Journal article

The International Society for Traumatic Stress Studies New Guidelines for the Prevention and Treatment of Posttraumatic Stress Disorder: Methodology and Development Process

Jonathan I Bisson, Lucy Berliner, Marylene Cloitre, David Forbes, Tine K Jensen, Catrin Lewis, Candice M Monson, Miranda Olff, Stephen Pilling, David S Riggs, Neil P Roberts, Francine Shapiro



Over the last two decades, treatment guidelines have become major aids in the delivery of evidence-based care and improvement of clinical outcomes. The International Society for Traumatic Stress Studies (ISTSS) produced the first guidelines for the prevention and treatment of posttraumatic stress disorder (PTSD) in 2000 and published its latest recommendations, along with position papers on complex PTSD (CPTSD), in November 2018. A rigorous methodology was developed and followed; scoping questions were posed, systematic reviews were undertaken, and 361 randomized controlled trials were included according to the a priori agreed inclusion criteria. In total, 208 meta-analyses were conducted an..

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University of Melbourne Researchers


Funding Acknowledgements

The authors would like to recognize the major contribution Dr. Lutz Goldbeck made to this work before he tragically died on October 30, 2017. The authors would like to acknowledge the support they received from Cardiff University's Traumatic Stress Research Group, The Cochrane Collaboration and The United Kingdom's National Institute for Health and Care Excellence in undertaking the systematic reviews and meta-analyses required for the Guidelines. The authors would also like to acknowledge the International Society for Traumatic Stress Studies (ISTSS) for providing some funding to support meetings and contributions from non-ISTSS members to the development of the Guidelines. Jonathan Bisson, Catrin Lewis, Neil Roberts, and Candice Monson have developed Internet-based guided self-help programs to treat posttraumatic stress disorder (PTSD) and may benefit from these financially. Marylene Cloitre developed an intervention of skills plus exposure therapy for the treatment of complex presentations of PTSD and has published a workbook about treatment of the effects of childhood trauma for which she receives royalties. Francine Shapiro developed Eye Movement Desensitization and Reprocessing (EMDR) as a treatment for PTSD and is the Executive Director of the EMDR Institute.