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Psychological interventions for trauma in individuals who have psychosis: A systematic review and meta-analysis

Sin, J; Spain, D (2017) Psychological interventions for trauma in individuals who have psychosis: A systematic review and meta-analysis. Psychosis, 9 (1). pp. 67-81. ISSN 1752-2439 https://doi.org/10.1080/17522439.2016.1167946
SGUL Authors: Sin, Pui Han Jacqueline

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Abstract

Background: Psychological interventions, in particular those derived from cognitive-behavioural therapy frameworks, and eye movement desensitisation and reprocessing, are effective for reducing post-traumatic stress disorder and associated distress. To date, studies have tended to exclude individuals who have psychosis; a clinical population who are known to be at risk of experiencing trauma. Whether people with psychosis also benefit from trauma-focussed psychological therapies (TFPT) warrants further investigation. Method: A systematic search for randomised controlled trials was undertaken. Data were synthesised using narrative and meta-analytic approaches. Results: Five studies met the review inclusion criteria. Study findings overall indicate that TFPT are effective for reducing intrusive thoughts and images, negative beliefs associated with traumatic memories, hypervigilance, and avoidance. Limited data were available about the utility of interventions for improving mood, anxiety and quality of life. Attrition rates were comparable for participants offered active and control conditions. Conclusion: Findings are consistent with those reported for the non-psychosis population. Future studies should establish which interventions are more acceptable and glean more favourable outcomes for this clinical population.

Item Type: Article
Additional Information: © 2016 Informa UK Limited, trading as Taylor & Francis Group. This is an Accepted Manuscript of an article published by Taylor & Francis in Psychosis on 23 May 2016, available online: http://www.tandfonline.com/10.1080/17522439.2016.1167946.
Keywords: 1701 Psychology, 1103 Clinical Sciences, 1117 Public Health And Health Services
SGUL Research Institute / Research Centre: Academic Structure > Population Health Research Institute (INPH)
Journal or Publication Title: Psychosis
ISSN: 1752-2439
Dates:
DateEvent
14 March 2016Accepted
23 May 2016Published Online
March 2017Published
Publisher License: Publisher's own licence
Projects:
Project IDFunderFunder ID
PDF-2015-08-035, 2016-2020National Institute for Health Researchhttp://dx.doi.org/10.13039/501100000272
CDRF-03-059, 2013-2016National Institute for Health Researchhttp://dx.doi.org/10.13039/501100000272
URI: https://openaccess.sgul.ac.uk/id/eprint/108064
Publisher's version: https://doi.org/10.1080/17522439.2016.1167946

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