{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,11]],"date-time":"2026-09-11T05:23:59Z","timestamp":1789104239605,"version":"build-2803163510"},"reference-count":60,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2015,10,9]],"date-time":"2015-10-09T00:00:00Z","timestamp":1444348800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Psychol Psychother"],"published-print":{"date-parts":[[2016,9]]},"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>\n                      Difficulties with sex often develop following sexual trauma, yet are rarely targeted within treatment of post\u2010traumatic stress disorder (\n                      <jats:styled-content style=\"fixed-case\">PTSD<\/jats:styled-content>\n                      ). Where outcomes of sexual function are included, they are secondary to other measures. This review aimed to assess whether psychological treatment for\n                      <jats:styled-content style=\"fixed-case\">PTSD<\/jats:styled-content>\n                      (from sexual trauma) has an effect on sexual functioning.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      Systematic searches of\n                      <jats:styled-content style=\"fixed-case\">MEDLINE<\/jats:styled-content>\n                      ,\n                      <jats:styled-content style=\"fixed-case\">P<\/jats:styled-content>\n                      syc\n                      <jats:styled-content style=\"fixed-case\">INFO<\/jats:styled-content>\n                      ,\n                      <jats:styled-content style=\"fixed-case\">EMBASE<\/jats:styled-content>\n                      , and trial registers were performed. Five studies met inclusion criteria. Pre\u2010post treatment effect sizes were also calculated.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Data from four good\u2010quality\n                      <jats:styled-content style=\"fixed-case\">RCT<\/jats:styled-content>\n                      s were included in the meta\u2010analyses. These examined females (\n                      <jats:italic>n\u00a0<\/jats:italic>\n                      =\n                      <jats:italic>\u00a0<\/jats:italic>\n                      799) who had experienced adult sexual trauma or child sexual abuse. Studies compared psychological treatment to control conditions, but no effect on outcomes of sexual concerns, standardized mean difference (\n                      <jats:styled-content style=\"fixed-case\">SMD<\/jats:styled-content>\n                      )\u00a0=\u00a00.03 and dysfunctional sexual behaviour,\n                      <jats:styled-content style=\"fixed-case\">SMD<\/jats:styled-content>\n                      \u00a0=\u00a00.02, was found. Pre\u2010post treatment effect sizes were small to medium (\n                      <jats:styled-content style=\"fixed-case\">SMD<\/jats:styled-content>\n                      \u00a0=\u00a00.36 and 0.47, respectively).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>\n                      While firm conclusions cannot be drawn, the available evidence suggests that psychological treatment for\n                      <jats:styled-content style=\"fixed-case\">PTSD<\/jats:styled-content>\n                      has no effect on sexual problems. Pre\u2010post effects indicate some improvement over the course of treatment, which may be strengthened if treatment actively targeted sexual problems. The paucity of evidence in this area suggests that there is substantial need for further research in order to establish a set of evidence\u2010based guidelines for practitioners implementing treatment in this area.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Practitioner points<\/jats:title>\n                    <jats:p>\n                      <jats:list list-type=\"bullet\">\n                        <jats:list-item>\n                          <jats:p>\n                            The measurement of sexual problems is overlooked in psychological treatment\n                            <jats:styled-content style=\"fixed-case\">RCT<\/jats:styled-content>\n                            s for sexual trauma.\n                          <\/jats:p>\n                        <\/jats:list-item>\n                        <jats:list-item>\n                          <jats:p>\n                            Current treatments for post\u2010traumatic stress disorder (\n                            <jats:styled-content style=\"fixed-case\">PTSD<\/jats:styled-content>\n                            ) from sexual trauma do not appear to be addressing sexual problems.\n                          <\/jats:p>\n                        <\/jats:list-item>\n                        <jats:list-item>\n                          <jats:p>\n                            Integrated treatments for comorbid sexual problems and\n                            <jats:styled-content style=\"fixed-case\">PTSD<\/jats:styled-content>\n                            treatment may be warranted.\n                          <\/jats:p>\n                        <\/jats:list-item>\n                        <jats:list-item>\n                          <jats:p>\n                            It is imperative that in future,\n                            <jats:styled-content style=\"fixed-case\">RCT<\/jats:styled-content>\n                            s that examine people with\n                            <jats:styled-content style=\"fixed-case\">PTSD<\/jats:styled-content>\n                            from sexual trauma use outcomes of sexual problems.\n                          <\/jats:p>\n                        <\/jats:list-item>\n                      <\/jats:list>\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/papt.12077","type":"journal-article","created":{"date-parts":[[2015,10,9]],"date-time":"2015-10-09T01:34:42Z","timestamp":1444354482000},"page":"351-367","source":"Crossref","is-referenced-by-count":69,"title":["Sexual problems and post\u2010traumatic stress disorder following sexual trauma: A meta\u2010analytic review"],"prefix":"10.1111","volume":"89","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7316-3041","authenticated-orcid":false,"given":"Ciar\u00e1n","family":"O'Driscoll","sequence":"first","affiliation":[{"name":"Research Department of Clinical, Educational and Health Psychology University College London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Esther","family":"Flanagan","sequence":"additional","affiliation":[{"name":"Research Department of Clinical, Educational and Health Psychology University College London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2015,10,9]]},"reference":[{"key":"e_1_2_6_2_1","first-page":"180","volume-title":"Breaking free: Help for survivors of child sexual abuse","author":"Ainscough C.","year":"2000"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1176\/appi.books.9780890425596"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1080\/00926239508414648"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1037\/0022\u2010006X.54.2.140"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1080\/01926189508251365"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1080\/00926239808404921"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.1007\/BF01542303"},{"key":"e_1_2_6_9_1","doi-asserted-by":"publisher","DOI":"10.1002\/smrj.47"},{"key":"e_1_2_6_10_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10508\u2010013\u20100191\u20100"},{"key":"e_1_2_6_11_1","doi-asserted-by":"publisher","DOI":"10.1201\/9781420035926"},{"key":"e_1_2_6_12_1","doi-asserted-by":"publisher","DOI":"10.1177\/088626095010004001"},{"key":"e_1_2_6_13_1","doi-asserted-by":"publisher","DOI":"10.1080\/0092623X.2011.569636"},{"key":"e_1_2_6_14_1","doi-asserted-by":"publisher","DOI":"10.1037\/a0020096"},{"key":"e_1_2_6_15_1","doi-asserted-by":"publisher","DOI":"10.1023\/A:1014743304566"},{"key":"e_1_2_6_16_1","volume-title":"Resolving sexual abuse: Solution\u2010focused therapy and Ericksonian hypnosis for adult survivors","author":"Dolan Y. 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