PTSD and complex PTSD, current treatments and debates: a review of reviews.

IF 5.2 2区医学 Q1 Medicine

British medical bulletin Pub Date : 2025-09-22 DOI:10.1093/bmb/ldaf015

Jo Billings, Helen Nicholls

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引用次数: 0

Abstract

Introduction: The National Institute for Health and Care Excellence guidelines for post-traumatic stress disorder (PTSD) were published in 2018, based on research up until that point. In this review, we summarize the current state of the evidence and discuss the findings of systematic reviews and meta-analyses published between 2019 and 2024.

Sources of data: We include peer-reviewed systematic reviews and meta-analyses published within the last 5 years.

Areas of agreement: Reviews and meta-analyses continue to support the efficacy, and cost-effectiveness, of trauma-focused psychological interventions, particularly Trauma-Focused Cognitive-Behavioural Therapy and Eye Movement Desensitization and Reprocessing.

Areas of controversy: Despite their demonstrated efficacy, dropout rates from psychological interventions for PTSD remain high. There has also been a rapid proliferation of research into novel interventions for treating PTSD. However, much of this research is of low quality and lacks head-to-head comparisons with established interventions.

Growing points: Novel methods of delivery of established treatments are being developed, including using virtual reality, intensive forms of treatment, and digital and remote methods of delivery.

Areas timely for developing research: More qualitative research to explore recipients' experiences of interventions. More good-quality research and head-to-head comparisons of treatments.

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创伤后应激障碍和复杂创伤后应激障碍，目前的治疗和争论：综述综述。

导读：美国国家健康与护理卓越研究所（National Institute for Health and Care Excellence）在2018年发布了创伤后应激障碍（PTSD）指南，该指南是基于此前的研究。在这篇综述中，我们总结了证据的现状，并讨论了2019年至2024年间发表的系统综述和荟萃分析的发现。数据来源：我们包括近5年内发表的同行评议的系统评论和荟萃分析。共识领域：综述和荟萃分析继续支持以创伤为重点的心理干预的有效性和成本效益，特别是以创伤为重点的认知行为疗法和眼动脱敏和再加工。争议领域：尽管心理干预对创伤后应激障碍的疗效已得到证实，但其辍学率仍然很高。对治疗创伤后应激障碍的新干预措施的研究也迅速增加。然而，这方面的许多研究质量较低，缺乏与现有干预措施的直接比较。增长点：正在开发新的治疗方法，包括使用虚拟现实，强化治疗形式，以及数字和远程治疗方法。及时开展研究的领域：更多的定性研究，以探索接受者的干预经验。更多高质量的研究和治疗方法的正面比较。

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

British medical bulletin 医学-医学：内科

CiteScore

13.10

自引率

1.50%

发文量

审稿时长

>12 weeks

期刊介绍： British Medical Bulletin is a multidisciplinary publication, which comprises high quality reviews aimed at generalist physicians, junior doctors, and medical students in both developed and developing countries. Its key aims are to provide interpretations of growing points in medicine by trusted experts in the field, and to assist practitioners in incorporating not just evidence but new conceptual ways of thinking into their practice.