Cristin-resultat-ID: 361340
Sist endret: 12. august 2013 12:48
NVI-rapporteringsår: 2008
Resultat
Vitenskapelig artikkel
2008

Early trauma-focused cognitive-behavioural therapy to prevent chronic post-traumatic stress disorder and related symptoms: A systematic review and meta-analysis

Bidragsytere:
  • Hege Kornør
  • Dagfinn Winje
  • Øivind Ekeberg
  • Lars Weisæth
  • Ingvild Kirkehei
  • Kjell Johansen
  • mfl.

Tidsskrift

BMC Psychiatry
ISSN 1471-244X
e-ISSN 1471-244X
NVI-nivå 1

Om resultatet

Vitenskapelig artikkel
Publiseringsår: 2008
Volum: 8
Hefte: 81
Open Access

Importkilder

Isi-ID: 000259917100001

Klassifisering

Vitenskapsdisipliner

Psykiatri, barnepsykiatri • Klinisk psykologi

Beskrivelse Beskrivelse

Tittel

Early trauma-focused cognitive-behavioural therapy to prevent chronic post-traumatic stress disorder and related symptoms: A systematic review and meta-analysis

Sammendrag

Background: Early trauma-focused cognitive-behavioural therapy (TFCBT) holds promise as a preventive intervention for people at risk of developing chronic post-traumatic stress disorder (PTSD). The aim of this review was to provide an updated evaluation of the effectiveness of early TFCBT on the prevention of PTSD in high risk populations. Methods: We performed a systematic literature search in international electronic databases (MEDLINE, EMBASE, PsycINFO, CENTRAL, CINAHL, ISI and PILOTS) and included randomised controlled trials comparing TFCBT delivered within 3 months of trauma, to alternative interventions. All included studies were critically appraised using a standardised checklist. Two independent reviewers selected studies for inclusion and assessed study quality. Data extraction was performed by one reviewer and controlled by another. Where appropriate, we entered study results into meta-analyses. Results: Seven articles reporting the results of five RCTs were included. All compared TFCBT to supportive counselling (SC). The study population was patients with acute stress disorder (ASD) in four trials, and with a PTSD diagnosis disregarding the duration criterion in the fifth trial. The overall relative risk (RR) for a PTSD diagnosis was 0.56 (95% CI 0.42 to 0.76), 1.09 (95% CI 0.46 to 2.61) and 0.73 (95% CI 0.51 to 1.04) at 3–6 months, 9 months and 3–4 years post treatment, respectively. A subgroup analysis of the four ASD studies only resulted in RR = 0.36 (95% CI 0.17 to 0.78) for PTSD at 3–6 months. Anxiety and depression scores were generally lower in the TFCBT groups than in the SC groups. Conclusion: There is evidence for the effectiveness of TFCBT compared to SC in preventing chronic PTSD in patients with an initial ASD diagnosis. As this evidence originates from one research team replications are necessary to assess generalisability. The evidence about the effectiveness of TFCBT in traumatised populations without an ASD diagnosis is insufficient.

Bidragsytere

Aktiv cristin-person

Hege Kornør

  • Tilknyttet:
    Forfatter
    ved Folkehelseinstituttet
  • Tilknyttet:
    Forfatter
    ved Nasjonalt kunnskapssenter om vold og traumatisk stress

Dagfinn Winje

  • Tilknyttet:
    Forfatter
    ved Institutt for klinisk psykologi ved Universitetet i Bergen
  • Tilknyttet:
    Forfatter

Øivind Ekeberg

  • Tilknyttet:
    Forfatter
    ved Institutt for medisinske basalfag ved Universitetet i Oslo
  • Tilknyttet:
    Forfatter
    ved Avdeling for atferdsfag ved Universitetet i Oslo

Lars Weisæth

  • Tilknyttet:
    Forfatter
    ved Nasjonalt kunnskapssenter om vold og traumatisk stress

Ingvild Kirkehei

  • Tilknyttet:
    Forfatter
    ved Avdeling for vurdering av tiltak ved Folkehelseinstituttet
1 - 5 av 7 | Neste | Siste »