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First‐line therapy for post‐traumatic stress disorder: A systematic review of cognitive behavioural therapy and psychodynamic approaches
Author(s) -
Paintain Emma,
Cassidy Simon
Publication year - 2018
Publication title -
counselling and psychotherapy research
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.38
H-Index - 32
eISSN - 1746-1405
pISSN - 1473-3145
DOI - 10.1002/capr.12174
Subject(s) - psychological intervention , psychotherapist , psychology , clinical psychology , exposure therapy , psychodynamics , dropout (neural networks) , traumatic stress , cognition , cognitive processing therapy , intervention (counseling) , cognitive behavioral therapy , cognitive therapy , medicine , psychiatry , anxiety , machine learning , computer science
Background Despite evidence supporting cognitive behavioural therapy ( CBT )‐based interventions as the most effective approach for treating post‐traumatic stress disorder ( PTSD ) in randomised control trials, alternative treatment interventions are often used in clinical practice. Psychodynamic ( PDT )‐based interventions are one example of such preferred approaches, this is despite comparatively limited available evidence supporting their effectiveness for treating PTSD . Aims Existing research exploring effective therapeutic interventions for PTSD includes trauma‐focused CBT involving exposure techniques. The present review sought to establish the treatment efficacy of CBT and PDT approaches and considers the potential impact of selecting PDT ‐based techniques over CBT ‐based techniques for the treatment of PTSD . Results The evidence reviewed provided examples supporting PDT ‐based therapy as an effective treatment for PTSD , but confirmed CBT as more effective in the treatment of this particular disorder. Comparable dropout rates were reported for both treatment approaches, suggesting that relative dropout rate should not be a pivotal factor in the selection of a PDT approach over CBT for treatment of PTSD . Conclusion/Implications The need to routinely observe evidence‐based recommendations for effective treatment of PTSD is highlighted and factors undermining practitioner engagement with CBT ‐based interventions for the treatment of PTSD are identified.