Evidence map›Paper›PMID 38459602›Full record

SynthesisBMC psychology2024

How is trauma-focused therapy experienced by adults with PTSD? A systematic review of qualitative studies.

Solveig Flem Gjerstad, Linda Nordin, Stig Poulsen, Erminio Francesco Antares Spadaro, Sabina Palic

Abstract readSystematic Review
In one paragraph

Synthesis in BMC psychology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 3 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

22 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
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  7. Observational
  8. Article
  9. The Impact of "Harmful Behaviours" on Parents of Autistic Children.Autism : the international journal of research and practice · 2026
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  17. Mental Health and Massage Therapy for Refugees, Immigrants, and Asylum Seekers.International journal of therapeutic massage & bodywork · 2025
    Article
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  20. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Solveig Flem GjerstadDepartment of Psychology, University of Copenhagen, 2A Oester Farimagsgade, 1353, Copenhagen, Denmark.
Linda NordinDIGNITY- Danish Institute Against Torture, Copenhagen, Denmark.
Stig PoulsenDepartment of Psychology, University of Copenhagen, 2A Oester Farimagsgade, 1353, Copenhagen, Denmark. stig.poulsen@psy.ku.dk.
Erminio Francesco Antares SpadaroDepartment of Psychology, University of Copenhagen, 2A Oester Farimagsgade, 1353, Copenhagen, Denmark.
Sabina PalicDIGNITY- Danish Institute Against Torture, Copenhagen, Denmark.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTrauma-focused therapies (TFTs) are first-line treatments for posttraumatic stress disorder (PTSD). However, TFTs are under-utilised, partly due to clinicians' and patients' fear that TFT is too challenging or harmful. We review the qualitative studies on how adults with PTSD experience TFTs to enhance the understanding of user perspectives, therapeutic processes, and outcomes.

methodsPubMed, PsychINFO and PTSDPubs were searched between October 1st and November 30th, 2021. Study quality assessments were undertaken, and studies were analysed using a descriptive-interpretative approach. Nine studies were included.

resultsThe analysis resulted in the identification of four key domains, representing a temporal sequence of TFT stages: Overcoming ambivalence towards TFT, Experience of treatment elements, Motivation for dropout/retention, and Perceived changes post-treatment.

conclusionAlthough many participants reported high levels of distress and considered dropping out, only a minority did eventually drop out and most patients expressed that the hardships in therapy were necessary for PTSD improvement. Establishing a safe therapeutic environment and working with the ambivalence towards treatment was essential for retention. This review serves a dual purpose, to shed light on diverse TFT experiences found to be important for treatment satisfaction, and to elucidate common treatment patterns. The results can be used in preparing patients for therapy and in training TFT therapists. Studies had moderate to high quality, and more studies of experiences of TFT non-responders and dropouts in a non-veteran population are needed to further our understanding of the utility and limitations of TFTs.

Indexed as

Cognitive Behavioral TherapyStress Disorders, Post-TraumaticAdultAffectFearHumansPsychotherapyPatient experienceQualitative researchSystematic reviewTrauma-focused therapy

Identifiers

PMID38459602
PMCPMC10924413

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.