Distance-delivered interventions for PTSD: A systematic review and meta-analysis
Abstract
This systematic review and meta-analysis evaluated the efficacy of distance-delivered, guided approaches to treatment (e.g., delivered via telephone, Internet, mail, videoconferencing) for clinical and subclinical posttraumatic stress disorder (PTSD). A comprehensive search yielded 19 randomized controlled trials (1491 participants) to be included. Meta-analyses revealed that distance-delivered interventions led to significant within-group improvements in PTSD symptoms at post-treatment (g=0.81, 95% CI 0.65 to 0.97) and 3-6 month follow-up (g=0.78, 95% CI 0.59 to 0.97). Within-group depression and quality of life outcomes showed similar results, with medium post-treatment and follow-up effects. Compared to a waiting list, distance delivery (specifically, Internet treatments) led to superior PTSD outcomes (g=0.68, 95% CI 0.51 to 0.86). Compared to face-to-face interventions, distance delivery (specifically, videoconferencing treatments) did not result in significantly different PTSD outcomes at post-treatment (g=-0.05, 95% CI -0.31 to 0.20) but led to inferior outcomes at 3-6 month follow-up (g=-0.25, 95% CI -0.44 to -0.07). Distance delivery of PTSD treatment is promising, but research is needed to determine its optimal use.
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Digital mental health treatments are effective for posttraumatic stress disorder.
“A meta-analysis of eight RCTs has shown effectiveness of DMHTs for posttraumatic stress disorder (24).”
From Banbury forum consensus statement on the path forward for digital mental health treatment (2021) · cites this paper as [24]
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Self-citation
- Authors
- Olthuis, J. V., Wozney, L., Asmundson, G. J. G., Cramm, H., Lingley-Pottie, P., & McGrath, P. J.
- Affiliations
- University of New Brunswick (CA)
- Izaak Walton Killam Health Centre (CA)
- University of Regina (CA)
- Queen's University (CA)
- Dalhousie University (CA)
- Corresponding author
- Olthuis, Janine V.
- Venue
- Journal of Anxiety Disorders
- Publisher
- Elsevier BV
- Published
- 2016-12
- Volume
- 44
- Pages
- 9-26
- ISSN
- 0887-6185 (ISSN-L)
- OpenAlex
- W2523109251
- Cited by
- 64
- References
- 101
- Citations by year
- 2026: 1 · 2025: 8 · 2024: 6 · 2023: 5 · 2022: 12 · 2021: 11 · 2020: 8 · 2019: 1 · 2018: 6 · 2017: 5 · 2016: 1
- FWCI
- 0.64
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Anxiety Disorders (publishedVersion)
- PubMed (publishedVersion)
- QSpace (Queen's University Library) (submittedVersion)
- Funders
- University of Regina
- Topics
- Social Sciences › Psychology › Clinical Psychology › Posttraumatic Stress Disorder Research
- Social Sciences › Psychology › Applied Psychology › Digital Mental Health Interventions
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Telemedicine and Telehealth Implementation
- Keywords
- post-traumatic stress disorder, internet-delivered treatment, videoconferencing, guided self-help, subclinical PTSD, depression, quality of life, treatment efficacy
- MeSH terms
- Distance Counseling, Humans, Quality of Life, Stress Disorders, Post-Traumatic, Cognitive Behavioral Therapy, Treatment Outcome, Internet, Videoconferencing
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