Meta-analysis of psychological treatments for posttraumatic stress disorder in adult survivors of childhood abuse

Ehring, Thomas; Welboren, Renate; Morina, Nexhmedin; Wicherts, Jelte M.; Freitag, Janina; Emmelkamp, Paul M.G.

doi:10.1016/j.cpr.2014.10.004

Cited by 373Posttraumatic Stress Disorder ResearchChild Abuse and TraumaPsychotherapy Techniques and Applications

Meta-analysis of psychological treatments for posttraumatic stress disorder in adult survivors of childhood abuse

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Ehring, Thomas, Welboren, Renate, Morina, Nexhmedin, Wicherts, Jelte M., Freitag, Janina, Emmelkamp, Paul M.G.·2014·Clinical Psychology Review

DOI 10.1016/j.cpr.2014.10.004

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Abstract

Posttraumatic stress disorder (PTSD) is highly prevalent in adult survivors of childhood sexual and/or physical abuse. However, intervention studies focusing on this group of patients are underrepresented in earlier meta-analyses on the efficacy of PTSD treatments. The current meta-analysis exclusively focused on studies evaluating the efficacy of psychological interventions for PTSD in adult survivors of childhood abuse. Sixteen randomized controlled trials meeting inclusion criteria could be identified that were subdivided into trauma-focused cognitive behavior therapy (CBT), non-trauma-focused CBT, eye movement desensitization and reprocessing, and other treatments (interpersonal, emotion-focused). Results showed that psychological interventions are efficacious for PTSD in adult survivors of childhood abuse, with an aggregated uncontrolled effect size of g=1.24 (pre- vs. post-treatment), and aggregated controlled effect sizes of g=0.72 (post-treatment, comparison to waitlist control conditions) and g=0.50 (post-treatment, comparison with TAU/placebo control conditions), respectively. Effect sizes remained stable at follow-up. As the heterogeneity between studies was large, we examined the influence of two a priori specified moderator variables on treatment efficacy. Results showed that trauma-focused treatments were more efficacious than non-trauma-focused interventions, and that treatments including individual sessions yielded larger effect sizes than pure group treatments. As a whole, the findings are in line with earlier meta-analyses showing that the best effects can be achieved with individual trauma-focused treatments.

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Research has indicated the effectiveness of interventions for post-traumatic stress disorder in individuals who have experienced childhood sexual abuse.
“Research has indicated the effectiveness of interventions for post-traumatic stress disorder in individuals who have experienced childhood sexual abuse77,78”
From Long-term outcomes of childhood sexual abuse: an umbrella review (2019) · cites this paper as [77]
Individual trauma-focused treatments are efficacious for adult survivors of childhood sexual abuse with PTSD, albeit analyses have so far failed to unpack which elements of trauma-focused interventions are most effective.
“As previously shown, individual trauma-focused treatments are efficacious for adult survivors of childhood sexual abuse with PTSD, albeit analyses have so far failed to unpack which elements of trauma-focused interventions are most effective [146].”
From Psychological and pharmacological interventions for posttraumatic stress disorder and comorbid mental health problems following complex traumatic events: Systematic review and component network meta-analysis (2020) · cites this paper as [146]

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Authors: Ehring, T., Welboren, R., Morina, N., Wicherts, J. M., Freitag, J., & Emmelkamp, P. M. G.
Affiliations: University of Münster (DE)
University of Amsterdam (NL)
Tilburg University (NL)
King Abdulaziz University (SA)
Corresponding author: Ehring, Thomas
ORCID: Ehring, Thomas
Wicherts, Jelte M.
Freitag, Janina
Emmelkamp, Paul M.G.
Venue: Clinical Psychology Review
Publisher: Elsevier BV
Published: 2014-12
Volume: 34
Issue: 8
Pages: 645-657
ISSN: 0272-7358 (ISSN-L)
DOI: 10.1016/j.cpr.2014.10.004
OpenAlex: W1973427828
Cited by: 373
References: 74
Citations by year: 2026: 18 · 2025: 24 · 2024: 25 · 2023: 41 · 2022: 42 · 2021: 31 · 2020: 54 · 2019: 43 · 2018: 25 · 2017: 27 · 2016: 27 · 2015: 12 · 2014: 1 · 2013: 2
FWCI: 3.40
Type: journal article
Language: en
Open access: hybrid
doi.org
Licence: cc-by-nc-nd
www.elsevier.com/tdm/userlicense/1.0/ (tdm)
www.elsevier.com/legal/tdmrep-license (tdm)
creativecommons.org/licenses/by-nc-nd/3.0/ (vor)
Locations: Clinical Psychology Review (publishedVersion, cc-by-nc-nd)
Research portal (Tilburg University) (publishedVersion)
PubMed (publishedVersion)
UvA-DARE (University of Amsterdam) (publishedVersion, other-oa)
Open access LMU (Ludwid Maxmilian's Universitat Munchen) (acceptedVersion)
Data Archiving and Networked Services (DANS) (submittedVersion, cc-by-nc-nd)
Data Archiving and Networked Services (DANS) (submittedVersion)
Topics: Social Sciences › Psychology › Clinical Psychology › Posttraumatic Stress Disorder Research
Social Sciences › Psychology › Clinical Psychology › Child Abuse and Trauma
Social Sciences › Psychology › Clinical Psychology › Psychotherapy Techniques and Applications
Keywords: post-traumatic stress disorder, childhood abuse, child sexual abuse, child physical abuse, psychological intervention, trauma-focused cognitive behavioral therapy, EMDR, interpersonal psychotherapy, emotion-focused therapy, treatment efficacy, treatment moderators
MeSH terms: Adult, Humans, Psychotherapy, Group, Stress Disorders, Post-Traumatic, Cognitive Behavioral Therapy, Treatment Outcome, Adult Survivors of Child Abuse, Eye Movement Desensitization Reprocessing

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Meta-analysis of psychological treatments for posttraumatic stress disorder in adult survivors of childhood abuse

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