Social support and cognitive–behavioral therapy for posttraumatic stress disorder: A systematic review.

Fredette, Catherine; El‐Baalbaki, Ghassan; Palardy, Véronique; Rizkallah, Élias; Guay, Stéphane

doi:10.1037/trm0000070

Cited by 36 publications

(20 citation statements)

References 43 publications

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“…This is consistent with a recent meta-analysis that found that lower perceived social and marital support were related to higher PTSD symptoms after cognitive-behavioral therapy. 52 Interestingly, Fletcher 29 also found that the subclinical group reported more social support than did responders. As social support is one of the strongest predictors of PTSD severity, 53,54 this could explain why subclinical groups report the highest levels of support and therefore had slightly subclinical PTSD at baseline.…”

Section: Discussionmentioning

confidence: 99%

Identifying Trajectories and Predictors of Response to Psychotherapy for Post-Traumatic Stress Disorder in Adults: A Systematic Review of Literature

2019

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Objective: There exists considerable individual variability in the development and progression of pathological stress reactions after experiencing trauma, as well as in individuals’ response to psychological interventions. Yet until recently, such individual differences had not been considered when evaluating the efficacy of therapeutic interventions for post-traumatic stress disorder (PTSD). This systematic review aims to examine the emerging literature on this subject and, specifically, to identify trajectories and predictors of psychotherapeutic response in adults with PTSD. Method: Four databases were searched using specific keywords without date or language restrictions. For each study, independent reviewers systematically evaluated whether it met eligibility criteria and assessed risk of bias. For included studies, reviewers completed data extraction using standard formats. Those examining how subgroups of adults respond to therapy for clinical PTSD using trajectory modeling were deemed eligible. Demographic, PTSD, clinical, and trauma-related factors associated to particular trajectories were also examined. Results: Of the 1,727 papers identified, 11 were included in this analysis. Of these studies, six focused on military-related traumas and five on civilian ones. Although studies found between two and five trajectories, most supported a three-trajectory model of response categorized as responders, nonresponders, and subclinical participants. Over 22 predictors of treatment trajectories were examined. Comorbid depression, anxiety, and alcohol abuse were the strongest predictors of poor therapeutic response. Age, combat exposure, social support, and hyperarousal were moderate predictors. Conclusion: This review provides valuable insight into the treatment of PTSD, as it supports the heterogeneous trajectories of psychotherapeutic responses and provides avenues for the development of interventions that consider individual-level factors in treatment response.

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Section: Discussionmentioning

confidence: 99%

Identifying Trajectories and Predictors of Response to Psychotherapy for Post-Traumatic Stress Disorder in Adults: A Systematic Review of Literature

2019

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“…The follow‐up PTSD assessment was completed via telephone, rather than in person using the CAPS, though strong concordance exists between in‐person and telephone‐administered assessments of psychological phenomena (Dansky, Saladin, Brady, Kilpatrick, & Resnick, 1995). Additionally, social support was assessed via self‐report, whereas multifaceted assessment of social support, including collateral reports by close others and assessment of negative social interactions, may provide the most accurate picture of the social environment (Fredette et al., 2016; Frueh, Turner, Beidel, & Cahill, 2001; Wagner et al., 2016). Moreover, we had limited power to detect small effects in the model that assessed emotional and tangible support simultaneously, and we may have been underpowered to find an effect for tangible support.…”

Section: Discussionmentioning

confidence: 99%

Social Support Moderates the Association Between Posttraumatic Stress Disorder Treatment Duration and Treatment Outcomes in Telemedicine‐Based Treatment Among Rural Veterans

Campbell

Erbes

Grubbs

et al. 2020

Journal of Traumatic Stress

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For patients participating in trauma‐focused psychotherapies for posttraumatic stress disorder (PTSD), such as cognitive processing therapy (CPT), pretreatment characteristics may moderate treatment effectiveness. For instance, preexisting supportive relationships may encourage skill utilization or provide contrasts to maladaptive cognitive biases highlighted in trauma‐focused treatments for PTSD. Such pretreatment characteristics are important to study in rural individuals, who may experience barriers to initiating and completing treatment. The aim of this study was to examine whether pretreatment social support, measured using the Medical Outcomes Study Social Support Survey, would moderate the association between CPT duration (i.e., number of sessions attended) and change in PTSD symptoms, using data from a pragmatic randomized controlled trial of a telemedicine‐based collaborative care intervention for rural veterans (N = 225). Social support moderated the association between CPT duration and PTSD symptom change, B = −0.016, SE = −.006; 95% CI [−0.028, −0.005], such that increased duration was associated with more PTSD symptom change only at average or higher levels of support. This effect was found for overall and emotional support but not tangible support. Additionally, on average, among participants who attended eight or more CPT sessions, only those at or above 1 standard deviation above the mean social support score demonstrated a reliable change in PTSD symptoms. The results indicate that the link between CPT treatment duration and treatment outcomes may be stronger for veterans with higher levels of pretreatment social support.

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“…In fact, the acknowledgement of the importance of social support cannot be overstated. Its contribution to optimal human functioning, as a facilitative factor, has been demonstrated in numerous life domains: psychological adjustment (Fredette, El-Baalbaki, Palardy, Rizkallah, & Guay, 2016; Martinez-Hernaez, Carceller-Maicas, DiGiacomo, & Ariste, 2016), health (Karfopoulou, Anastasiou, Avgeraki, Kosmidis, & Yannakoulia, 2016), academic achievements (Poldin, Valeeva, & Yudkevich, 2016), and others. It is known to assist in coping with daily hazards and guiding interpersonal actions, while providing feedback that shapes identity (Belsky, 1984; House, 1981).…”

Section: Mothers’ Sociabilitymentioning

confidence: 99%

Intergenerational Transmission of Sociability: The Mediating Role of Maternal Competence and Maternal Child-Centrism

Lavenda

Kestler–Peleg

2017

Journal of Family Issues

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This study focuses on the psychological mechanisms of mothering involved in the association of maternal sociability and the sociability of their preschool children. In particular, it is posited that this association is mediated by two maternal psychological conceptualizations: (a) perception of ability to take on the role of motherhood (i.e., maternal competence) and (b) perception of distribution of resources between child and self (i.e., maternal child-centrism). Participants included 320 Jewish–Israeli mothers of preschool children (age 4-6 years) who completed self-reported questionnaires dealing with social relationships, child sociability, maternal competence, and maternal child-centrism. Multiple regression analyses confirmed the mediating effect of maternal competence and child-centrism as well as the association between the mother’s sociability and child sociability. These findings are discussed in light of social capital theory and contemporary parenting styles. Professionals working with families should be aware of the impact of social networks on maternal perception and their influence on children.

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Social support and cognitive–behavioral therapy for posttraumatic stress disorder: A systematic review.

Cited by 36 publications

References 43 publications

Identifying Trajectories and Predictors of Response to Psychotherapy for Post-Traumatic Stress Disorder in Adults: A Systematic Review of Literature

Identifying Trajectories and Predictors of Response to Psychotherapy for Post-Traumatic Stress Disorder in Adults: A Systematic Review of Literature

Social Support Moderates the Association Between Posttraumatic Stress Disorder Treatment Duration and Treatment Outcomes in Telemedicine‐Based Treatment Among Rural Veterans

Intergenerational Transmission of Sociability: The Mediating Role of Maternal Competence and Maternal Child-Centrism

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