. Of the eight remaining papers, one was rejected because it was limited in scope (group therapy for PTSD; Schwartze et al, 2019), one was too restrictive on the measure of outcome to allow comparisons (remission rate; Springer et al, 2018), two studied the effect of added interventions to CBT (Bernard et al, 2018;Marker and Norton, 2018), and two were limited to primary care settings without information about specific anxiety disorders (Zhang et al, 2019a,b). Since Barry et al (2018) did not provide information about RCTs, we favored Carpenter et al 2018for our study (see Supplementary Material 3).…”

Section: Resultsmentioning

confidence: 99%

The Adoption of New Treatment Modalities by Health Professionals and the Relative Weight of Empirical Evidence in Favor of Virtual Reality Exposure Versus Mindfulness in the Treatment of Anxiety Disorders

Nolet

Corno

Bouchard

2020

Front. Hum. Neurosci.

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Anxiety disorders are among the most prevalent mental disorders, and cognitivebehavioral therapy (CBT) with exposure exercises is considered as the gold-standard psychological intervention. New psychotherapeutic modalities have emerged in the last decade and, among them, mindfulness has been rapidly adopted by therapists. The adoption rate is slower for the use of virtual reality (VR) to conduct exposure. The goal of the present position paper is to contrast, for the treatment of anxiety disorders, the weight of empirical evidences supporting the use of exposure in VR with the use of mindfulness-based therapy (MBT). Based on the most recent meta-analyses, we found that CBT with exposure conducted in VR was more thoroughly researched and supported than MBT, receiving validation from roughly twice as many studies with high control (i.e., randomized, active controls with clinical samples). However, this conclusion is nuanced by reviewing gaps in the literature for both therapies. Potential factors influencing clinicians' choice of treatment and suggestions for future research directions are proposed.

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“…In fact, meta-analyses have demonstrated its efficacy (e.g. Schwartze et al, 2017). However, there is still a gap in the delivery of group therapy for PTSD in adult primary care in the UK, as indicated by its lack of endorsement by the NICE (2018) guidelines.…”

Section: Introductionmentioning

confidence: 99%

“…In fact, patient-reported outcome research with military veterans suggests that group therapy is a favourable modality (Thompson-Hollands et al, 2018). In their meta-analysis, Schwartze et al (2017) have suggested that sufficient evidence exists to recommend group therapy as a treatment option for PTSD in adults and the need to update the evidence base for group therapy guidelines. This lends further support to the need for the development of group therapy for PTSD in adults.…”

Section: Introductionmentioning

confidence: 99%

Primary care community engagement – delivery of an enhanced and brief homogeneous group TF-CBT intervention for trauma from a single-incident road traffic accident: a case study

Spanton¹

2020

tCBT

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Abstract The main current intervention for post-traumatic stress disorder (PTSD) in adult primary care is individual trauma-focused cognitive behavioural therapy (TF-CBT). Group TF-CBT for PTSD has been advocated in order to improve access and cost. Barriers to the development of group TF-CBT include the need for a large number of sessions and therapist input in order to manage high levels of affect, possible dissociation and secondary traumatisation. This case study was prompted via our community engagement project when local women who had been involved in a single road traffic accident requested group therapy. The aim was to develop a NICE guideline-compliant brief 8-session group TF-CBT intervention that circumvented the above-mentioned barriers and is described in detail. In order to improve access, the group was delivered in the community. Standard and PTSD-specific measures were administered pre-therapy and post-therapy. Eight clients were offered treatment: two dropped out and six completed treatment. At the end of treatment, 3/6 clients attained reliable improvement in their PTSD symptoms. Two of these three clients also reached recovery. This change was maintained at 3-month follow-up where 4/6 clients attained reliable improvement, with three maintaining recovery. The remaining two clients showed minimal change in their PTSD symptoms. Overall, clients reported high-level satisfaction with the treatment protocol. This case study demonstrates a potentially clinically effective and cost-effective group TF-CBT intervention for non-complex single-incident PTSD. Key learning aims It is hoped that the reader of this case study will increase their understanding of the following: (1) Use of a brief group TF-CBT protocol to treat homogeneous single incident trauma in adults. (2) Adaptations to overcome barriers to group TF-CBT in adults. (3) Implementation of individualised reliving based on written-narrative rather than spoken-narrative. (4) Focus on the processes of PTSD, whilst using content as a theme to contextualise the symptoms. (5) Emphasis on the use of homework in order to enhance group affect-modulation and individual learning.

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Efficacy of group psychotherapy for posttraumatic stress disorder: Systematic review and meta-analysis of randomized controlled trials

Cited by 117 publications

References 54 publications

Post-traumatic stress in parents of long-term childhood cancer survivors compared to parents of the Swiss general population

Post-traumatic stress in parents of long-term childhood cancer survivors compared to parents of the Swiss general population

The Adoption of New Treatment Modalities by Health Professionals and the Relative Weight of Empirical Evidence in Favor of Virtual Reality Exposure Versus Mindfulness in the Treatment of Anxiety Disorders

Primary care community engagement – delivery of an enhanced and brief homogeneous group TF-CBT intervention for trauma from a single-incident road traffic accident: a case study

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