Cognitive-behavioral therapy versus other PTSD psychotherapies as treatment for women victims of war-related violence: a systematic review.
Although war-trauma victims are at a higher risk of developing PTSD, there is no consensus on the effective treatments for this condition among civilians who experienced war/conflict-related trauma. This paper assessed the effectiveness of the various forms of cognitive-behavioral therapy (CBT) at lowering PTSD and depression severity. All published and unpublished randomized controlled trials studying the effectiveness of CBT at reducing PTSD and/or depression severity in the population of interest were searched. Out of 738 trials identified, 33 analysed a form of CBTs effectiveness, and ten were included in the paper. The subgroup analysis shows that cognitive processing therapy (CPT), culturally adapted CPT, and narrative exposure therapy (NET) contribute to the reduction of PTSD and depression severity in the population of interest. The effect size was also significant at a level of 0.01 with the exception of the effect of NET on depression score. The test of subgroup differences was also significant, suggesting CPT is more effective than NET in our population of interest. CPT as well as its culturallyadapted form and NET seem effective in helping war/conflict traumatised civilians cope with their PTSD symptoms. However, more studies are required if one wishes to recommend one of these therapies above the other.
Département of Médecine Sociale et Préventive, Faculté de Médecine, Université de Montréal, Montréal, QC, Canada H3C 3J7. nissou.ines.dossa@umontreal.ca
N Inès
NI
Dossa
Marie
M
Hatem
D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D018585:Battered Women / Q000523:psychology / Q000706:statistics & numerical data*; D015928:Cognitive Behavioral Therapy / Q000706:statistics & numerical data*; D003130:Combat Disorders; D019317:Evidence-Based Medicine; D005260:Female; D006801:Humans; D038622:Internationality; D008875:Middle Aged; D033262:Narration; D015995:Prevalence; D013313:Stress Disorders, Post-Traumatic / Q000453:epidemiology* / Q000628:therapy*; D016896:Treatment Outcome; D014754:Violence / Q000523:psychology / Q000706:statistics & numerical data*; D014857:Warfare; D055815:Young Adult