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Psychological therapies for post-traumatic stress disorder
1Traumatic Stress Clinic, London.
The British Journal of Psychiatry : the Journal of Mental Science
|October 12, 2000
Summary
Psychological treatments effectively manage fear-based symptoms in post-traumatic stress disorder (PTSD). While shame-based symptoms have less evidence, most PTSD patients benefit from combined therapies offered by general psychiatric services.
Area of Science:
- Psychiatry
- Psychology
- Trauma Studies
Background:
- Post-traumatic stress disorder (PTSD) affects 20-30% of trauma survivors.
- Significant community incidence and prevalence necessitate awareness of therapeutic options.
Purpose of the Study:
- To review evidence on the effectiveness of psychological treatments for PTSD.
- To inform general practitioners and psychiatrists about therapeutic strategies.
Main Methods:
- Discussion of psychopathological mechanisms in PTSD.
- Systematic review of studies on psychological therapy effectiveness.
Main Results:
- Persistent fear or shame reactions are central to PTSD.
- Psychotherapeutic treatments show efficacy for fear-based reactions, potentially enhancing pharmacotherapy.
- Limited evidence exists for interventions targeting shame-based symptoms.
Conclusions:
- Most PTSD patients can be treated by general psychiatric services.
- Combined pharmacological and psychological interventions are recommended.
- Specialist interventions may be needed for complex or chronic PTSD cases.