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Reintegration interventions for CPTSD: a systematic review.
European journal of psychotraumatology Pub Date : 2021-07-05 , DOI: 10.1080/20008198.2021.1934789
Lucy R Purnell 1 , Alicia C J Graham 1 , Michael A P Bloomfield 1, 2, 3, 4, 5 , Jo Billings 1
Affiliation  

Background Clinical guidelines recommend a phase-based approach to treatment for complex post-traumatic stress disorder (CPTSD), yet little is known about what interventions are being offered and which may be effective in the final 'reintegration' phase. Objective To systematically review literature on reintegration interventions for CPTSD, describing the nature and effectiveness of interventions. Method We searched four electronic databases (Medline, PsycINFO, Embase, and PTSDpubs) for interventions aiming to facilitate reintegration for participants with probable CPTSD. We had two aims: firstly, to describe the interventions and secondly, to describe their effectiveness as measured through measures of reintegration, PTSD and/or disturbances in self-organization (DSO), or qualitative data describing changes experienced. Results are presented using narrative synthesis. Results Fifteen studies met our inclusion criteria. Interventions included yoga, exercise, use of service dogs, residential treatment, education, self-defence and patient research involvement. Overall study quality was low, as assessed by critical appraisal tools. Of the six studies including a control group, two reported a statistically significant improvement in the measure of reintegration between the intervention and control group, four studies reported a statistically significant difference in the measure of PTSD symptoms, but none reported any significant differences between intervention and control groups in DSO. Of all eight quantitative studies, three reported a statistically significant difference in the reintegration measure pre- to post-intervention for the intervention group, five a statistically significant improvement in the measure of PTSD symptoms, and three a significant difference in the DSO measure. From eight studies reporting qualitative date we synthesized themes into eight categories, within which facilitation of connection with others was the most commonly reported benefit. Conclusions The interventions outlined may facilitate reintegration, however, research in this area is still in its infancy and quality research is lacking. Further research is needed to establish whether reintegration interventions enhance treatment for CPTSD.

中文翻译:

CPTSD 的重返社会干预措施:系统评价。

背景 临床指南建议采用基于阶段的方法来治疗复杂的创伤后应激障碍 (CPTSD),但对于提供哪些干预措施以及哪些干预措施在最终的“重返社会”阶段可能有效,我们知之甚少。目的 系统回顾关于 CPTSD 重返社会干预措施的文献,描述干预措施的性质和有效性。方法 我们搜索了四个电子数据库(Medline、PsycINFO、Embase 和 PTSDpubs)以寻找旨在促进可能患有 CPTSD 的参与者重新融入社会的干预措施。我们有两个目标:首先,描述干预措施;其次,通过重新融入社会、创伤后应激障碍和/或自组织障碍 (DSO) 或描述所经历变化的定性数据来衡量其有效性。结果使用叙事综合呈现。结果 15 项研究符合我们的纳入标准。干预措施包括瑜伽、锻炼、服务犬的使用、住院治疗、教育、自卫和患者研究参与。根据关键评估工具的评估,总体研究质量很低。在包括对照组的六项研究中,两项报告干预组和对照组之间的重新融合测量有统计学意义的显着改善,四项研究报告了 PTSD 症状测量的统计学显着差异,但没有一项研究报告干预组和对照组之间有任何显着差异DSO 中的对照组。在所有八项定量研究中,三项报告了干预组干预前后的重返社会措施存在统计学上的显着差异,五个在 PTSD 症状测量上有统计学上的显着改善,三个在 DSO 测量上有显着差异。从八项报告定性数据的研究中,我们将主题分为八类,其中促进与他人的联系是最常报告的好处。结论 概述的干预措施可能有助于重返社会,但是,该领域的研究仍处于起步阶段,缺乏高质量的研究。需要进一步研究以确定重返社会干预措施是否能增强 CPTSD 的治疗。其中,促进与他人的联系是最常报告的好处。结论 概述的干预措施可能有助于重返社会,但是,该领域的研究仍处于起步阶段,缺乏高质量的研究。需要进一步研究以确定重返社会干预措施是否能增强 CPTSD 的治疗。其中,促进与他人的联系是最常报告的好处。结论 概述的干预措施可能有助于重返社会,但是,该领域的研究仍处于起步阶段,缺乏高质量的研究。需要进一步研究以确定重返社会干预措施是否能增强 CPTSD 的治疗。
更新日期:2021-07-05
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