Psychological interventions for posttraumatic stress disorder involving primary care physicians: systematic review and Meta-analysis of randomized controlled trials
Abstract Background Evidence-based psychological interventions for posttraumatic stress disorder (PTSD) are available in specialized settings, but adequate care in primary care is often lacking. The aim of this systematic review was to determine the effectiveness of psychological interventions for P...
| Main Authors: | , , , , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
BMC
2020-08-01
|
| Series: | BMC Family Practice |
| Subjects: | |
| Online Access: | http://link.springer.com/article/10.1186/s12875-020-01244-4 |
| _version_ | 1811229399540826112 |
|---|---|
| author | Rebekka Gehringer Antje Freytag Markus Krause Peter Schlattmann Konrad Schmidt Sven Schulz Sophie Jana Zezulka Florian Wolf Jonas Grininger Mathias Berger Horst Christian Vollmar Jochen Gensichen |
| author_facet | Rebekka Gehringer Antje Freytag Markus Krause Peter Schlattmann Konrad Schmidt Sven Schulz Sophie Jana Zezulka Florian Wolf Jonas Grininger Mathias Berger Horst Christian Vollmar Jochen Gensichen |
| author_sort | Rebekka Gehringer |
| collection | DOAJ |
| description | Abstract Background Evidence-based psychological interventions for posttraumatic stress disorder (PTSD) are available in specialized settings, but adequate care in primary care is often lacking. The aim of this systematic review was to determine the effectiveness of psychological interventions for PTSD involving primary care physicians (PCPs) and to characterize these interventions as well as their providers. Method A systematic review and meta-analyses of randomized controlled trials (RCTs). Primary outcome were symptoms of PTSD. Results Four RCTs with a total of 774 patients suffering from PTSD symptoms were included, all applying cognitive behavioural based interventions. Three studies with psychological interventions being conducted by case managers were pooled in a meta-analysis. Interventions were not effective in the short term (0–6 months; SMD, − 0.1; 95% CI, − 0.24-0.04; I2 = 0%). Only two studies contributed to the meta-analysis for long term (12–18 months) outcomes yielding a small effect (SMD, − 0.23; 95% CI, − 0.38- -0.08; I2 = 0%). Conclusions Psychological interventions for PTSD in primary care settings may be effective in the long term but number and quality of included studies was limited so the results should be interpreted with caution. |
| first_indexed | 2024-04-12T10:15:33Z |
| format | Article |
| id | doaj.art-170462299ad74212b272336e9bfe570b |
| institution | Directory Open Access Journal |
| issn | 1471-2296 |
| language | English |
| last_indexed | 2024-04-12T10:15:33Z |
| publishDate | 2020-08-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Family Practice |
| spelling | doaj.art-170462299ad74212b272336e9bfe570b2022-12-22T03:37:13ZengBMCBMC Family Practice1471-22962020-08-0121111210.1186/s12875-020-01244-4Psychological interventions for posttraumatic stress disorder involving primary care physicians: systematic review and Meta-analysis of randomized controlled trialsRebekka Gehringer0Antje Freytag1Markus Krause2Peter Schlattmann3Konrad Schmidt4Sven Schulz5Sophie Jana Zezulka6Florian Wolf7Jonas Grininger8Mathias Berger9Horst Christian Vollmar10Jochen Gensichen11Institute of General Practice and Family Medicine, Jena University Hospital, Friedrich-Schiller-UniversityInstitute of General Practice and Family Medicine, Jena University Hospital, Friedrich-Schiller-UniversityInstitute of General Practice and Family Medicine, Jena University Hospital, Friedrich-Schiller-UniversityInstitute of Medical Statistics, Computer Sciences and Documentation, Jena University Hospital, Friedrich-Schiller-UniversityInstitute of General Practice and Family Medicine, Jena University Hospital, Friedrich-Schiller-UniversityInstitute of General Practice and Family Medicine, Jena University Hospital, Friedrich-Schiller-UniversityInstitute of General Practice and Family Medicine, Jena University Hospital, Friedrich-Schiller-UniversityInstitute of General Practice and Family Medicine, Jena University Hospital, Friedrich-Schiller-UniversityInstitute of General Practice/Family Medicine, University Hospital of LMU MunichDepartment of Psychiatry, Faculty of Medicine, University of FreiburgInstitute of General Practice and Family Medicine, Jena University Hospital, Friedrich-Schiller-UniversityInstitute of General Practice/Family Medicine, University Hospital of LMU MunichAbstract Background Evidence-based psychological interventions for posttraumatic stress disorder (PTSD) are available in specialized settings, but adequate care in primary care is often lacking. The aim of this systematic review was to determine the effectiveness of psychological interventions for PTSD involving primary care physicians (PCPs) and to characterize these interventions as well as their providers. Method A systematic review and meta-analyses of randomized controlled trials (RCTs). Primary outcome were symptoms of PTSD. Results Four RCTs with a total of 774 patients suffering from PTSD symptoms were included, all applying cognitive behavioural based interventions. Three studies with psychological interventions being conducted by case managers were pooled in a meta-analysis. Interventions were not effective in the short term (0–6 months; SMD, − 0.1; 95% CI, − 0.24-0.04; I2 = 0%). Only two studies contributed to the meta-analysis for long term (12–18 months) outcomes yielding a small effect (SMD, − 0.23; 95% CI, − 0.38- -0.08; I2 = 0%). Conclusions Psychological interventions for PTSD in primary care settings may be effective in the long term but number and quality of included studies was limited so the results should be interpreted with caution.http://link.springer.com/article/10.1186/s12875-020-01244-4PTSDPrimary careSystematic review |
| spellingShingle | Rebekka Gehringer Antje Freytag Markus Krause Peter Schlattmann Konrad Schmidt Sven Schulz Sophie Jana Zezulka Florian Wolf Jonas Grininger Mathias Berger Horst Christian Vollmar Jochen Gensichen Psychological interventions for posttraumatic stress disorder involving primary care physicians: systematic review and Meta-analysis of randomized controlled trials BMC Family Practice PTSD Primary care Systematic review |
| title | Psychological interventions for posttraumatic stress disorder involving primary care physicians: systematic review and Meta-analysis of randomized controlled trials |
| title_full | Psychological interventions for posttraumatic stress disorder involving primary care physicians: systematic review and Meta-analysis of randomized controlled trials |
| title_fullStr | Psychological interventions for posttraumatic stress disorder involving primary care physicians: systematic review and Meta-analysis of randomized controlled trials |
| title_full_unstemmed | Psychological interventions for posttraumatic stress disorder involving primary care physicians: systematic review and Meta-analysis of randomized controlled trials |
| title_short | Psychological interventions for posttraumatic stress disorder involving primary care physicians: systematic review and Meta-analysis of randomized controlled trials |
| title_sort | psychological interventions for posttraumatic stress disorder involving primary care physicians systematic review and meta analysis of randomized controlled trials |
| topic | PTSD Primary care Systematic review |
| url | http://link.springer.com/article/10.1186/s12875-020-01244-4 |
| work_keys_str_mv | AT rebekkagehringer psychologicalinterventionsforposttraumaticstressdisorderinvolvingprimarycarephysicianssystematicreviewandmetaanalysisofrandomizedcontrolledtrials AT antjefreytag psychologicalinterventionsforposttraumaticstressdisorderinvolvingprimarycarephysicianssystematicreviewandmetaanalysisofrandomizedcontrolledtrials AT markuskrause psychologicalinterventionsforposttraumaticstressdisorderinvolvingprimarycarephysicianssystematicreviewandmetaanalysisofrandomizedcontrolledtrials AT peterschlattmann psychologicalinterventionsforposttraumaticstressdisorderinvolvingprimarycarephysicianssystematicreviewandmetaanalysisofrandomizedcontrolledtrials AT konradschmidt psychologicalinterventionsforposttraumaticstressdisorderinvolvingprimarycarephysicianssystematicreviewandmetaanalysisofrandomizedcontrolledtrials AT svenschulz psychologicalinterventionsforposttraumaticstressdisorderinvolvingprimarycarephysicianssystematicreviewandmetaanalysisofrandomizedcontrolledtrials AT sophiejanazezulka psychologicalinterventionsforposttraumaticstressdisorderinvolvingprimarycarephysicianssystematicreviewandmetaanalysisofrandomizedcontrolledtrials AT florianwolf psychologicalinterventionsforposttraumaticstressdisorderinvolvingprimarycarephysicianssystematicreviewandmetaanalysisofrandomizedcontrolledtrials AT jonasgrininger psychologicalinterventionsforposttraumaticstressdisorderinvolvingprimarycarephysicianssystematicreviewandmetaanalysisofrandomizedcontrolledtrials AT mathiasberger psychologicalinterventionsforposttraumaticstressdisorderinvolvingprimarycarephysicianssystematicreviewandmetaanalysisofrandomizedcontrolledtrials AT horstchristianvollmar psychologicalinterventionsforposttraumaticstressdisorderinvolvingprimarycarephysicianssystematicreviewandmetaanalysisofrandomizedcontrolledtrials AT jochengensichen psychologicalinterventionsforposttraumaticstressdisorderinvolvingprimarycarephysicianssystematicreviewandmetaanalysisofrandomizedcontrolledtrials |