Faculty of Psychology, Universitas Jenderal Achmad Yani, Cimahi, Indonesia.
Department of Clinical, Neuro- and Developmental Psychology, Faculty of Behavioural and Movement Sciences, Vrije Universiteit Amsterdam, Amsterdam, the Netherlands.
Eur J Psychotraumatol. 2022 May 26;13(1):2071527. doi: 10.1080/20008198.2022.2071527. eCollection 2022.
Posttraumatic stress disorder (PTSD) is a serious mental disorder, which is associated with emotional and cognitive functioning problems. Psychological interventions, such as trauma-focused cognitive behavioural therapy (tf-CBT) and eye movement desensitization and reprocessing (EMDR) are effective in reducing PTSD symptoms. Despite evidence showing that PTSD is associated with neurocognitive deficits, there is no systematic overview available on neurocognitive outcomes following treatment for PTSD. The current systematic review examined whether psychological treatments for PTSD improve neurocognitive functioning outcomes related to memory, attention, information processing, and executive functioning.
A literature search in PubMed, PsycINFO, PTSDpubs, and Cochrane Library was performed up to March 7, 2022, in collaboration with a medical information specialist. Eligible PTSD treatment studies examining neurocognitive outcomes (memory, attention, information processing and executive function) in patients with a DSM-IV or ICD diagnosis of PTSD were included.
Of the 3023 titles and abstracts identified, 9 articles met inclusion criteria, of which 5 randomized controlled trials (RCTs) and 4 non-randomized studies. Treatments included were cognitive behavioural therapy (CBT), cognitive processing therapy (CPT), brief eclectic psychotherapy (BEP), eye movement desensitization and reprocessing (EMDR), virtual reality graded exposure therapy (VR-GET), and resilience-oriented treatment (ROT).
This systematic review showed that psychological treatments for PTSD do not affect most neurocognitive functions, with exception of the memory outcomes. Future research, high-quality studies are needed to provide evidence of the effect of psychological treatment in improving neurocognitive functioning in PTSD.
This systematic review investigated the effects of psychological treatments on neurocognitive functioning in adults with PTSD.This review showed that most studies were very heterogeneous in design, method, and analysis.This review supports the evidence for psychological treatments for PTSD on improving memory outcomes.
创伤后应激障碍（PTSD）是一种严重的精神障碍，与情绪和认知功能障碍有关。心理干预，如创伤聚焦认知行为疗法（tf-CBT）和眼动脱敏再处理（EMDR），可有效减轻 PTSD 症状。尽管有证据表明 PTSD 与神经认知缺陷有关，但目前尚无 PTSD 治疗后神经认知结果的系统综述。本系统综述旨在探讨 PTSD 的心理治疗是否能改善与记忆、注意力、信息处理和执行功能相关的神经认知功能结果。
与医学信息专家合作，在 PubMed、PsycINFO、PTSDpubs 和 Cochrane Library 中进行文献检索，检索时间截至 2022 年 3 月 7 日。纳入研究为评估 PTSD 患者神经认知结果（记忆、注意力、信息处理和执行功能）的 PTSD 治疗研究，这些研究采用 DSM-IV 或 ICD 诊断 PTSD。
在 3023 篇标题和摘要中，有 9 篇文章符合纳入标准，其中包括 5 项随机对照试验（RCT）和 4 项非随机研究。纳入的治疗方法包括认知行为疗法（CBT）、认知加工疗法（CPT）、简短折衷心理治疗（BEP）、眼动脱敏再处理（EMDR）、虚拟现实分级暴露治疗（VR-GET）和弹性导向治疗（ROT）。
本系统综述表明，PTSD 的心理治疗不会影响大多数神经认知功能，除了记忆结果。未来需要开展高质量研究，为心理治疗改善 PTSD 患者神经认知功能的效果提供证据。
本系统综述调查了心理治疗对 PTSD 患者神经认知功能的影响。本综述表明，大多数研究在设计、方法和分析上非常不同质。本综述支持 PTSD 心理治疗对改善记忆结果的证据。
