The effectiveness and tolerability of trauma-focused psychotherapies for psychotic symptoms: A systematic review of trauma-focused psychotherapies

IF 2.4 3区医学 Q2 PSYCHIATRY International Journal of Methods in Psychiatric Research Pub Date : 2024-03-05 DOI:10.1002/mpr.2005

Jordan Reid, Charles Cole, Nabeela Malik, Vaughan Bell, Michael Bloomfield

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Abstract

Introduction

Psychological trauma is an established risk factor for psychosis. Trauma-focused psychotherapies (TFPT) have been suggested as a potential treatment for reducing psychotic symptoms in those who have experienced trauma. We therefore sought to investigate the effectiveness, tolerability, and acceptability of TFPT for psychotic symptoms.

Methods

We conducted a systematic review of studies of any form of TFPT that measured psychotic symptoms across a broad range of diagnoses.

Results

From 2584 papers initially identified, 17 studies (857 participants) met eligibility criteria. TFPT were found to be well tolerated, with very few adverse events. Acceptability was also high, with a mean dropout rate of 20%.

Conclusions

Whilst the evidence of effectiveness for TFPT in reducing psychotic symptoms is weak, we found tentative evidence in favour of exposure-based interventions. Methodologically rigorous trials investigating the efficacy of TFPT for the treatment of psychotic symptoms are needed to assess this promising intervention.

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以创伤为重点的心理疗法对精神病症状的有效性和耐受性：以创伤为重点的心理疗法系统回顾。

简介心理创伤是精神病的一个既定风险因素。有人认为，以创伤为重点的心理疗法（TFPT）是一种潜在的治疗方法，可减轻那些经历过创伤的人的精神病症状。因此，我们试图调查创伤心理疗法治疗精神病症状的有效性、耐受性和可接受性：我们对任何形式的 TFPT 研究进行了系统性回顾，这些研究测量了各种诊断中的精神病性症状：从最初确定的 2584 篇论文中，有 17 项研究（857 名参与者）符合资格标准。研究发现，TFPT 的耐受性良好，不良反应极少。接受度也很高，平均辍学率为 20%：虽然 TFPT 在减少精神病症状方面的有效性证据不足，但我们发现有初步证据支持基于暴露的干预措施。我们需要对TFPT治疗精神病症状的疗效进行严格的方法学试验，以评估这一前景广阔的干预措施。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

International Journal of Methods in Psychiatric Research 医学-精神病学

CiteScore

5.20

自引率

6.50%

发文量

审稿时长

>12 weeks

期刊介绍： The International Journal of Methods in Psychiatric Research (MPR) publishes high-standard original research of a technical, methodological, experimental and clinical nature, contributing to the theory, methodology, practice and evaluation of mental and behavioural disorders. The journal targets in particular detailed methodological and design papers from major national and international multicentre studies. There is a close working relationship with the US National Institute of Mental Health, the World Health Organisation (WHO) Diagnostic Instruments Committees, as well as several other European and international organisations. MPR aims to publish rapidly articles of highest methodological quality in such areas as epidemiology, biostatistics, generics, psychopharmacology, psychology and the neurosciences. Articles informing about innovative and critical methodological, statistical and clinical issues, including nosology, can be submitted as regular papers and brief reports. Reviews are only occasionally accepted. MPR seeks to monitor, discuss, influence and improve the standards of mental health and behavioral neuroscience research by providing a platform for rapid publication of outstanding contributions. As a quarterly journal MPR is a major source of information and ideas and is an important medium for students, clinicians and researchers in psychiatry, clinical psychology, epidemiology and the allied disciplines in the mental health field.