期刊
PSYCHOSIS-PSYCHOLOGICAL SOCIAL AND INTEGRATIVE APPROACHES
卷 9, 期 1, 页码 67-81出版社
ROUTLEDGE JOURNALS, TAYLOR & FRANCIS LTD
DOI: 10.1080/17522439.2016.1167946
关键词
psychosis; post-traumatic stress disorder; PTSD; trauma; psychological interventions; EMDR; systematic review
资金
- NIHR [PDF-2015-08-035, CDRF-2012-03-059]
- King's College London Prize Fellowship
- NIHR BRC based at Guy's and St Thomas' NHS Foundation Trust and King's College London
- National Institute for Health Research (NIHR)
- National Institutes of Health Research (NIHR) [PDF-2015-08-035] Funding Source: National Institutes of Health Research (NIHR)
Background: Psychological interventions, in particular those derived from cognitive- behavioural therapy frameworks, and eye movement desensitisation and reprocessing, are effective for reducing post-traumatic stress disorder and associated distress. To date, studies have tended to exclude individuals who have psychosis; a clinical population who are known to be at risk of experiencing trauma. Whether people with psychosis also benefit from trauma-focussed psychological therapies (TFPT) warrants further investigation. Method: A systematic search for randomised controlled trials was undertaken. Data were synthesised using narrative and meta-analytic approaches. Results: Five studies met the review inclusion criteria. Study findings overall indicate that TFPT are effective for reducing intrusive thoughts and images, negative beliefs associated with traumatic memories, hypervigilance, and avoidance. Limited data were available about the utility of interventions for improving mood, anxiety and quality of life. Attrition rates were comparable for participants offered active and control conditions. Conclusion: Findings are consistent with those reported for the non-psychosis population. Future studies should establish which interventions are more acceptable and glean more favourable outcomes for this clinical population.
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