The effectiveness and tolerability of trauma-focused psychotherapies for psychotic symptoms: A systematic review of trauma-focused psychotherapies.

Journal: International journal of methods in psychiatric research

Volume: 33

Issue: 1

Year of Publication: 2024

Affiliated Institutions:  Translational Psychiatry Research Group, Division of Psychiatry, Research Department of Mental Health Neuroscience, Institute of Mental Health, University College London, London, UK. Department of Clinical, Educational and Health Psychology, University College London, London, UK. University of Hertfordshire, Hatfield, UK.

Abstract summary 

Psychological trauma is an established risk factor for psychosis. Trauma-focused psychotherapies (TFPT) have been suggested as a potential treatment for reducing psychotic symptoms in those who have experienced trauma. We therefore sought to investigate the effectiveness, tolerability, and acceptability of TFPT for psychotic symptoms.We conducted a systematic review of studies of any form of TFPT that measured psychotic symptoms across a broad range of diagnoses.From 2584 papers initially identified, 17 studies (857 participants) met eligibility criteria. TFPT were found to be well tolerated, with very few adverse events. Acceptability was also high, with a mean dropout rate of 20%.Whilst the evidence of effectiveness for TFPT in reducing psychotic symptoms is weak, we found tentative evidence in favour of exposure-based interventions. Methodologically rigorous trials investigating the efficacy of TFPT for the treatment of psychotic symptoms are needed to assess this promising intervention.

Authors & Co-authors:  Reid Cole Malik Bell Bloomfield

Study Outcome 

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Statistics
Citations :  Arens, A. (2014). Trauma management therapy for a veteran with co‐occurring combat PTSD and hallucinations. Clinical Case Studies, 14(2), 115–128. 10.1177/1534650114541324
Authors :  5
Identifiers
Doi : e2005
SSN : 1557-0657
Study Population
Male,Female
Mesh Terms
Humans
Other Terms
PTSD;psychosis;psychotherapy;schizophrenia;trauma
Study Design
Study Approach
Country of Study
Publication Country
United States