medigraphic.com
ISSN 0185-3325 (Print)
Órgano Oficial del Instituto Nacional de Psiquiatría Ramón de la Fuente Muñiz

2018, Number 2

<< Back Next >>

Salud Mental 2018; 41 (2)

Effective therapies for the treatment of complex posttraumatic stress disorder: A qualitative systematic review

Fernández FC, Serrano-Ibáñez ER, Ruiz-Párraga GT, Ramírez MC, Esteve ZR, López MAE

Language: English
References: 37
Page: 81-90
PDF size: 425.76 Kb.


ABSTRACT

Background. Current literature shows that posttraumatic stress disorder and complex posttraumatic stress disorder symptoms differ. Although the psychological treatments available for posttraumatic disorder are well established, little is known about the effectiveness of those aimed at the treatment of complex posttraumatic stress. Objective. To evaluate the efficacy of psychological treatments for complex posttraumatic stress disorder. Method. A systematic qualitative search was conducted according to PRISMA guidelines, searching four psychological and health electronic databases: Medline, Pilots, PsycINFO, and Pubmed. Three reviewers independently selected the studies in two phases: preselection (criteria for complex posttraumatic stress disorder, replicable psychological treatment, and treatment effect) and selection (additional criteria: type of study, participants, and treatment). Results. Of the 615 studies reviewed, 25 were preselected, eight of which met the inclusion and methodological quality criteria. Five studies explored adult populations (with one exception, all were randomized clinical trials) and three child populations (clinical studies with pre- post-treatment design, with and without control group). Most studies with adult populations included psychoeducation, cognitive restructuration, and exposure therapy. The studies with child samples included EMDR and mindfulness as the most frequent treatment components. Discussion and conclusion. The evidence was insufficient to determine the most effective treatment. More research on this issue is required.


REFERENCES

  1. American Psychiatric Association. (2013). Diagnostic and Statistical Manual of Mental Disorders (DSM-V). Washington, DC: American Psychiatric Association.

  2. Anda, R. F., Felitti, V. J., Walker, J., Whitfield, C. L., Bremner, J. D., Perry, B. D., & Giles, W. H. (2006). The enduring effects of abuse and related adverse experiences in childhood: a convergence of evidence from neurobiology and epidemiology. European Archives of Psychiatry and Clinical Neurosciences, 256(3), 174-186. doi: 10.1007/s00406-005-0624-4

  3. Anda, R. F., Butchart, A., Felitti, V. J., & Brown, D.W. (2010). Building a framework for global surveillance of the public health implications of adverse childhood experiences. American Journal of Preventive Medicine, 39(1), 93-98. doi: 10.1016/j.amepre.2010.03.015

  4. Blankenship, D. M. (2017). Five Efficacious Treatments for Posttraumatic Stress Disorder: An Empirical Review. Journal of Mental Health Counseling, 39(4), 275-288. doi: 10.17744/mehc.39.4.01

  5. Bolles, M. (2001). Bolles Sensory Learning Method. Positive Health Online, 18(5). Retrieved from: http://www.positivehealth.com/article/learning-difficulties/ bolles-sensory-learning-method

  6. Bremner, J. D. (2003). Long-term effects of childhood abuse on brain and neurobiology. Child & Adolescent Psychiatric Clinics of North America, 12(2), 271-292.

  7. Busuttil, W. (2009). Complex post-traumatic stress disorder: a useful diagnostic framework? Psychiatry, 8(8), 310-314.

  8. Cloitre, M., Garvert, D. W., Weiss, B., Carlson, E. V., & Bryant, R. A. (2014). Distinguising PTSD, Complex PTSD and Borderline Personality Disorder: A latent class analysis. European Journal of Psychotraumatology, 5(1), 1-10. doi: 10.3402/ejpt.v5.25097

  9. Cook, A., Blaustein, M., & Spinazolla, J. (2003). Complex trauma in children and adolescents. Washington, DC: National Child Traumatic Stress Network.

  10. Cusack, K., Jonas, D. E., Forneris, C. A., Wines, C., Sonis, J., Middleton, J. C., … Gaynes, B. N. (2016). Psychological treatments for adults with posttraumatic stress disorder: A systematic review and meta-analysis. Clinical Psychology Review, 43, 128-141. doi: 10.1016/j.cpr.2015.10.003.

  11. Dorrepaal, E., Thomaes, K., Smit, J. H., Veltman, D. J., Hoogendoorn, A. W., van Balkom, A. J. L. M., & Draijer, N. (2013). Treatment compliance and effectiveness in complex PTSD patients with co-morbid personality disorder undergoing stabilizing cognitive behavioral group treatment: a preliminary study. European Journal of Psychotrumatology, 4(1), 1-7. doi: 10.3402/ejpt. v4i0.21171

  12. Dowd, H. & McGuire, B. E. (2011). Psychological treatment of PTSD in children: an evidence-based review. The Irish Journal of Psychology, 32(1-2), 25-39. doi: 10.1080/03033910.2011.611612

  13. Felitti, V. J., Anda, R. F., Nordenberg, D., Williamson, D. F., Spitz, A. M., Edwards, V., … Marks, J.S. (1998). Relationship of childhood abuse to many of the leading causes of death in adults: the adverse childhood experiences (ACE) study. American Journal of Preventive Medicine, 14(4), 245-258.

  14. Feske, U. (2008). Treating low-income and minority women with posttraumatic stress disorder. A pilot study comparing prolonged exposure and treatment as usual conducted by community therapist. Journal of Interpersonal Violence, 23(8), 1027-1040. doi: 10.1177/0886260507313967

  15. Goldsmith, R. E., Freyd J. J., & DePrince A. P. (2012). Betrayal Trauma: associations with psychological and physical symptoms in young adults. Journal of Interpersonal Violence, 27(3), 547-567. doi: 10.1177/0886260511421672

  16. Herman, J. L. (1992). Complex PTSD: A syndrome in survivors of prolonged and repeated trauma. Journal of Traumatic Stress, 5(3), 377-391.

  17. Higgins, J. P. T. & Green, S. (2011). Cochrane Handbook for Systematic Reviews of Interventions (Version 5.1.0). Retrieved from: www.cochrane-handbook.org

  18. Jarero, I. & Artigas, L. (2009). EMDR Integrative Group Treatment Protocol. Journal of EMDR Practice and Research, 3(4), 287-288.

  19. Jarero, I., Roque-López, S., & Gómez, J. (2013). The provision of an EMDR-based multicomponent trauma treatment with child victims of severe interpersonal trauma. Journal of EMDR Practice and Research, 7(1), 17-28. doi: 10.1891/1933-3196.7.1.17

  20. Kagan, R., Henry, J., Richardson, M., Trinkle, J., & LaFrenier, A. (2014). Evaluation of Real Life Heroes Treatment for children with Complex PTSD. Psychological Trauma: Theory, Research, Practice and Policy, 6(5), 588-596. doi: 10.1037/ a0035879

  21. Kaiser, E. M., Gillette, C. S., & Spinazzola, J. (2010). A controlled pilot-outcome study of sensory integration (SI) in the treatment of complex adaptation to traumatic stress. Journal of Aggression, Maltreatment & Trauma, 19(7), 699-720. doi: 10.1080/10926771.2010.515162

  22. Karatzias, T., Shevlin, M., Fyvie, C., Hyland, P., Efthymiadou, E., Wilson, D., … Cloitre, M. (2017). Evidence of distinct profiles of Posttraumatic Stress Disorder (PTSD) and Complex Posttraumatic Stress Disorder (CPTSD) based on the new ICD-11 Trauma Questionnaire (ICD-TQ). Journal of Affective Disorders, 207(1), 181-187. doi: 10.1016/j.jad.2016.09.032

  23. Lanktree, C. B., Briere, J., Godbout, N., Hodges, M., Chen, K., Trimm, L., … Freed, W. (2012). Treating multitraumatized, socially marginalized children: Results of a naturalistic treatment outcome study. Journal of Aggression, Maltreatment & Trauma, 21(8), 813-828. doi: 10.1080/10926771.2012.722588

  24. Lansford, J. E., Dodge, K. E., Bates, J. E., Crozier, J., & Kaplow, J. (2002). A 12-year prospective study of the long-term effect of early child physical maltreatment on psychological, behavioural and academic problem in adolescents. Archives of Pediatric and Adolescent Medicine, 156(8), 824-830. doi: 10.1001/archpedi. 156.8.824

  25. López-Soler, C. (2008). Las reacciones postraumáticas en la infancia y adolescencia maltratada: el trauma complejo. Revista de Psicopatología y Psicología Clínica, 13(3), 159-174. doi: 10.5944/rppc.vol.13.no.3.2008.4057

  26. Moher, D., Liberati, A., Tetzlaff, J., & Altman, D. G. (2009). Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. PLoS Medicine, 6(7): e1000097. doi: 10.1371/journal.pmed.1000097

  27. National Center for PTSD (2016). Understanding PTSD and PTSD Treatment. Retrieved from: http://www.ptsd.va.gov/public/understanding_ptsd/booklet.pdf

  28. Pelcovitz, D., Van Der Kolk, B. A., Roth, S., Mandel, F. S., Kaplan, S., & Resick, P. A. (1997). Development of a criteria set and a structured interview for disorders of extreme stress (SIDES). Journal of Traumatic Stress, 10(1), 3-17. doi: 10.1002/jts.2490100103

  29. Perestelo-Pérez, L. (2013). Standards on how to develop and report systematic reviews in Psychology and Health. International Journal of Clinical and Health Psychology, 13(1), 49-57. doi: 10.1016/S1697-2600(13)70007-3

  30. Reddemann, L. (2004). Psychodynamisch Imaginative Traumathrapie. PITT – Das Manual. Stuttgart: Pfeiffer bei Klett-Cotta.

  31. Resick, P. A., Nishith, P., & Griffin, M. G. (2003). How well does cognitive-behavioral therapy treat symptoms of complex PTSD? An examination of child sexual abuse survivors within a clinical trial. CNS Spectrums, 8(5), 340-355. doi: 10.1017/S1092852900018605

  32. Sachsse, U., Vogel, C., & Leichsenring, F. (2006). Results of psychodynamically oriented trauma-focused inpatient treatment for women with complex posttraumatic stress disorder (PTSD) and borderline personality disorder (BPD). Bulletin of the Menninger Clinic, 70(2), 125-144. doi: 10.1521/bumc.2006.70.2.125

  33. Shapiro, F. (1995). Eye movements desensitization and reprocessing (EMDR): Basic principles, protocols and procedures. New York: Guilford Press.

  34. Shapiro, F. (2001). Eye movements desensitization and reprocessing (EMDR): Basic principles protocols and procedures (2nd edition). New York: Guilford Press.

  35. Taylor, S., Asmundson, G. J. G., & Carleton, R. N. (2006). Simple versus complex PTSD: A cluster analytic investigation. Anxiety Disorders, 20(4), 459-472. doi: 10.1016/j.janxdis.2005.04.003

  36. Van der Kolk, B. A. (2005). Developmental trauma disorder. Psychiatric Annals, 35(5), 401-408.

  37. Van der Kolk, B. A. (2003). The neurobiology of childhood trauma and abuse. Child and Adolescent Psychiatric Clinics of North America, 12(2), 297-317.




2020     |     www.medigraphic.com