Harnessing the Healing Power of Relationships in Trauma Recovery: a Systematic Review of Cognitive-Behavioral Conjoint T
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PTSD (SK Creech and LM Sippel, Section Editors)
Harnessing the Healing Power of Relationships in Trauma Recovery: a Systematic Review of Cognitive-Behavioral Conjoint Therapy for PTSD Rachel E. Liebman, PhD* Kristen M. Whitfield, BA Iris Sijercic, MA Naomi Ennis, MA Candice M. Monson, PhD Address * Department of Psychology, Ryerson University, 105 Bond Street, room SBB115, Toronto, ON, M5B 2K3, Canada Email: [email protected]
* Springer Nature Switzerland AG 2020
This article is part of the Topical Collection on PTSD Keywords Posttraumatic stress disorder I PTSD I Cognitive behavioral conjoint therapy I Couple therapy I CBCT I Trauma
Abstract Purpose The goal of this systematic review was to examine the empirical literature on cognitive-behavioral conjoint therapy for PTSD (CBCT). The aims were to (1) review the efficacy of CBCT for PTSD, relationship satisfaction, and related symptoms; (2) describe novel adaptations to the treatment; and (3) identify potential moderators and mediators of treatment outcomes. A systematic search of peer-reviewed publications was conducted across three databases (PsycINFO, PubMed, and SCOPUS). Relevant publications were rated by two authors using a validated checklist. Findings Fourteen articles met inclusion criteria. Quality ratings ranged from “fair” to “good”. The majority of studies were uncontrolled designs; no studies compared CBCT to an active control condition. Three studies adapted standard CBCT. Nearly all studies found improvements in patient- and partner-rated PTSD symptoms and patient depression, anxiety, and anger. Findings on relationship satisfaction and partner accommodation as outcomes were somewhat mixed. Baseline relationship satisfaction, partner accommodation, and social support moderated outcomes.
PTSD (SK Creech and LM Sippel, Section Editors) Summary Overall, CBCT has demonstrated initial efficacy for PTSD and comorbid problems. Future studies should examine moderators and mediators to answer how and for whom this treatment works. Controlled trials on novel adaptations to CBCT are also needed.
Introduction Posttraumatic stress disorder (PTSD) is associated with a myriad of couple-level problems, including increased relationship discord, aggression, and intimacy problems [1, 2]. PTSD and relationship functioning have a reciprocal and synergistic influence on one another over time [3••, 4, 5, 6]. PTSD also has mutually exacerbating effects on the mental health of close others of those with PTSD (see [7] and [8]). As such, relational conceptualizations and treatments for these clinical issues have been offered, including cognitive-behavioral conjoint therapy for PTSD (CBCT) [9]. The aim of this systematic review was to describe the current evidence base for CBCT in improving PTSD, relationship satisfaction, and associated mental health problems. Although existing evidence-based individual PTSD treatments are highly efficacious for improving PTSD and common comorbid symptoms, they do not appear to improve, and may even worsen, couple and family fu
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