A SYSTEMATIC REVIEW ON the EFFECTIVENESS of COGNITIVE BEHAVIORAL THERAPY for POSTTRAUMATIC STRESS DISORDER

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dc.contributor.authorMendes, Deise Daniela [UNIFESP]
dc.contributor.authorMello, Marcelo Feijo [UNIFESP]
dc.contributor.authorVentura, Paula
dc.contributor.authorPassarela, Cristiane de Medeiros
dc.contributor.authorMari, Jair de Jesus [UNIFESP]
dc.contributor.institutionUniversidade Federal de São Paulo (UNIFESP)
dc.contributor.institutionUniversidade Federal do Rio de Janeiro (UFRJ)
dc.date.accessioned2016-01-24T13:49:28Z
dc.date.available2016-01-24T13:49:28Z
dc.date.issued2008-01-01
dc.description.abstractObjective: Cognitive behavioral therapy (CBT) is the most common psychotherapy approach for the treatment of PTSD. Nevertheless, previous reviews on the efficacy of several types of psychotherapy were unable to detect differences between CBT and other psychotherapies. the purpose of this study was to conduct systematic review on the efficacy of CBT in comparison with studies that used other psychotherapy techniques. Method: Databases were searched using the following terms: posttraumatic stress disorder/stress disorder, treatment/psychotherapy/behavior cognitive therapy, randomized trials, and adults. Randomized clinical trials published between 1980 and 2005 and that compared CBT with other treatments for PTSD was included. the main outcomes were remission, clinical improvement, dropout rates and changes in symptoms. Results: the 23 clinical trials included in the review comprised 1,923 patients: 898 in the treatment group and 1,025 in the control group. CBT had better remission rates than EMDR (RR = 0.35; 95%CI: 0.16; 0.79; p = 0.01) or supportive therapies (RR = 0.43; 95%CI: 0.25; 0.74; p = 0.002, completer analysis). CBT was comparable to Exposure Therapy (ET) (RR = 0.90; 95%CI: 0.58; 1.40; p = 0.64), and cognitive therapy (CT) (RR = 1.01; 95%CI: 0.67; 1.51; p = 0.98) in terms of efficacy and compliance. Conclusions: These findings suggest that specific therapies, such as CBT, exposure therapy and cognitive therapy are equally effective, and more effective than supportive techniques in the treatment of PTSD.en
dc.description.affiliationUniversidade Federal de São Paulo, Dept Psiquiatria, BR-04023900 São Paulo, Brazil
dc.description.affiliationUniv Fed Rio de Janeiro, BR-21941 Rio de Janeiro, Brazil
dc.description.affiliationUnifespUniversidade Federal de São Paulo, Dept Psiquiatria, BR-04023900 São Paulo, Brazil
dc.description.sourceWeb of Science
dc.description.sponsorshipState of São Paulo Research Council
dc.description.sponsorshipFundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)
dc.description.sponsorshipMillennium Institute, the National Research Council
dc.description.sponsorshipConselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)
dc.description.sponsorshipIDFAPESP: 04/15039-0
dc.description.sponsorshipIDCNPq: 42.122/2005-2
dc.format.extent241-259
dc.identifierhttp://ijp.sagepub.com/content/38/3/241.abstract
dc.identifier.citationInternational Journal of Psychiatry in Medicine. Amityville: Baywood Publ Co Inc, v. 38, n. 3, p. 241-259, 2008.
dc.identifier.doi10.2190/PM.38.3.b
dc.identifier.issn0091-2174
dc.identifier.urihttp://repositorio.unifesp.br/handle/11600/30371
dc.identifier.wosWOS:000261315400002
dc.language.isoeng
dc.publisherBaywood Publ Co Inc
dc.relation.ispartofInternational Journal of Psychiatry in Medicine
dc.rightsinfo:eu-repo/semantics/restrictedAccess
dc.subjectposttraumatic stress disorderen
dc.subjectcognitive behavioral therapyen
dc.subjectsystematic reviewen
dc.titleA SYSTEMATIC REVIEW ON the EFFECTIVENESS of COGNITIVE BEHAVIORAL THERAPY for POSTTRAUMATIC STRESS DISORDERen
dc.typeinfo:eu-repo/semantics/article
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