Treating Posttraumatic Stress Disorder in Military Populations: A Meta-Analysis.
| Title: | Treating Posttraumatic Stress Disorder in Military Populations: A Meta-Analysis. |
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| Authors: | Liu JJW; MacDonald Franklin OSI Research and Innovation Centre, Lawson Health Research Institute, London, Ontario, Canada.; Department of Psychiatry, Western University, London, Ontario, Canada.; Corresponding Author: Jenny J. W. Liu, PhD, The MacDonald Franklin OSI Research and Innovation Centre, Finch Mental Health Care Building, Parkwood Institute St. Joseph's Health Care London 550 Wellington Rd, F4-367, London, ON N6C 0A7 (jenny.liu@sjhc.london.on.ca).; Nazarov A; MacDonald Franklin OSI Research and Innovation Centre, Lawson Health Research Institute, London, Ontario, Canada.; Department of Psychiatry, Western University, London, Ontario, Canada.; Department of Psychiatry and Behavioral Neurosciences, McMaster University, Hamilton, Ontario, Canada.; Ein N; MacDonald Franklin OSI Research and Innovation Centre, Lawson Health Research Institute, London, Ontario, Canada.; Department of Psychiatry, Western University, London, Ontario, Canada.; Easterbrook B; MacDonald Franklin OSI Research and Innovation Centre, Lawson Health Research Institute, London, Ontario, Canada.; Department of Psychology, Neuroscience and Behaviour, McMaster University, Hamilton, Ontario, Canada.; Le T; MacDonald Franklin OSI Research and Innovation Centre, Lawson Health Research Institute, London, Ontario, Canada.; Baker C; MacDonald Franklin OSI Research and Innovation Centre, Lawson Health Research Institute, London, Ontario, Canada.; Gervasio J; MacDonald Franklin OSI Research and Innovation Centre, Lawson Health Research Institute, London, Ontario, Canada.; Department of Psychology, Toronto Metropolitan University, Toronto, Ontario, Canada.; Auger E; Clinique TSO du CIUSSS de la Capitale Nationale, Québec, Canada.; Département de Psychiatrie et de Neurosciences, Faculté de Médecine, Université Laval, Québec, Canada.; Balderson K; Department of Psychiatry, Western University, London, Ontario, Canada.; St. Joseph's OSI Clinic, Greater Toronto Area Services, Parkwood Institute, St. Joesph's Healthcare London, Ontario, Canada.; Bilodeau M; Clinique TSO du CIUSSS de la Capitale Nationale, Québec, Canada.; Département de Psychiatrie et de Neurosciences, Faculté de Médecine, Université Laval, Québec, Canada.; Burhan AM; Department of Psychiatry, University of Toronto, Toronto, Ontario, Canada.; Ontario Shores Centre of Mental Health Sciences, Whitby, Ontario, Canada.; Enns MW; Department of Psychiatry, Max Rady College of Medicine, University of Manitoba, Winnipeg, Manitoba, Canada.; Deer Lodge Centre OSI Clinic, Winnipeg, Manitoba, Canada.; Hosseiny F; The Atlas Institute for Veterans and Families, Ottawa, Ontario, Canada.; Lavoie V; Clinique TSO du CIUSSS de la Capitale Nationale, Québec, Canada.; Mota N; Deer Lodge Centre OSI Clinic, Winnipeg, Manitoba, Canada.; Department of Clinical Health Psychology and Psychiatry, University of Manitoba, Winnipeg, Manitoba, Canada.; Roth ML; MacDonald Franklin OSI Research and Innovation Centre, Lawson Health Research Institute, London, Ontario, Canada.; Department of Psychiatry, Western University, London, Ontario, Canada.; Yeates School of Graduate Studies, Toronto Metropolitan University, Toronto, Ontario, Canada.; Wanklyn SG; St. Joseph's OSI Clinic, Greater Toronto Area Services, Parkwood Institute, St. Joesph's Healthcare London, Ontario, Canada.; Lawson Health Research Institute, London, Ontario, Canada.; Richardson JD; MacDonald Franklin OSI Research and Innovation Centre, Lawson Health Research Institute, London, Ontario, Canada.; Department of Psychiatry, Western University, London, Ontario, Canada.; Department of Psychiatry and Behavioral Neurosciences, McMaster University, Hamilton, Ontario, Canada.; St. Joseph's OSI Clinic, St. Joseph's Health Care London, London, Ontario, Canada. |
| Source: | The Journal of clinical psychiatry [J Clin Psychiatry] 2025 Mar 24; Vol. 86 (2). Date of Electronic Publication: 2025 Mar 24. |
| Publication Type: | Journal Article; Meta-Analysis; Systematic Review |
| Language: | English |
| Journal Info: | Publisher: Physicians Postgraduate Press Country of Publication: United States NLM ID: 7801243 Publication Model: Electronic Cited Medium: Internet ISSN: 1555-2101 (Electronic) Linking ISSN: 01606689 NLM ISO Abbreviation: J Clin Psychiatry Subsets: MEDLINE |
| Imprint Name(s): | Original Publication: Memphis, Tenn., Physicians Postgraduate Press. |
| MeSH Terms: | Stress Disorders, Post-Traumatic*/therapy ; Psychotherapy*/methods ; Military Personnel*/psychology ; Veterans*/psychology; Humans ; Combined Modality Therapy |
| Abstract: | Background: Military and Veteran populations experience higher rates of posttraumatic stress disorder (PTSD) compared to civilians. While trauma focused psychotherapies are generally recommended as first-line treatments, the effectiveness of various treatments in military populations requires further investigation.; Objective: This meta-analysis aims to synthesize the current literature regarding effectiveness of psychotherapies, pharmacotherapies, and combination treatments for PTSD in military populations.; Data Sources: This preregistered review (PROSPERO: CRD42021245754) was conducted in accordance with Preferred Reporting Items for Systematic Reviews and Meta Analyses and Cochrane guidelines. A search was conducted using PsycINFO, MEDLINE, Embase, CINAHL, and ProQuest Dissertations and Theses.; Study Selection: The final sample included data from 414 studies.; Data Extraction: Full study methodologies can be found in the published protocol (Liu et al, 2021).; Results: The pooled random-effects model found effect size across all PTSD treatments (k = 712) was g=0.96, compared to g=0.45 for control conditions (k = 122). Clinician administered measures indicated larger treatment effects (g= 1.02) than self reported measures (g =0.82). Combination therapies yielded the largest effects (g =2.17), outperforming both psychotherapies and pharmacotherapies alone. No significant differences were found across control conditions.; Conclusion: Findings suggest that integrating psychotherapies and pharmacotherapies may address multiple dimensions of PTSD more effectively than monotherapies. However, these results contrast with the prioritization of trauma-informed psychotherapies over pharmacotherapies, as recommended by the 2023 US Department of Veterans Affairs/Department of Defense guidelines. Future research should focus on subclass analyses and long-term outcomes to refine treatment strategies for PTSD in military populations. Tailoring treatment plans to individual needs remains crucial for optimizing recovery and long-term symptom management.; (© Copyright 2025 Physicians Postgraduate Press, Inc.) |
| Entry Date(s): | Date Created: 20250411 Date Completed: 20250411 Latest Revision: 20250418 |
| Update Code: | 20260130 |
| DOI: | 10.4088/JCP.24r15571 |
| PMID: | 40215380 |
| Database: | MEDLINE |
Journal Article; Meta-Analysis; Systematic Review