Cognitive behavioral therapy of violence-related posttraumatic stress disorder |
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| Affiliation: | 1. University of New South Wales, New South Wales, Australia;1. Department of Emergency Medicine, Baystate Medical Center, Tufts University School of Medicine, Springfield, MA;2. Department of Emergency Medicine, University of Nebraska Medical Center, Omaha, NE;1. Turku University Hospital, Department of Adolescent Psychiatry, University of Turku, Kaivokatu 18 A, 4th Floor, 20520 Turku, Finland;2. Centre for Injury Prevention and Community Safety, PeerCorps Trust Fund, 352/64 Makunganya Street, Co-Architecture Building, 4th Floor, P.O. Box 22499, Dar es Salaam, Tanzania;3. Division of Clinical Neurosciences, Department of Rehabilitation and Brain Trauma, Turku University Hospital, Turku University, Turku, Finland;4. Department of Orthopaedics, Tampere University Hospital Tampere, Finland;5. Department of Clinical Science, Intervention and Technology (CLINTEC), Division of Orthopedics and Biotechnology, Karolinska Institutet, Stockholm, Sweden;6. THL National Institute for Health and Welfare, P.O. Box 30, 00271 Helsinki, Finland;7. Karolinska: Department of Neurobiology, Care Sciences and Society (NVS), SE-171 77 Stockholm, Sweden;1. University of Pennsylvania Perelman School of Medicine, Medicine (Infectious Diseases) and Epidemiology, Philadelphia, PA, USA;2. Harvard School of Public Health, Biostatistics, Boston, MA, USA;3. Asociacion Civil IMPACTA Salud y Educacion, Lima, Peru;4. FIOCRUZ, Rio de Janeiro, Brazil;5. Joint Clinical Research Centre, Kampala, Uganda;6. EUPATI, Barcelona, Spain;7. National Institute of Allergy and Infectious Diseases, Bethesda, MD, USA;8. Northwestern University Feinberg School of Medicine, Chicago, IL, USA;9. Massachusetts General Hospital and Harvard Medical School, Boston, MA, USA;10. University of Zimbabwe, Harare, Zimbabwe;11. Lancet Laboratories, Johannesburg, South Africa;12. Yale University School of Nursing, New Haven, CT USA;13. Social and Scientific Systems, Silver Spring, MD, USA;14. GHESKIO, Port au Prince, Haiti;15. University of Washington, Seattle, WA, USA |
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| Abstract: | Posttraumatic stress disorder (PTSD) represents the most common psychiatric condition following exposure to violence. Although an increasing number of cognitive behavioral therapy (CBT) studies point to efficacy of this approach in ameliorating PTSD following violence, the methodological rigor of many studies has not been optimal. Further, a significant proportion of traumatized individuals does not benefit from CBT. This article reviews CBT outcome studies, discusses the methodological limitations of CBT studies for PTSD, and offers suggestions for future research. This review highlights the need for more systematic studies of components of CBT with a range of trauma populations to delineate the parameters of effective CBT for individuals with PTSD. |
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