Gender Difference in Outcomes Following Trauma-Focused Interventions for Posttraumatic Stress Disorder: Systematic Review and Meta-Analysis
AuthorWade, D; Varker, T; Kartal, D; Hetrick, S; O'Donnell, M; Forbes, D
Source TitlePSYCHOLOGICAL TRAUMA-THEORY RESEARCH PRACTICE AND POLICY
PublisherEDUCATIONAL PUBLISHING FOUNDATION-AMERICAN PSYCHOLOGICAL ASSOC
University of Melbourne Author/sHetrick, Sarah; Forbes, David; O'Donnell, Meaghan; Kartal, Dzenana; Varker, Tracey; Wade, Darryl
AffiliationCentre for Youth Mental Health
Document TypeJournal Article
CitationsWade, D., Varker, T., Kartal, D., Hetrick, S., O'Donnell, M. & Forbes, D. (2016). Gender Difference in Outcomes Following Trauma-Focused Interventions for Posttraumatic Stress Disorder: Systematic Review and Meta-Analysis. PSYCHOLOGICAL TRAUMA-THEORY RESEARCH PRACTICE AND POLICY, 8 (3), pp.356-364. https://doi.org/10.1037/tra0000110.
Access StatusOpen Access
OBJECTIVE: Currently, there is a lack of evidence on whether women and men respond differently to trauma-focused psychological treatments for posttraumatic stress disorder (PTSD). This study was a systematic review and meta-analysis to examine whether gender is associated with response to trauma-focused psychological interventions for PTSD. METHOD: The Cochrane Collaboration systematic review methodology (Higgins & Green, 2011) was used as a guide for this study. Randomized controlled trials comparing trauma-focused interventions for PTSD with comparison conditions were identified in a literature review. RESULTS: Forty-eight randomized controlled trials were included in the meta-analysis: 25 had a mixed gender sample, 18 were female only, and 5 were male only. There was evidence that women had greater reductions than men in the primary outcome measure of clinician-rated PTSD symptoms when trauma-focused psychological interventions were compared with any comparison condition at both postintervention and short-term follow-up. This finding was supported by a direct effects meta-analysis of studies that provided data on both females and males. CONCLUSIONS: The current findings support a gender difference in outcomes following trauma-focused psychological interventions for PTSD. Future research should seek to identify specific factors related to gender that facilitate or inhibit response to these interventions. (PsycINFO Database Record
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