A guide to guidelines for the treatment of posttraumatic stress disorder in adults: An update.

@article{Hamblen2019AGT,
  title={A guide to guidelines for the treatment of posttraumatic stress disorder in adults: An update.},
  author={Jessica L Hamblen and Sonya B. Norman and Jeffrey Sonis and Andrea J. Phelps and Jonathan I. Bisson and Vanessa Delgado Nunes and Odette Megnin-Viggars and David Forbes and David S. Riggs and Paula P Schnurr},
  journal={Psychotherapy},
  year={2019},
  volume={56 3},
  pages={
          359-373
        }
}
Clinical practice guidelines (CPGs) are used to support clinicians and patients in diagnostic and treatment decision-making. Along with patients' preferences and values, and clinicians' experience and judgment, practice guidelines are a critical component to ensure patients are getting the best care based on the most updated research findings. Most CPGs are based on systematic reviews of the treatment literature. Although most reviews are now restricted to randomized controlled trials, others… 
View on PubMed
orca.cardiff.ac.uk
86 Citations
Highly Influential Citations
3
Background Citations
26
Methods Citations
5
Results Citations
1

86 Citations

Australian guidelines for the prevention and treatment of posttraumatic stress disorder: Updates in the third edition

Objective: This paper describes the development of the third edition of the National Health and Medical Research Australian Guidelines for the Prevention and Treatment of Acute Stress Disorder,…

The International Society for Traumatic Stress Studies New Guidelines for the Prevention and Treatment of Posttraumatic Stress Disorder: Methodology and Development Process.

The methodology and results of the ISTSS Guideline process are described and the interpretation and implementation of the recommendations are considered.

Clinical practice guidelines for posttraumatic stress disorder: Are they still clinical?

This article traces the evolution of clinical practice guidelines (CPGs) for the treatment of Posttraumatic Stress Disorder (PTSD) to illustrate how their construction and use have become intertwined…

Management of Post-traumatic Stress Disorder in Veterans and Military Service Members: A Review of Pharmacologic and Psychotherapeutic Interventions Since 2016

The development of new research-based evidence in the treatment of PTSD, both pharmacologic and psychotherapeutic, is needed and likely to necessitate frequent updates and re-evaluations of clinical practice guidelines.

Navigating treatment recommendations for PTSD: A rapid review

Abstract As a hidden epidemic, trauma is a serious public health concern that negatively affects individuals and communities globally. There have been ongoing debates and conflictual guidelines…

Delivery of a trauma-focused CBT group for heterogeneous single-incident traumas in adult primary care: a follow-on case study

Abstract Group therapy for adult post-traumatic stress disorder (PTSD) has been a subject of debate over the past few years. A recent update on five international clinical practice guidelines on the…

Cost-effectiveness of psychological treatments for post-traumatic stress disorder in adults

Eye movement desensitisation and reprocessing appeared to be the most cost-effective intervention for adults with PTSD, followed by combined somatic/cognitive therapies, self-help with support, psychoeducation, selective serotonin reuptake inhibitors (SSRIs), and trauma-focused cognitive behavioural therapy (TF-CBT).

Evaluating Narrative Exposure Therapy for Posttraumatic Stress Disorder and Depression Symptoms: A Meta-Analysis of the Evidence-base.

The number of PTSD diagnoses decreased significantly in the short-term for the NET condition, but this was not sustained at the long-term, and moderate effect sizes for PTSD symptom severity were observed at mid- and long- term.

A randomized clinical trial of prolonged exposure and applied relaxation for the treatment of Latinos with posttraumatic stress disorder.

A randomized controlled trial comparing a culturally adapted PE intervention with applied relaxation (AR) among Spanish-speaking Latinos with PTSD in Puerto Rico found significant decreases in PTSD symptoms from baseline to follow-up and significant within-group reductions in depression and anxiety symptoms were observed.

Advances in PTSD Treatment Delivery: Review of Findings and Clinical Considerations for the Use of Telehealth Interventions for PTSD

Office-based and home-based CVT can be used to deliver PTSD treatments while retaining efficacy and therapeutic process and the use of these modalities can increase the number of individuals that can access efficacious PTSD care.
...

References

SHOWING 1-10 OF 34 REFERENCES

A guide to guidelines for the treatment of PTSD and related conditions.

The aim of this article is to examine the various guidelines and to compare and contrast their methodologies and recommendations to aid clinicians in making decisions about their use.

Summary of the clinical practice guideline for the treatment of posttraumatic stress disorder (PTSD) in adults.

  • Psychology, Medicine
    The American psychologist
  • 2019
The GDP conditionally recommends the use of brief eclectic psychotherapy, eye movement desensitization and reprocessing (EMDR), and narrative exposure therapy (NET), and concluded that future systematic reviews that incorporated new studies could change the recommendations for EMDR and NET from conditional to strong.

Psychological and Pharmacological Treatments for Adults With Posttraumatic Stress Disorder (PTSD)

Network meta-analysis of 28 trials found paroxetine and topiramate to be more effective than most medications for reducing PTSD symptoms, but analysis was based largely on indirect evidence and limited to one outcome measure (low SOE).

Use of Guideline-Recommended Treatments for PTSD Among Community-Based Providers in Texas and Vermont: Implications for the Veterans Choice Program

Findings raise critical questions regarding how to ensure veterans seeking PTSD care in community settings receive psychotherapy and/or prescribing consistent with clinical practice guidelines.

Meta-analysis of the efficacy of treatments for posttraumatic stress disorder.

Patients and providers have a variety of options for choosing an effective treatment for PTSD, and substantial differences in study design and study participant characteristics make identification of a single best treatment difficult.

Cognitive behavioral therapy for posttraumatic stress disorder in women: a randomized controlled trial.

Prolonged exposure is an effective treatment for PTSD in female veterans and active-duty military personnel and it is feasible to implement prolonged exposure across a range of clinical settings.

Psychotherapy Practices for Veterans With PTSD Among Community-Based Providers in Texas

Although many veterans are receiving treatment for PTSD in the community, many community-based mental health providers in Texas do not consistently use recommended treatments for PTSD, and may suggest an important opportunity for VA to engage and partner with community providers to achieve high-quality care for veterans.

Evidence-based practice in psychology.

  • B. Thorn
  • Psychology
    Journal of clinical psychology
  • 2007
The history of EBPP is explored, the definition and present uses of the term are elaborate, and information relevant to the skill set regarding a practice consistent with the evidence-based approach is provided.

Effect of Group vs Individual Cognitive Processing Therapy in Active-Duty Military Seeking Treatment for Posttraumatic Stress Disorder: A Randomized Clinical Trial

Individual treatment resulted in greater improvement in PTSD severity than group treatment, however, even among those receiving individual CPT, approximately 50% still had PTSD and clinically significant symptoms.

Sleep disturbance in chronic military-related PTSD: clinical impact and response to adjunctive risperidone in the Veterans Affairs cooperative study #504.

The results of a multicenter clinical trial that explored the clinical correlates of reported sleep impairment in veterans with chronic military-related PTSD and tested the impact of the second-generation antipsychotic risperidone highlighted the near universality and significant negative impact of severe disturbances in sleep quality.