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

The DOI matches its Crossref record; 76 of the 76 references it cites were found in a registry or an index.

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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Metadata

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
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
FWCI
3.40
Type
journal article
Language
en
Open access
Licence
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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