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University of Oklahoma Health Sciences Center

Evidence Update for Clinicians: Treatment Options for People with Posttraumatic Stress Disorder (PTSD)

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Date Added: 
September 12, 2019
Journal/Publication: 
Patient-Centered Outcomes Research Institute Website
Publisher: 
Patient-Centered Outcomes Research Institute
Publication Date: 
September 1, 2019
Type: 
Meta-analyses, Reviews, and Guidelines
Format: 
Web Page

RPR Commentary

This is a concise summary of treatment options for PTSD.  James W. Mold, MD, MPH

Abstract

A recent update of a systematic review, supported by PCORI through a research partnership with AHRQ, informs clinicians on psychological and pharmacological treatments for PTSD in adults. The review reports on 207 articles from 193 studies published before 2018, updating a 2013 review.

Posttraumatic stress disorder (PTSD) affects about 6% of US adults. It is more common in groups including women, younger people, and those who did not complete high school or who have lower incomes. PTSD can affect military personnel serving in combat, but it may also develop after a person experiences or witnesses intimate partner violence, sexual violence, physical abuse or assault, a motor vehicle crash, natural disaster, violent crime, or other traumatic event.

The Findings

Cognitive behavioral therapy (CBT) can improve PTSD symptoms to the point where the PTSD diagnosis is no longer substantiated. Although the harms of CBT were not well studied, they are likely minimal.

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