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Trauma‐focused guided self‐help interventions for posttraumatic stress disorder: A meta‐analysis of randomized controlled trials.
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- Author(s): Siddaway, Andy P. (AUTHOR); Meiser‐Stedman, Richard (AUTHOR); Chester, Verity (AUTHOR); Finn, Jack (AUTHOR); Leary, Cliodhna O. (AUTHOR); Peck, David (AUTHOR); Loveridge, Camilla (AUTHOR)
- Source:
Depression & Anxiety (1091-4269). Oct2022, Vol. 39 Issue 10, p675-685. 11p. 3 Charts, 1 Graph. - Source:
- Additional Information
- Subject Terms:
- Abstract: Trauma‐focused guided self‐help (TF‐GSH) is an important alternative to psychological therapy delivered by a therapist. This meta‐analysis evaluates the efficacy of TF‐GSH in reducing posttraumatic stress disorder (PTSD) symptoms and comorbid depressive and anxiety symptoms. A total of 17 trials were included that compared a TF‐GSH intervention (N = 610) to various control comparators (N = 570). Control conditions included treatment as usual (k = 2), waiting list (k = 11), phone monitoring (k = 1), nontrauma writing (k = 1), general support (k = 1), and supportive counseling (k = 1). A moderate‐ to large‐sized effect favouring TF‐GSH was observed for PTSD (k = 17, g = −0.81, 95% confidence interval [CI]: −1.24, −0.39) and a moderate‐sized effect was observed for depressive (k = 13, g = −0.73, 95% CI: −1.16, −0.31) and anxiety (k = 11, g = −0.72, 95% CI: −1.18, −0.27) symptoms, with considerable heterogeneity. Moderator analyses were all not statistically significant. Results indicate that TF‐GSH is a promising treatment for PTSD and comorbid depressive and anxiety symptoms. We discuss the nature, extent, and quality of the literature to provide a point of departure for future research. TF‐GSH (and unguided self‐help) may not be appropriate for certain individuals at certain times. Exploring a broad range of treatment delivery modalities will move the field closer towards a model of evidence‐based care in which the likely appropriate dose and type of intervention can be matched to individuals based on presenting problems and other variables. [ABSTRACT FROM AUTHOR]
- Abstract: Copyright of Depression & Anxiety (1091-4269) is the property of Hindawi Limited and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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