The effectiveness and tolerability of trauma-focused interventions for trauma symptoms in individuals who have psychosis: A systematic review and meta-analysis.
Ava Mason, Yanakan Logeswaran, Felix Opper et al.
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In 30 seconds
This systematic review and meta-analysis evaluated the effectiveness and tolerability of trauma-focused therapies (TFTs) for individuals with psychosis. Ten randomized controlled trials were included, revealing that Eye Movement Desensitization and Reprocessing (EMDR) significantly reduced PTSD symptoms post-treatment (g = 0.84, p < 0.001) and at 6-month follow-up (g = 0.63, p < 0.001) compared to treatment-as-usual.
Key findings
- EMDR significantly reduced positive psychotic symptoms post-treatment (g = 0.21, p = 0.05).
- EMDR significantly reduced PTSD symptoms post-treatment (g = 0.84, p < 0.001).
- EMDR maintained significant reductions in PTSD symptoms at 6-month follow-up (g = 0.63, p < 0.001).
- Prolonged exposure (PE) and cognitive therapies (CR) also showed reductions in PTSD symptoms.
Why it matters
Individuals with psychosis and a history of trauma often experience worse clinical outcomes. Effective trauma-focused interventions can improve their mental health and overall functioning, making it crucial for clinicians to consider these therapies in treatment plans.