Abstract:
Background:Non-pharmacological and non-psychological approaches to the treatment of post-traumatic stress disorder (PTSD) have often been excluded from systematic reviews and meta-analyses. Consequently, we know little regarding their efficacy. Objective:To determine the effect sizes of non-pharmacological and non-psychological treatment approaches for PTSD. Method:We undertook a systematic review and meta-analyses following Cochrane Collaboration guidelines. A pre-determined definition of clinical importance was applied to the results and the quality of evidence was appraised using the Grading of Recommendations, Assessment, Development and Evaluations (GRADE) approach. Results:30 randomised controlled trials (RCTs) of a range of heterogeneous non-psychological and non-pharmacological interventions (28 in adults, two in children and adolescents) were included. There was emerging evidence for six different approaches (acupuncture, neurofeedback, saikokeishikankyoto (a herbal preparation), somatic experiencing, transcranial magnetic stimulation, and yoga). Conclusions:Given the level of evidence available, it would be premature to offer non-pharmacological and non-psychological interventions routinely, but those with evidence of efficacy provide alternatives for people who do not respond to, do not tolerate or do not want more conventional evidence-based interventions. This review should stimulate further research in this area. :Antecedentes: Los enfoques no farmacológicos y no psicológicos para el tratamiento del trastorno de estrés postraumático (TEPT) han sido frecuentemente excluidos de las revisiones sistemáticas y los metanálisis. Consecuentemente, poco sabemos acerca de su eficacia.Objetivo: Determinar los tamaños de efecto de los enfoques de tratamiento no farmacológicos y no psicológicos para el TEPT.Método: Realizamos una revisión sistemática siguiendo las guías de la Colaboración Cochrane. Se aplicó una definición predeterminada de la importancia clínica a los resultados y se evaluó la calidad de la evidencia usando el enfoque de Calificación del Análisis, Desarrollo y Evaluación de las Recomendaciones (GRADE por sus siglas en ingles de Grading of Recommendations Assessment, Development and Evaluation).Resultados: Se incluyeron 30 estudios controlados aleatorizados (RCTs) de un rango de intervenciones heterogéneas no psicológicas y no farmacológicas (28 en adultos, dos en niños y adolescentes). Hubo evidencia emergente para 6 diferentes enfoques (acupuntura, neurofeedback, saikokeishikankyoto (una preparación a base de hierbas), experiencia somática, estimulación magnética transcraneal y yoga).Conclusiones: Dado el nivel de evidencia disponible, sería prematuro ofrecer intervenciones no farmacológicas y no psicológicas de forma rutinaria, pero aquellas con evidencia de eficacia brindan alternativas para las personas que no responden, no toleran o no quieren intervenciones convencionales basadas en la evidencia. Esta revisión debería estimular mayor investigación en esta área. :背景:治疗创伤后应激障碍 (PTSD) 的非药物学和非心理学方法常常被系统综述和元分析排除。因此, 我们对其疗效知之甚少。目的:确定PTSD的非药物和非心理治疗方法的效应量。方法:我们根据Cochrane协作指南进行了系统综述。将临床重要性的预定义应用于结果, 并使用‘建议, 评估, 发展和评估’ (GRADE) 方法评估证据的质量。结果:纳入了30项各种异质的非心理和非药物干预措施的随机对照试验 (RCT) (成人28例, 儿童和青少年2例) 。有六种不同方法的新证据 (针灸, 神经反馈, saikokeishikankyoto (一种草药制剂), 躯体体验, 经颅磁刺激和瑜伽) 。结论:鉴于可获得的证据水平, 定期提供非药物和非心理干预为时过早, 但有疗效的证据为那些不响应, 不容忍或不愿接受更多传统循证干预的人提供了替代方案。这项综述应促进这一领域的进一步研究。.
journal_name
Eur J Psychotraumatoljournal_title
European journal of psychotraumatologyauthors
Bisson JI,van Gelderen M,Roberts NP,Lewis Cdoi
10.1080/20008198.2020.1795361subject
Has Abstractpub_date
2020-08-24 00:00:00pages
1795361issue
1issn
2000-8066pii
1795361journal_volume
11pub_type
杂志文章abstract::Background: Humanitarian workers operate in traumatic contexts, putting them at an increased risk of adverse mental health outcomes. The quality of the support they receive from their organization, their supervisor, and team members are proposed as determinants of mental illness and well-being, via the stress-appraisa...
journal_title:European journal of psychotraumatology
pub_type: 杂志文章
doi:10.1080/20008198.2019.1694811
更新日期:2019-12-03 00:00:00
abstract:BACKGROUND:The war in former Yugoslavia, which commenced in 1990, caused the biggest refugee crisis in Europe since World War II. There are numerous research investigations into the trauma and associated problems. However, there is no available publication concerning refugees' own perception of the provided support in ...
journal_title:European journal of psychotraumatology
pub_type: 杂志文章
doi:10.3402/ejpt.v3i0.8447
更新日期:2012-01-01 00:00:00
abstract::Given the unique context of warzone engagement, which may include chronic threat, multiple and lengthy deployments, and loss, there is a need to understand whether and to what extent knowledge about PTSD derived from studies of civilian trauma exposure is generalizeable to the military. This special issue on PTSD in t...
journal_title:European journal of psychotraumatology
pub_type: 杂志文章
doi:10.3402/ejpt.v5.25322
更新日期:2014-08-14 00:00:00
abstract::Background: Trauma exposure and post-traumatic stress disorder (PTSD) are risk factors for chronic pain. Objective: This study investigated how exposure to intentional and non-intentional traumatic events and PTSD are related to pain severity and outcome of treatment in chronic pain patients. Methods: We assessed expo...
journal_title:European journal of psychotraumatology
pub_type: 杂志文章
doi:10.1080/20008198.2017.1375337
更新日期:2017-09-19 00:00:00
abstract:BACKGROUND:Patients with posttraumatic stress disorder (PTSD) are prone to dissociation, which in theory should interfere with successful treatment. However, most empirical studies do not substantiate this assumption. OBJECTIVE:The primary objective was to test whether state dissociation predicts the success of an ada...
journal_title:European journal of psychotraumatology
pub_type: 杂志文章
doi:10.3402/ejpt.v7.30375
更新日期:2016-07-06 00:00:00
abstract:BACKGROUND:To date there is a lack of studies assessing the psychometric properties of the recently revised PTSD Checklist (PCL), the PTSD Checklist for DSM-5 (PCL-5). The aim of this pilot study was to examine the psychometric properties of the PCL-5 in parents of children with burns. METHODS:The participating parent...
journal_title:European journal of psychotraumatology
pub_type: 杂志文章
doi:10.3402/ejpt.v7.30165
更新日期:2016-04-19 00:00:00
abstract:BACKGROUND:During the past several years, there has been a growing interest in the negative effects that providing therapy may have on therapists. Of special interest is a phenomenon called secondary traumatization, which can arise while working with traumatized clients. To develop a simple screening tool for secondary...
journal_title:European journal of psychotraumatology
pub_type: 杂志文章
doi:10.3402/ejpt.v5.21875
更新日期:2014-01-09 00:00:00
abstract:BACKGROUND:Although there is some evidence of the posttraumatic stress disorder (PTSD) construct's cross cultural validity, trauma-related disorders may vary across cultures, and the same may be true for treatments that address such conditions. Experienced therapists tailor psychotherapy to each patient's particular si...
journal_title:European journal of psychotraumatology
pub_type: 杂志文章
doi:10.3402/ejpt.v7.31179
更新日期:2016-07-28 00:00:00
abstract::Background: The variables that underlie comorbid chronic pain and posttraumatic stress symptoms (PTSS) are not yet clearly established. Objective: The aim of the present study was to analyse the role of the behavioural inhibition system (BIS), behavioural approach system (BAS) and experiential avoidance (EA) in pain a...
journal_title:European journal of psychotraumatology
pub_type: 杂志文章
doi:10.1080/20008198.2019.1581013
更新日期:2019-03-11 00:00:00
abstract:BACKGROUND:Prolonged grief disorder is proposed for the International Classification of Diseases (ICD-11), though it was rejected as a diagnosis for DSM-5. OBJECTIVE:This review outlines findings and defines important areas for future research viewed from a lifespan perspective. RESULTS:The development and psychometr...
journal_title:European journal of psychotraumatology
pub_type: 杂志文章
doi:10.3402/ejpt.v6.27303
更新日期:2015-05-19 00:00:00
abstract:BACKGROUND:Asylum interviews within the asylum procedure are associated with psychological stress for traumatized asylum seekers. This study investigates the impact of asylum interviews on the mental health in a sample of 40 traumatized asylum seekers. The comparison group consisted of refugees (N=10) that had not been...
journal_title:European journal of psychotraumatology
pub_type: 杂志文章
doi:10.3402/ejpt.v6.26286
更新日期:2015-09-01 00:00:00
abstract:BACKGROUND:While males constitute the majority, female adolescent offenders are a sizeable minority of the overall delinquent population. Further, those females who become involved in delinquent activities appear to be doing so at a younger age, and they are involved in a wide range of criminal activities, including vi...
journal_title:European journal of psychotraumatology
pub_type: 杂志文章
doi:10.3402/ejpt.v3i0.17247
更新日期:2012-01-01 00:00:00
abstract:BACKGROUND:Recent research suggests that childhood adversity exerts a lasting impact not only on the affected individuals but also on their offspring. Little is known about the role of parental rearing behavior in the transgenerational conveyance of parental childhood adversity and filial psychological health. OBJECTI...
journal_title:European journal of psychotraumatology
pub_type: 杂志文章
doi:10.3402/ejpt.v7.30804
更新日期:2016-10-25 00:00:00
abstract:BACKGROUND:This paper investigated adherence to a self-help web-based intervention for PTSD (Chinese My Trauma Recovery, CMTR) in mainland China and evaluated the association between adherence measures and potential predictors, for example, traumatic symptoms and self-efficacy. METHODS:Data from 56 urban and 90 rural ...
journal_title:European journal of psychotraumatology
pub_type: 杂志文章
doi:10.3402/ejpt.v5.26526
更新日期:2014-12-09 00:00:00
abstract::Background: The network approach to mental disorders offers a novel framework for conceptualizing posttraumatic stress disorder (PTSD) as a causal system of interacting symptoms. Objective: In this study, we extended this work by estimating the structure of relations among PTSD symptoms in adults reporting personal hi...
journal_title:European journal of psychotraumatology
pub_type: 杂志文章
doi:10.1080/20008198.2017.1341276
更新日期:2017-07-15 00:00:00
abstract::Background: Studies that identify children after acute trauma and prospectively track risk/protective factors and trauma responses over time are resource-intensive; small sample sizes often limit power and generalizability. The Prospective studies of Acute Child Trauma and Recovery (PACT/R) Data Archive was created to...
journal_title:European journal of psychotraumatology
pub_type: 杂志文章
doi:10.1080/20008198.2020.1729025
更新日期:2020-03-10 00:00:00
abstract:BACKGROUND:School killings attract immense media and public attention but psychological studies surrounding these events are rare. OBJECTIVE:To examine the prevalence of posttraumatic stress disorder (PTSD) and possible risk factors of PTSD in 320 Danish high school students (mean age 18 years) 7 months after witnessi...
journal_title:European journal of psychotraumatology
pub_type: 杂志文章
doi:10.3402/ejpt.v4i0.19826
更新日期:2013-01-01 00:00:00
abstract:BACKGROUND:Predominant dissociation in posttraumatic stress disorder (PTSD) is characterized by restricted affective responses to positive stimuli. To date, no studies have examined neural responses to a range of emotional expressions in PTSD with high dissociative symptoms. OBJECTIVE:This study tested the hypothesis ...
journal_title:European journal of psychotraumatology
pub_type: 杂志文章
doi:10.3402/ejpt.v4i0.20430
更新日期:2013-09-04 00:00:00
abstract::Background: Pre-sleep cognitive activity and arousal have long been implicated in the maintenance of insomnia. However, despite high comorbidity between insomnia and posttraumatic stress disorder (PTSD), pre-sleep thoughts in PTSD and their associations with disturbed sleep, have not yet been investigated. Objective: ...
journal_title:European journal of psychotraumatology
pub_type: 杂志文章
doi:10.1080/20008198.2019.1651476
更新日期:2019-08-27 00:00:00
abstract::Background: Two stress-related disorders have been proposed for inclusion in the revised ICD-11: Posttraumatic Stress Disorder (PTSD) and Complex PTSD (CPTSD). The International Trauma Questionnaire (ITQ) is a bespoke measure of PTSD and CPTSD and has been widely used in English-speaking countries. Objective: The prim...
journal_title:European journal of psychotraumatology
pub_type: 杂志文章
doi:10.1080/20008198.2019.1608718
更新日期:2019-05-15 00:00:00
abstract::The COVID-19 pandemic has changed life in Europe and globally. The pandemic affects both individuals and the broader society across many domains, including physical and psychological health, the economy and general welfare. The measures taken to counteract the pandemic have significantly altered daily life and, along ...
journal_title:European journal of psychotraumatology
pub_type: 杂志文章
doi:10.1080/20008198.2020.1780782
更新日期:2020-07-09 00:00:00
abstract::Background: Cumulative evidence suggests that both traumatic stress and posttraumatic stress disorder (PTSD) are cross-sectionally and prospectively linked to cardiovascular disease (CVD). However, their association with proxy markers of atherosclerosis has hardly been investigated. Objective: The objective of this ge...
journal_title:European journal of psychotraumatology
pub_type: 杂志文章
doi:10.1080/20008198.2020.1815280
更新日期:2020-10-14 00:00:00
abstract::Background: A diagnosis of post-traumatic stress disorder (PTSD) requires the identification of one or more traumatic events, designated the index trauma, which serves as the basis for assessment of severity of PTSD. In patients who have experienced more than one traumatic event, severity may depend on the exact defin...
journal_title:European journal of psychotraumatology
pub_type: 杂志文章
doi:10.1080/20008198.2018.1486124
更新日期:2018-07-09 00:00:00
abstract::Background: A crucial but often overlooked impact of early life exposure to trauma is its far-reaching effect on a person's relationship with their body. Several domains of body experience may be negatively influenced or damaged as a result of early childhood trauma. Objective: The aim of this study was to investigate...
journal_title:European journal of psychotraumatology
pub_type: 杂志文章
doi:10.1080/20008198.2017.1322892
更新日期:2017-05-31 00:00:00
abstract:BACKGROUND:In the 5th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5), the symptom profile of posttraumatic stress disorder (PTSD) was expanded to include 20 symptoms. An alternative model of PTSD is outlined in the proposed 11th edition of the International Classification of Diseases (ICD-...
journal_title:European journal of psychotraumatology
pub_type: 杂志文章
doi:10.3402/ejpt.v6.28766
更新日期:2015-10-07 00:00:00
abstract::The 11th revision to the World Health Organization's International Classification of Diseases (ICD-11) proposes two distinct sibling conditions: Posttraumatic Stress Disorder (PTSD) and Complex PTSD (CPTSD). In this paper, we aim to provide an update on the latest research regarding the conceptual structure and measur...
journal_title:European journal of psychotraumatology
pub_type: 杂志文章
doi:10.1080/20008198.2017.1418103
更新日期:2018-01-15 00:00:00
abstract::Background: Moral injury has been found to adversely affect US veteran mental health, and the mental health difficulties resulting from moral injury can be particularly challenging to treat. Yet little is known about the impact of moral injury on the well-being of UK armed forces (AF) veterans and how moral injury is ...
journal_title:European journal of psychotraumatology
pub_type: 杂志文章
doi:10.1080/20008198.2018.1562842
更新日期:2019-01-14 00:00:00
abstract::Background: Whereas the association between social support and psychological distress has been well-established through both cross-sectional and longitudinal studies, less is known about whether social support influences rate of change in psychological distress over time. Nor is it clear whether social support predict...
journal_title:European journal of psychotraumatology
pub_type: 杂志文章
doi:10.1080/20008198.2017.1302692
更新日期:2017-03-20 00:00:00
abstract:BACKGROUND:Despite robust empirical support for the efficacy of trauma-focused treatments, the dissemination proves difficult, especially in relation to patients with comorbid psychosis. Many therapists endorse negative beliefs about the credibility, burden, and harm of such treatment. OBJECTIVE:This feasibility study...
journal_title:European journal of psychotraumatology
pub_type: 杂志文章
doi:10.3402/ejpt.v7.31712
更新日期:2016-09-06 00:00:00
abstract:BACKGROUND:While there is a considerable amount of literature addressing consequences of trauma in veterans and holocaust survivors, war and postwar civilian populations, particularly children, are still understudied. Evidence regarding intergenerational effects of trauma in families is inconsistent. OBJECTIVE:To shed...
journal_title:European journal of psychotraumatology
pub_type: 杂志文章
doi:10.3402/ejpt.v4i0.21060
更新日期:2013-08-13 00:00:00