Evidence-based treatment for adult women with child abuse-related Complex PTSD: a quantitative review

Dorrepaal, Ethy; Thomaes, Kathleen; Hoogendoorn, Adriaan W.; Veltman, Dick J.; Draijer, Nel; van Balkom, Anton J. L. M.

doi:10.3402/ejpt.v5.23613

Cited by 99Posttraumatic Stress Disorder ResearchChild Abuse and TraumaPsychotherapy Techniques and Applications

Evidence-based treatment for adult women with child abuse-related Complex PTSD: a quantitative review

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Dorrepaal, Ethy, Thomaes, Kathleen, Hoogendoorn, Adriaan W., Veltman, Dick J., Draijer, Nel, van Balkom, Anton J. L. M.·2014·European Journal of Psychotraumatology

DOI 10.3402/ejpt.v5.23613PMC PMC4199330

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Abstract

INTRODUCTION: Effective first-line treatments for posttraumatic stress disorder (PTSD) are well established, but their generalizability to child abuse (CA)-related Complex PTSD is largely unknown. METHOD: A quantitative review of the literature was performed, identifying seven studies, with treatments specifically targeting CA-related PTSD or Complex PTSD, which were meta-analyzed, including variables such as effect size, drop-out, recovery, and improvement rates. RESULTS: Only six studies with one or more cognitive behavior therapy (CBT) treatment conditions and one with a present centered therapy condition could be meta-analyzed. RESULTS indicate that CA-related PTSD patients profit with large effect sizes and modest recovery and improvement rates. Treatments which include exposure showed greater effect sizes especially in completers' analyses, although no differential results were found in recovery and improvement rates. However, results in the subgroup of CA-related Complex PTSD studies were least favorable. Within the Complex PTSD subgroup, no superior effect size was found for exposure, and affect management resulted in more favorable recovery and improvement rates and less drop-out, as compared to exposure, especially in intention-to-treat analyses. CONCLUSION: Limited evidence suggests that predominantly CBT treatments are effective, but do not suffice to achieve satisfactory end states, especially in Complex PTSD populations. Moreover, we propose that future research should focus on direct comparisons between types of treatment for Complex PTSD patients, thereby increasing generalizability of results.

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I-FAST Intervention for Trauma
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Stories of Violence and Resilience
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Family Approaches for Trauma
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Deciding Whom to Include in Treatment
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I-FAST Trauma and Frames
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Intergenerational Trauma
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Guest editorial
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Epilogue
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Copyright Page
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Dedication
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Beyond boundaries
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Additional file 1 of The effect of twice-weekly versus once-weekly sessions of either imagery rescripting or eye movement desensitization and reprocessing for adults with PTSD from childhood trauma (IREM-Freq): a study protocol for an international randomized clinical trial
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REVIEW ARTICLE Evidence-based treatment for adult women with child abuse-related Complex PTSD: a quantitative review
Dorrepaal, E., Thomaes, K., Hoogendoorn, A. W., Veltman, D. J., & Draijer, N. (2016)
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Does complex PTSD predict or moderate treatment outcomes of three variants of exposure therapy?
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The Efficacy of Psychological Interventions for Complex Trauma: A Systematic Review and Meta-Analysis
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Authors: Dorrepaal, E., Thomaes, K., Hoogendoorn, A. W., Veltman, D. J., Draijer, N., & van Balkom, A. J. L. M.
Affiliations: Parnassia Groep (NL)
GGZ inGeest (NL)
Amsterdam Public Health (NL)
GGZ inGeest, Amsterdam, The Netherlands
Corresponding author: Dorrepaal, Ethy
Thomaes, Kathleen
ORCID: Thomaes, Kathleen
Hoogendoorn, Adriaan W.
Veltman, Dick J.
Draijer, Nel
Venue: European Journal of Psychotraumatology
Publisher: Informa UK Limited
Published: 2014-10-14
Volume: 5
Issue: 1
Pages: 23613-23613
ISSN: 2000-8066 (ISSN-L)
DOI: 10.3402/ejpt.v5.23613
PMC: PMC4199330
OpenAlex: W2156083836
Cited by: 99
References: 65
Citations by year: 2026: 3 · 2025: 7 · 2024: 4 · 2023: 8 · 2022: 11 · 2021: 12 · 2020: 29 · 2019: 4 · 2018: 7 · 2017: 6 · 2016: 5 · 2015: 2 · 2014: 1
FWCI: 5.52
Type: journal article
Language: en
Open access: gold
doi.org
Licence: cc-by
creativecommons.org/licenses/by/4.0/ (vor)
Locations: European Journal of Psychotraumatology (publishedVersion, cc-by)
Europe PMC (PubMed Central) (publishedVersion, cc-by)
PubMed Central (publishedVersion, cc-by)
PubMed (publishedVersion)
Amsterdam UMC (VU Amsterdam) - Institutional Repository (publishedVersion)
VU Research Portal (publishedVersion, other-oa)
Data Archiving and Networked Services (DANS) (submittedVersion)
DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
Figshare (submittedVersion, cc-by)
Data Archiving and Networked Services (DANS) (submittedVersion, other-oa)
Figshare (cc-by)
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: child abuse, complex PTSD, post-traumatic stress disorder, cognitive behavioral therapy, exposure therapy, present-centered therapy, affect management, treatment discontinuation, recovery rate, adult women, treatment effectiveness

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Evidence-based treatment for adult women with child abuse-related Complex PTSD: a quantitative review

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