Specific and Nonspecific Psychological Interventions for PTSD Symptoms: A Meta-Analysis With Problem Complexity as a Moderator

Gerger, Heike; Munder, Thomas; Barth, Jürgen (2014). Specific and Nonspecific Psychological Interventions for PTSD Symptoms: A Meta-Analysis With Problem Complexity as a Moderator. Journal of clinical psychology, 70(7), pp. 601-615. Wiley 10.1002/jclp.22059

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CONTEXT The necessity of specific intervention components for the successful treatment of patients with posttraumatic stress disorder is the subject of controversy. OBJECTIVE To investigate the complexity of clinical problems as a moderator of relative effects between specific and nonspecific psychological interventions. METHODS We included 18 randomized controlled trials, directly comparing specific and nonspecific psychological interventions. We conducted moderator analyses, including the complexity of clinical problems as predictor. RESULTS Our results have confirmed the moderate superiority of specific over nonspecific psychological interventions; however, the superiority was small in studies with complex clinical problems and large in studies with noncomplex clinical problems. CONCLUSIONS For patients with complex clinical problems, our results suggest that particular nonspecific psychological interventions may be offered as an alternative to specific psychological interventions. In contrast, for patients with noncomplex clinical problems, specific psychological interventions are the best treatment option.

Item Type:

Journal Article (Original Article)

Division/Institute:

04 Faculty of Medicine > Pre-clinic Human Medicine > Institute of Social and Preventive Medicine (ISPM)

UniBE Contributor:

Gerger, Heike; Munder, Thomas and Barth, Jürgen

Subjects:

600 Technology > 610 Medicine & health
300 Social sciences, sociology & anthropology > 360 Social problems & social services

ISSN:

0021-9762

Publisher:

Wiley

Language:

English

Submitter:

Doris Kopp Heim

Date Deposited:

21 Feb 2014 16:19

Last Modified:

09 Jan 2015 07:01

Publisher DOI:

10.1002/jclp.22059

PubMed ID:

24353221

Uncontrolled Keywords:

psychological intervention, psychotherapy, placebo, non-specific, posttraumatic stress disorder, meta-analysis, efficacy

BORIS DOI:

10.7892/boris.42196

URI:

https://boris.unibe.ch/id/eprint/42196

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