{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,22]],"date-time":"2026-10-22T08:42:17Z","timestamp":1792658537458,"version":"4.5.0"},"reference-count":35,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,10,22]],"date-time":"2026-10-22T00:00:00Z","timestamp":1792627200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,10,22]],"date-time":"2026-10-22T00:00:00Z","timestamp":1792627200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/100007801","name":"Fundaci\u00f3n S\u00e9neca","doi-asserted-by":"publisher","award":["22064\/PI\/22"],"award-info":[{"award-number":["22064\/PI\/22"]}],"id":[{"id":"10.13039\/100007801","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Traumatic Stress"],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>\n                    This systematic review and network meta\u2010analysis evaluated and ranked psychosocial interventions for reducing posttraumatic stress disorder (PTSD), depression, and anxiety among adults exposed to mass casualty events (MCEs). English\u2010 and Spanish\u2010language databases were searched for randomized and nonrandomized trials comparing interventions with inactive (e.g., waitlist) or active (e.g., treatment\u2010as\u2010usual) controls. Primary outcomes were posttreatment symptoms of PTSD, depression, and anxiety. Risk of bias was assessed (Cochrane Risk of Bias 2, ROBINS\u2010I), and random\u2010effects network meta\u2010analyses were conducted using standardized mean differences (SMDs), with ranking based on P\u2010scores. Primary analyses excluded studies with a high or serious risk of bias. Fifty\u2010four studies (\n                    <jats:italic>N<\/jats:italic>\n                    \u00a0=\u00a010,721) across 25 countries met the inclusion criteria. Compared with inactive controls, large effects for PTSD were observed for early eye movement desensitization and reprocessing (E\u2010EMDR), SMD\u00a0=\u00a02.48; exposure therapy, SMD\u00a0=\u00a01.60; and cognitive behavioral therapy (CBT), SMD\u00a0=\u00a01.40, with E\u2010EMDR and CBT remaining significant versus active controls, SMDs\u00a0=\u00a02.36 and 1.28, respectively. For depression, exposure therapy, SMD\u00a0=\u00a01.36; interpersonal psychotherapy, SMD\u00a0=\u00a01.15; mind\u2013body practices, SMD\u00a0=\u00a01.01; CBT, SMD\u00a0=\u00a00.85; and integrative therapies, SMD\u00a0=\u00a00.67, outperformed inactive controls, with exposure therapy, mind\u2013body practices, and CBT remaining significant versus active controls. For anxiety, exposure therapy, CBT, and integrative therapies outperformed both control types, with less precise estimates. Exposure and CBT ranked highly across outcomes; E\u2010EMDR ranked highest for PTSD. The findings support prioritizing trauma\u2010focused interventions following MCEs while highlighting the need for additional comparative and long\u2010term research.\n                  <\/jats:p>","DOI":"10.1002\/jts.70128","type":"journal-article","created":{"date-parts":[[2026,10,22]],"date-time":"2026-10-22T08:34:23Z","timestamp":1792658063000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Psychosocial interventions for adult survivors and responders exposed to mass casualty events: A systematic review and network meta\u2010analysis"],"prefix":"10.1002","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8505-5515","authenticated-orcid":false,"given":"Mark J.","family":"Macgowan","sequence":"first","affiliation":[{"name":"School of Social Work, Robert Stempel College of Public Health &amp; Social Work Florida International University Miami Florida USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6854-5205","authenticated-orcid":false,"given":"Catalina","family":"Canizares","sequence":"additional","affiliation":[{"name":"Universidad de los Andes, School of Social Sciences, Psychology Department  Bogota Colombia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4368-2721","authenticated-orcid":false,"given":"Maryam","family":"Rafieifar","sequence":"additional","affiliation":[{"name":"School of Social Work University of Texas at Arlington  Arlington Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8412-788X","authenticated-orcid":false,"given":"Julio","family":"S\u00e1nchez\u2010Meca","sequence":"additional","affiliation":[{"name":"Department of Basic Psychology and Methodology University of Murcia  Murcia Spain"},{"name":"Murcian Institute of Biomedical Research IMIB\u2010Arrixaca  Murcia Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9655-3616","authenticated-orcid":false,"given":"Jos\u00e9 A L\u00f3pez","family":"L\u00f3pez","sequence":"additional","affiliation":[{"name":"Department of Basic Psychology and Methodology University of Murcia  Murcia Spain"},{"name":"Murcian Institute of Biomedical Research IMIB\u2010Arrixaca  Murcia Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,10,22]]},"reference":[{"key":"e_1_2_8_2_1","unstructured":"American Psychological Association. 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