Effects of current treatments for trauma survivors with posttraumatic stress disorder on reducing a negative self-concept: a systematic review and meta-analysis

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Effects of current treatments for trauma survivors with posttraumatic stress disorder on reducing a negative self-concept: a systematic review and meta-analysis. / Banz, Liselotte; Stefanovic, Mina; von Boeselager, Maria; Schäfer, Ingo; Lotzin, Annett; Kleim, Birgit; Ehring, Thomas.

In: EUR J PSYCHOTRAUMATO, Vol. 13, No. 2, 2122528, 2022.

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@article{8b6bbdef7680493e99267c7e36580299,
title = "Effects of current treatments for trauma survivors with posttraumatic stress disorder on reducing a negative self-concept: a systematic review and meta-analysis",
abstract = "Background: A negative self-concept is characterised by dysfunctional cognitions about the self and has been suggested to be a key factor involved in the development and maintenance of posttraumatic stress disorder (PTSD). In addition, the current definitions of PTSD according to DSM-5 and the new ICD-11 diagnosis of Complex PTSD (CPTSD) include aspects of negative self-concept in their diagnostic criteria. Objective: The aim of this meta-analysis was to synthesise the currently available evidence on the effects of psychological interventions for PTSD on negative self-concept. Methods: PubMed, PsychINFO, PSYNDEX, PTSDpubs and Cochrane Library were searched for randomised controlled trials (RCTs) of psychological treatments for PTSD symptoms in adults, published up to February 2021. A systematic review and meta-analysis were conducted, with risk of bias assessed by the Cochrane Risk of Bias Assessment Tool. Results: A total of 25 RCTs (N = 2585) were included in the meta-analysis. Results showed that psychological interventions significantly improve a negative self-concept with a moderate to large controlled effect size (k = 30, g = 0.67, 95% CI [0.31, 1.02], p < .001) at post-treatment. Heterogeneity between studies was large but could not be accounted for by moderators included in the current analysis, i.e. different types of interventions (e.g. with vs. without a cognitive restructuring component, trauma-focused vs. not). Conclusions: Current treatments for PTSD are effective in reducing a negative self-concept. However, more research is needed to identify moderators of this effect and identify interventions that are most effective for reducing negative self-concept.",
keywords = "Adult, Humans, Stress Disorders, Post-Traumatic/therapy, Cognitive Behavioral Therapy/methods, International Classification of Diseases, Survivors",
author = "Liselotte Banz and Mina Stefanovic and {von Boeselager}, Maria and Ingo Sch{\"a}fer and Annett Lotzin and Birgit Kleim and Thomas Ehring",
note = "{\textcopyright} 2022 The Author(s). Published by Informa UK Limited, trading as Taylor &amp; Francis Group.",
year = "2022",
doi = "10.1080/20008066.2022.2122528",
language = "English",
volume = "13",
journal = "EUR J PSYCHOTRAUMATO",
issn = "2000-8198",
publisher = "Co-Action Publishing",
number = "2",

}

RIS

TY - JOUR

T1 - Effects of current treatments for trauma survivors with posttraumatic stress disorder on reducing a negative self-concept: a systematic review and meta-analysis

AU - Banz, Liselotte

AU - Stefanovic, Mina

AU - von Boeselager, Maria

AU - Schäfer, Ingo

AU - Lotzin, Annett

AU - Kleim, Birgit

AU - Ehring, Thomas

N1 - © 2022 The Author(s). Published by Informa UK Limited, trading as Taylor &amp; Francis Group.

PY - 2022

Y1 - 2022

N2 - Background: A negative self-concept is characterised by dysfunctional cognitions about the self and has been suggested to be a key factor involved in the development and maintenance of posttraumatic stress disorder (PTSD). In addition, the current definitions of PTSD according to DSM-5 and the new ICD-11 diagnosis of Complex PTSD (CPTSD) include aspects of negative self-concept in their diagnostic criteria. Objective: The aim of this meta-analysis was to synthesise the currently available evidence on the effects of psychological interventions for PTSD on negative self-concept. Methods: PubMed, PsychINFO, PSYNDEX, PTSDpubs and Cochrane Library were searched for randomised controlled trials (RCTs) of psychological treatments for PTSD symptoms in adults, published up to February 2021. A systematic review and meta-analysis were conducted, with risk of bias assessed by the Cochrane Risk of Bias Assessment Tool. Results: A total of 25 RCTs (N = 2585) were included in the meta-analysis. Results showed that psychological interventions significantly improve a negative self-concept with a moderate to large controlled effect size (k = 30, g = 0.67, 95% CI [0.31, 1.02], p < .001) at post-treatment. Heterogeneity between studies was large but could not be accounted for by moderators included in the current analysis, i.e. different types of interventions (e.g. with vs. without a cognitive restructuring component, trauma-focused vs. not). Conclusions: Current treatments for PTSD are effective in reducing a negative self-concept. However, more research is needed to identify moderators of this effect and identify interventions that are most effective for reducing negative self-concept.

AB - Background: A negative self-concept is characterised by dysfunctional cognitions about the self and has been suggested to be a key factor involved in the development and maintenance of posttraumatic stress disorder (PTSD). In addition, the current definitions of PTSD according to DSM-5 and the new ICD-11 diagnosis of Complex PTSD (CPTSD) include aspects of negative self-concept in their diagnostic criteria. Objective: The aim of this meta-analysis was to synthesise the currently available evidence on the effects of psychological interventions for PTSD on negative self-concept. Methods: PubMed, PsychINFO, PSYNDEX, PTSDpubs and Cochrane Library were searched for randomised controlled trials (RCTs) of psychological treatments for PTSD symptoms in adults, published up to February 2021. A systematic review and meta-analysis were conducted, with risk of bias assessed by the Cochrane Risk of Bias Assessment Tool. Results: A total of 25 RCTs (N = 2585) were included in the meta-analysis. Results showed that psychological interventions significantly improve a negative self-concept with a moderate to large controlled effect size (k = 30, g = 0.67, 95% CI [0.31, 1.02], p < .001) at post-treatment. Heterogeneity between studies was large but could not be accounted for by moderators included in the current analysis, i.e. different types of interventions (e.g. with vs. without a cognitive restructuring component, trauma-focused vs. not). Conclusions: Current treatments for PTSD are effective in reducing a negative self-concept. However, more research is needed to identify moderators of this effect and identify interventions that are most effective for reducing negative self-concept.

KW - Adult

KW - Humans

KW - Stress Disorders, Post-Traumatic/therapy

KW - Cognitive Behavioral Therapy/methods

KW - International Classification of Diseases

KW - Survivors

U2 - 10.1080/20008066.2022.2122528

DO - 10.1080/20008066.2022.2122528

M3 - SCORING: Review article

C2 - 36325255

VL - 13

JO - EUR J PSYCHOTRAUMATO

JF - EUR J PSYCHOTRAUMATO

SN - 2000-8198

IS - 2

M1 - 2122528

ER -