Effects of current treatments for trauma survivors with posttraumatic stress disorder on reducing a negative self-concept: a systematic review and meta-analysis
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 I...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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Taylor & Francis Group
2022-12-01
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| Series: | European Journal of Psychotraumatology |
| Subjects: | |
| Online Access: | http://dx.doi.org/10.1080/20008066.2022.2122528 |
| _version_ | 1828040869240897536 |
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| author | Liselotte Banz Mina Stefanovic Maria von Boeselager Ingo Schäfer Annett Lotzin Birgit Kleim Thomas Ehring |
| author_facet | Liselotte Banz Mina Stefanovic Maria von Boeselager Ingo Schäfer Annett Lotzin Birgit Kleim Thomas Ehring |
| author_sort | Liselotte Banz |
| collection | DOAJ |
| description | 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. |
| first_indexed | 2024-04-10T17:00:46Z |
| format | Article |
| id | doaj.art-7e89c734fbc44b56a9b0dba0b01f07de |
| institution | Directory Open Access Journal |
| issn | 2000-8066 |
| language | English |
| last_indexed | 2024-04-10T17:00:46Z |
| publishDate | 2022-12-01 |
| publisher | Taylor & Francis Group |
| record_format | Article |
| series | European Journal of Psychotraumatology |
| spelling | doaj.art-7e89c734fbc44b56a9b0dba0b01f07de2023-02-06T14:17:44ZengTaylor & Francis GroupEuropean Journal of Psychotraumatology2000-80662022-12-0113210.1080/20008066.2022.21225282122528Effects of current treatments for trauma survivors with posttraumatic stress disorder on reducing a negative self-concept: a systematic review and meta-analysisLiselotte Banz0Mina Stefanovic1Maria von Boeselager2Ingo Schäfer3Annett Lotzin4Birgit Kleim5Thomas Ehring6LMU MunichLMU MunichLMU MunichUniversity Medical Center Hamburg-EppendorfUniversity Medical Center Hamburg-EppendorfUniversity of ZurichLMU MunichBackground: 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.http://dx.doi.org/10.1080/20008066.2022.2122528ptsdtraumanegative self-conceptmeta-analysistreatment |
| spellingShingle | Liselotte Banz Mina Stefanovic Maria von Boeselager Ingo Schäfer Annett Lotzin Birgit Kleim Thomas Ehring Effects of current treatments for trauma survivors with posttraumatic stress disorder on reducing a negative self-concept: a systematic review and meta-analysis European Journal of Psychotraumatology ptsd trauma negative self-concept meta-analysis treatment |
| title | Effects of current treatments for trauma survivors with posttraumatic stress disorder on reducing a negative self-concept: a systematic review and meta-analysis |
| title_full | Effects of current treatments for trauma survivors with posttraumatic stress disorder on reducing a negative self-concept: a systematic review and meta-analysis |
| title_fullStr | Effects of current treatments for trauma survivors with posttraumatic stress disorder on reducing a negative self-concept: a systematic review and meta-analysis |
| title_full_unstemmed | Effects of current treatments for trauma survivors with posttraumatic stress disorder on reducing a negative self-concept: a systematic review and meta-analysis |
| title_short | Effects of current treatments for trauma survivors with posttraumatic stress disorder on reducing a negative self-concept: a systematic review and meta-analysis |
| title_sort | effects of current treatments for trauma survivors with posttraumatic stress disorder on reducing a negative self concept a systematic review and meta analysis |
| topic | ptsd trauma negative self-concept meta-analysis treatment |
| url | http://dx.doi.org/10.1080/20008066.2022.2122528 |
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