Recent systematic review of randomised controlled trials of psychological therapies for PTSD found that, compared with usual care, cognitive-behavioural therapy, prolonged exposure and similar therapies, and eye movement desensitisation and reprocessing (EMDR) performed well for PTSD symptoms as well as the Complex PTSD symptom clusters of negative self-concept and relationship disturbances. Few trials reported the effectiveness of therapies for affect dysregulation. Childhood trauma was associated with smaller effects of therapies for Complex PTSD symptoms. The authors discuss the potential to develop improved interventions for Complex PTSD based on the success of current therapies.
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