Non-Trauma-Focused Psychotherapies for the Treatment of PTSD: a Descriptive Review
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PTSD (SK Creech and LM Sippel, Section Editors)
Non-Trauma-Focused Psychotherapies for the Treatment of PTSD: a Descriptive Review M. Tracie Shea, PhD1,2,* Janice L. Krupnick, PhD3 Bradley E. Belsher, PhD4 Paula P. Schnurr, PhD5 Address 1 Department of Psychiatry and Human Behavior, Alpert Medical School of Brown University, Providence, RI, USA *,2 The Center for Neurorestoration and Neurotechnology, Veterans Affairs Medical Center, Providence, RI, USA Email: [email protected] 3 Department of Psychiatry, Georgetown University School of Medicine, Washington, DC, USA 4 Psychological Health Center of Excellence, Defense Health Agency, Silver Spring, MD, USA 5 Executive Division, National Center for PTSD, White River Junction, VT, USA
* This is a U.S. Government work and not under copyright protection in the US; foreign copyright protection may apply 2020
The views expressed in this article are those of the authors and do not necessarily reflect the position or policy of the Department of Veterans Affairs. This article is part of the Topical Collection on PTSD Keywords PTSD I Treatment I Psychotherapy I Review I Non-trauma focus
Abstract Purpose of review Posttraumatic stress disorder (PTSD) is a serious disorder with high rates of chronicity and significant functional impairment. There is strong research support for several psychotherapies that focus on trauma, and these are recommended as first-line treatments. However, many patients are reluctant or unwilling to engage in treatments that focus on trauma, and some desire treatment for other pressing issues. As such, there is a need for effective alternative treatment options. The purpose of this review is to describe existing non-trauma-focused psychotherapies and summarize the available evidence for these treatments. Recent findings A large number of studies have examined the efficacy of non-traumafocused therapies. Present-centered therapy (PCT), interpersonal psychotherapy (IPT), and several cognitive-behavioral approaches that focus on skills training and/or cognitive
PTSD (SK Creech and LM Sippel, Section Editors) restructuring, and to a lesser extent, acceptance and commitment therapy (ACT) have empirical support from comparisons with wait-list or minimal attention controls and/or comparisons with trauma-focused therapies. Additional promising non-trauma-focused approaches with less evidence include mindfulness and meditation approaches and Skills Training for Affective and Interpersonal Regulation (STAIR). Summary Although the evidence for trauma-focused therapy for PTSD remains the strongest, there is evidence supporting the use of these non-trauma-focused therapies for PTSD.
Introduction Notable advances in psychotherapeutic treatments for PTSD have been made over the past few decades, particularly with the development of treatments that involve a direct focus on the trauma. Empirical support has led to recommendations for trauma-focused approaches as first-line treatments in several PTSD treatment guidelines. Nonetheless, there is a clear need f
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