{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,23]],"date-time":"2026-09-23T23:31:57Z","timestamp":1790206317890,"version":"4.1.0"},"reference-count":58,"publisher":"Royal College of Psychiatrists","issue":"4","license":[{"start":{"date-parts":[[2025,6,5]],"date-time":"2025-06-05T00:00:00Z","timestamp":1749081600000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["cambridge.org"],"crossmark-restriction":true},"short-container-title":["BJPsych open"],"published-print":{"date-parts":[[2025,7]]},"abstract":"<jats:sec id=\"S2056472425007847_as1\">\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>A minority of earthquake-exposed individuals develop post-traumatic stress disorder (PTSD), often alongside comorbid depression and anxiety symptoms. No systematic review has examined psychological interventions for adults with substantial earthquake-related PTSD symptoms.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S2056472425007847_as2\">\n                    <jats:title>Aims<\/jats:title>\n                    <jats:p>To synthesise studies evaluating psychological interventions for adult earthquake-related PTSD and conduct meta-analyses estimating overall effect sizes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S2056472425007847_as3\">\n                    <jats:title>Method<\/jats:title>\n                    <jats:p>The review was pre-registered with PROSPERO (CRD42023441020). PsycINFO, MEDLINE, EMBASE, CINAHL and Scopus were searched for studies (last search conducted July 2024). Randomised controlled trials (RCTs), non-randomised and non-controlled studies evaluating psychological interventions for adults with substantial earthquake-related PTSD symptoms were eligible. Outcomes were PTSD, depression and anxiety symptoms. Narrative syntheses and meta-analyses summarised study findings. The Mixed Methods Appraisal Tool guided quality assessments.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S2056472425007847_as4\">\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Sixteen studies were identified (eight RCTs, four non-randomised and four non-controlled studies), representing 1315 participants receiving psychological intervention. Interventions included cognitive behavioural therapy (CBT), specific CBT variants, eye movement desensitisation and reprocessing, interpersonal psychotherapy and an internet-based intervention focusing on social cognitive theory. Studies generally reported statistically and clinically significant improvements associated with psychological interventions. Among studies included in meta-analyses, overall effect size was 2.11 (95% CI = 0.92, 3.31) for PTSD symptoms and 1.01 (95% CI = 0.50, 1.52) for depression symptoms.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S2056472425007847_as5\">\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Psychological interventions are associated with good outcomes among adults with earthquake-related PTSD. The most evidence currently exists for CBT-based interventions, which are recommended as first-line treatments. Efficient intervention options, including single-session and group-based treatments, also show promise and are recommended for addressing widespread treatment need.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1192\/bjo.2025.784","type":"journal-article","created":{"date-parts":[[2025,12,9]],"date-time":"2025-12-09T08:39:21Z","timestamp":1765269561000},"update-policy":"https:\/\/doi.org\/10.1017\/policypage","source":"Crossref","is-referenced-by-count":5,"title":["Psychological interventions for adult earthquake-related post-traumatic stress disorder: systematic review and meta-analysis"],"prefix":"10.1192","volume":"11","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1063-5088","authenticated-orcid":false,"given":"Cate F.","family":"Woods","sequence":"first","affiliation":[{"name":"University of Canterbury"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9521-1745","authenticated-orcid":false,"given":"Ben","family":"Beaglehole","sequence":"additional","affiliation":[{"name":"University of Otago"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christopher","family":"Frampton","sequence":"additional","affiliation":[{"name":"University of Otago"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1957-1631","authenticated-orcid":false,"given":"Virginia V. 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