Systematic review of the efficacy of cognitive-behavior therapy related treatments for victims of natural disasters: a worldwide problem.

Natural disasters can have devastating consequences. Each year, about 225 million people are victims of natural disasters worldwide, and up to 13,5 million of these people can develop post-traumatic stress disorder (PTSD) in the first or second year following the disaster. Cognitive-behavior therapy...

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Autores principales: Alessandra Pereira Lopes, Tânia Fagundes Macedo, Evandro Silva Freire Coutinho, Ivan Figueira, Paula Rui Ventura
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Publicado: Public Library of Science (PLoS) 2014
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spelling oai:doaj.org-article:6761731ed992430db31b185ef85bff272021-11-25T05:57:30ZSystematic review of the efficacy of cognitive-behavior therapy related treatments for victims of natural disasters: a worldwide problem.1932-620310.1371/journal.pone.0109013https://doaj.org/article/6761731ed992430db31b185ef85bff272014-01-01T00:00:00Zhttps://doi.org/10.1371/journal.pone.0109013https://doaj.org/toc/1932-6203Natural disasters can have devastating consequences. Each year, about 225 million people are victims of natural disasters worldwide, and up to 13,5 million of these people can develop post-traumatic stress disorder (PTSD) in the first or second year following the disaster. Cognitive-behavior therapy (CBT) is the first-choice treatment for this disorder. In order to evaluate the efficacy of psychotherapeutic treatment based on cognitive-behavior therapy for people who developed post traumatic stress disorder after natural disasters we conducted a systematic search of published studies. We used the terms reported below in the electronic databases ISI Web of Science, PsycINFO, PubMed, PILOTS and Scopus with no restrictions of language or publication date. Articles that described randomized controlled, non-randomized controlled and non controlled studies on the efficacy of cognitive-behavior therapy for individuals diagnosed with post-traumatic stress disorder after exposure to a natural disaster were eligible for inclusion. The studies were required to use a standardized measure of effectiveness before and after the intervention and have a group of patients who had used cognitive-behavior therapy as the only intervention. Our search identified 820 studies, and 11 were selected for this review. These 11 studies involved 742 subjects, 10 related to earthquakes and 1 to a hurricane. The cognitive-behavior therapy techniques used were various: 7 studies used exposure therapy, 2 studies used problem solving, and the only 2 studies with adolescents used techniques including reconstructions and reprocessing of the traumatic experience. As limitations, the search involved only five electronic databases, no experts in the field were consulted, and the heterogeneity of the findings made it impossible to perform a meta-analysis. The results suggest the efficacy of cognitive-behavior therapy, particularly exposure techniques, for the treatment of post-traumatic stress disorder after earthquakes. However, further studies with stronger methodologies, i.e. randomized-control trials and non-randomized controlled trials, are needed.Alessandra Pereira LopesTânia Fagundes MacedoEvandro Silva Freire CoutinhoIvan FigueiraPaula Rui VenturaPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 9, Iss 10, p e109013 (2014)
institution DOAJ
collection DOAJ
language EN
topic Medicine
R
Science
Q
spellingShingle Medicine
R
Science
Q
Alessandra Pereira Lopes
Tânia Fagundes Macedo
Evandro Silva Freire Coutinho
Ivan Figueira
Paula Rui Ventura
Systematic review of the efficacy of cognitive-behavior therapy related treatments for victims of natural disasters: a worldwide problem.
description Natural disasters can have devastating consequences. Each year, about 225 million people are victims of natural disasters worldwide, and up to 13,5 million of these people can develop post-traumatic stress disorder (PTSD) in the first or second year following the disaster. Cognitive-behavior therapy (CBT) is the first-choice treatment for this disorder. In order to evaluate the efficacy of psychotherapeutic treatment based on cognitive-behavior therapy for people who developed post traumatic stress disorder after natural disasters we conducted a systematic search of published studies. We used the terms reported below in the electronic databases ISI Web of Science, PsycINFO, PubMed, PILOTS and Scopus with no restrictions of language or publication date. Articles that described randomized controlled, non-randomized controlled and non controlled studies on the efficacy of cognitive-behavior therapy for individuals diagnosed with post-traumatic stress disorder after exposure to a natural disaster were eligible for inclusion. The studies were required to use a standardized measure of effectiveness before and after the intervention and have a group of patients who had used cognitive-behavior therapy as the only intervention. Our search identified 820 studies, and 11 were selected for this review. These 11 studies involved 742 subjects, 10 related to earthquakes and 1 to a hurricane. The cognitive-behavior therapy techniques used were various: 7 studies used exposure therapy, 2 studies used problem solving, and the only 2 studies with adolescents used techniques including reconstructions and reprocessing of the traumatic experience. As limitations, the search involved only five electronic databases, no experts in the field were consulted, and the heterogeneity of the findings made it impossible to perform a meta-analysis. The results suggest the efficacy of cognitive-behavior therapy, particularly exposure techniques, for the treatment of post-traumatic stress disorder after earthquakes. However, further studies with stronger methodologies, i.e. randomized-control trials and non-randomized controlled trials, are needed.
format article
author Alessandra Pereira Lopes
Tânia Fagundes Macedo
Evandro Silva Freire Coutinho
Ivan Figueira
Paula Rui Ventura
author_facet Alessandra Pereira Lopes
Tânia Fagundes Macedo
Evandro Silva Freire Coutinho
Ivan Figueira
Paula Rui Ventura
author_sort Alessandra Pereira Lopes
title Systematic review of the efficacy of cognitive-behavior therapy related treatments for victims of natural disasters: a worldwide problem.
title_short Systematic review of the efficacy of cognitive-behavior therapy related treatments for victims of natural disasters: a worldwide problem.
title_full Systematic review of the efficacy of cognitive-behavior therapy related treatments for victims of natural disasters: a worldwide problem.
title_fullStr Systematic review of the efficacy of cognitive-behavior therapy related treatments for victims of natural disasters: a worldwide problem.
title_full_unstemmed Systematic review of the efficacy of cognitive-behavior therapy related treatments for victims of natural disasters: a worldwide problem.
title_sort systematic review of the efficacy of cognitive-behavior therapy related treatments for victims of natural disasters: a worldwide problem.
publisher Public Library of Science (PLoS)
publishDate 2014
url https://doaj.org/article/6761731ed992430db31b185ef85bff27
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