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Relative efficacy of psychological interventions following interpersonal trauma on anxiety, depression, substance use, and PTSD symptoms in young people: A meta‐analysis
AIM: Interpersonal trauma exposures are associated with anxiety, depression, and substance use in youth populations (aged 12–25 years). This meta‐analysis reports on the efficacy of psychological interventions on these symptom domains in addition to post‐traumatic stress. METHODS: Following PRISMA g...
Autores principales: | , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Wiley Publishing Asia Pty Ltd
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9786735/ https://www.ncbi.nlm.nih.gov/pubmed/35106931 http://dx.doi.org/10.1111/eip.13265 |
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author | Peters, Wilma Rice, Simon Alvarez‐Jimenez, Mario Hetrick, Sarah E. Halpin, Emma Kamitsis, Ilias Santesteban‐Echarri, Olga Bendall, Sarah |
author_facet | Peters, Wilma Rice, Simon Alvarez‐Jimenez, Mario Hetrick, Sarah E. Halpin, Emma Kamitsis, Ilias Santesteban‐Echarri, Olga Bendall, Sarah |
author_sort | Peters, Wilma |
collection | PubMed |
description | AIM: Interpersonal trauma exposures are associated with anxiety, depression, and substance use in youth populations (aged 12–25 years). This meta‐analysis reports on the efficacy of psychological interventions on these symptom domains in addition to post‐traumatic stress. METHODS: Following PRISMA guidelines, a search of electronic databases was performed for randomized controlled trials (RCTs) assessing interventions for young people following interpersonal trauma exposure. Risk of bias was assessed using the Cochrane Risk of Bias tool. Data were analysed using random‐effects meta‐analyses. RESULTS: Of the 4832 records screened, 78 studies were reviewed, and 10 RCTs, involving 679 participants (mean age 15.6 years), were analysed. There was a large pooled effect size for post‐traumatic stress (7 studies, g = 1.43, 95% CI [0.37, 2.15], p = .002) and substance use (2 studies, g = 0.70, 95% CI [−0.11, 1.22], p < .001) and small effect sizes for anxiety (4 studies, g = 0.30, 95% CI [0.10, 0.49], p = .003), and trend‐level effect for depression (10 studies, g = 0.27, 95% CI [0.00, 0.54], p = .052). Heterogeneity was significant for post‐traumatic stress and moderate for depression. CONCLUSIONS: High‐quality RCTs of psychological interventions for anxiety, depression, substance use, and post‐traumatic stress symptoms in young people exposed to interpersonal trauma are scarce. While available studies show either statistically significant or trend‐level efficacy for psychological interventions in reducing these symptoms, wide confidence intervals, heterogeneity and small sample size mean that results need to be interpreted with caution. |
format | Online Article Text |
id | pubmed-9786735 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Wiley Publishing Asia Pty Ltd |
record_format | MEDLINE/PubMed |
spelling | pubmed-97867352022-12-27 Relative efficacy of psychological interventions following interpersonal trauma on anxiety, depression, substance use, and PTSD symptoms in young people: A meta‐analysis Peters, Wilma Rice, Simon Alvarez‐Jimenez, Mario Hetrick, Sarah E. Halpin, Emma Kamitsis, Ilias Santesteban‐Echarri, Olga Bendall, Sarah Early Interv Psychiatry Review Article AIM: Interpersonal trauma exposures are associated with anxiety, depression, and substance use in youth populations (aged 12–25 years). This meta‐analysis reports on the efficacy of psychological interventions on these symptom domains in addition to post‐traumatic stress. METHODS: Following PRISMA guidelines, a search of electronic databases was performed for randomized controlled trials (RCTs) assessing interventions for young people following interpersonal trauma exposure. Risk of bias was assessed using the Cochrane Risk of Bias tool. Data were analysed using random‐effects meta‐analyses. RESULTS: Of the 4832 records screened, 78 studies were reviewed, and 10 RCTs, involving 679 participants (mean age 15.6 years), were analysed. There was a large pooled effect size for post‐traumatic stress (7 studies, g = 1.43, 95% CI [0.37, 2.15], p = .002) and substance use (2 studies, g = 0.70, 95% CI [−0.11, 1.22], p < .001) and small effect sizes for anxiety (4 studies, g = 0.30, 95% CI [0.10, 0.49], p = .003), and trend‐level effect for depression (10 studies, g = 0.27, 95% CI [0.00, 0.54], p = .052). Heterogeneity was significant for post‐traumatic stress and moderate for depression. CONCLUSIONS: High‐quality RCTs of psychological interventions for anxiety, depression, substance use, and post‐traumatic stress symptoms in young people exposed to interpersonal trauma are scarce. While available studies show either statistically significant or trend‐level efficacy for psychological interventions in reducing these symptoms, wide confidence intervals, heterogeneity and small sample size mean that results need to be interpreted with caution. Wiley Publishing Asia Pty Ltd 2022-02-01 2022-11 /pmc/articles/PMC9786735/ /pubmed/35106931 http://dx.doi.org/10.1111/eip.13265 Text en © 2022 The Authors. Early Intervention in Psychiatry published by John Wiley & Sons Australia, Ltd. https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the terms of the http://creativecommons.org/licenses/by-nc-nd/4.0/ (https://creativecommons.org/licenses/by-nc-nd/4.0/) License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non‐commercial and no modifications or adaptations are made. |
spellingShingle | Review Article Peters, Wilma Rice, Simon Alvarez‐Jimenez, Mario Hetrick, Sarah E. Halpin, Emma Kamitsis, Ilias Santesteban‐Echarri, Olga Bendall, Sarah Relative efficacy of psychological interventions following interpersonal trauma on anxiety, depression, substance use, and PTSD symptoms in young people: A meta‐analysis |
title | Relative efficacy of psychological interventions following interpersonal trauma on anxiety, depression, substance use, and PTSD symptoms in young people: A meta‐analysis |
title_full | Relative efficacy of psychological interventions following interpersonal trauma on anxiety, depression, substance use, and PTSD symptoms in young people: A meta‐analysis |
title_fullStr | Relative efficacy of psychological interventions following interpersonal trauma on anxiety, depression, substance use, and PTSD symptoms in young people: A meta‐analysis |
title_full_unstemmed | Relative efficacy of psychological interventions following interpersonal trauma on anxiety, depression, substance use, and PTSD symptoms in young people: A meta‐analysis |
title_short | Relative efficacy of psychological interventions following interpersonal trauma on anxiety, depression, substance use, and PTSD symptoms in young people: A meta‐analysis |
title_sort | relative efficacy of psychological interventions following interpersonal trauma on anxiety, depression, substance use, and ptsd symptoms in young people: a meta‐analysis |
topic | Review Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9786735/ https://www.ncbi.nlm.nih.gov/pubmed/35106931 http://dx.doi.org/10.1111/eip.13265 |
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