A Efektifitas Cognitive Behaviour Therapy (CBT) Sebagai Intervensi Trauma Related Symptomps: Studi Meta Analisis
on
Authors:
Benazir Moza, Ananta Yudiarso
Abstract:
“Gejala trauma merupakan efek yang sangat umum dirasakan bagi orang-orang yang pernah mendapati diri menghadapi peristiwa yang negative bagi dirinya. Gejala trauma bentuk munculnya berbeda-beda dari mulai gejala ringan saja seperti yang dihadapi individu itu sendiri atau bahkan menunjukkan gejala yang dapat mengganggu kehidupan sosialnya seperti kecemasan berlebih (anxiety), gangguan trauma, hingga PTSD atau Post Traumatic Stress Disorder yang merupakan gangguan psikologis dari trauma hebat atau berkepanjangan yang dirasakan seseorang. Perlu adanya intervensi untuk mengatasi gejala trauma yang dialami indivdu, salah satu metodenya adalah Cognitive Behavioural Therapy atau CBT namun banyak penelitian yang mengemukakan hasil berbeda terhada efektifitasnya. Maka dari itu peneltian ini menggunakan metode meta-analysis untuk meninjau 12 jurnal international yang bersifat eksperimen dan melibatkan kelompok eksperimen juga control secara random. Didapati hasil effect size medium to large dengan nilai -0,736 (95% CI= -1,827 hingga -0,355) dengan moderator jenis CBT yang digunakan dalam penelitian juga bias publikasi yang berasal dari perbedaan hasil efektifitas jurnal yang direview. Hasil ini menunjukkan bahwa intervensi CBT cukup mampu mengatasi trauma related symptomps namun harus dipertimbangkan jenis CBT apa yang diberikan mengingat tingkat efektifitasnya dapat berbeda-beda. Kata kunci: CBT, Kecemasan, Meta-Analysis, PTSD, Trauma ? Abstract Trauma related symptomps are known effects felt by people who have encountered potentially traumatic or negative events in their life. Trauma related symptomps can surface differently according to those who experienced them. From minor symtomps that an individual may experienced themselves or major symptomps which interrupt one’s social life such as anxiety, heavy trauma, or even PTSD Post Traumatic Stress Disorder. An intervention is needed to help treat these trauma related symtomps, one of the available intervention method is Cognitive Behavioural Therapy or CBT. but there are different results on how effective CBT is to treat trauma relate symtomps, so therefore this research is going to use meta-analysis to review 12 existing international randomized controlled trial journals that uses the design of having experimental and controlled group. The results of this research shows large to medium effect size with the score of -0,736 (95% CI= -1,827 hingga -0,355) that includes moderating factor of the CBT kind that is used in each journal and a publication bias because of the result of different kinds of CBT resulting in different level of its effectiveness in treating trauma related symtomps. This results indicated that CBT is quite effective on treating trauma related symtomps but the kind of CBT used must be taken into consderations in regards of different kinds of CBT resulted in different level of effectiveness. Keywords: Anxiety, CBT, Meta-analysis, PTSD, Trauma”
Keywords
CBT, Kecemasan, Meta-Analysis, PTSD, Trauma ? Abstract Trauma related symptomps are known effects felt by people who have encountered potentially traumatic or negative events in their life. Trauma related symptomps can surface differently according to those who experienced them. From minor symtomps that an individual may experienced themselves or major symptomps which interrupt one’s social life such as anxiety, heavy trauma, or even PTSD Post Traumatic Stress Disorder. An intervention is needed to help treat these trauma related symtomps, one of the available intervention method is Cognitive Behavioural Therapy or CBT. but there are different results on how effective CBT is to treat trauma relate symtomps, so therefore this research is going to use meta-analysis to review 12 existing international randomized controlled trial journals that uses the design of having experimental and controlled group. The results of this research shows large to medium effect size with the score of -0, 736 (95% CI= -1, 827 hingga -0, 355) that includes moderating factor of the CBT kind that is used in each journal and a publication bias because of the result of different kinds of CBT resulting in different level of its effectiveness in treating trauma related symtomps. This results indicated that CBT is quite effective on treating trauma related symtomps but the kind of CBT used must be taken into consderations in regards of different kinds of CBT resulted in different level of effectiveness. Keywords: Anxiety, CBT, Meta-analysis, PTSD, Trauma
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References
- APA. (2022). Trauma and shock. American Psychological Association. Retrieved May 18, 2022, from https://www.apa.org/topics/trauma
- Barron, I. G., Abdallah, G., & Smith, P. (2013). Randomized control trial of a CBT trauma recovery program in Palestinian schools. Journal of Loss and Trauma, 18(4), 306–321. https://doi.org/10.1080/15325024.2012.688712
- Belleville, G., Dubé-Frenette, M., & Rousseau, A. (2018). Efficacy of imagery rehearsal therapy and cognitive behavioral therapy in sexual assault victims with posttraumatic stress disorder: A randomized controlled trial. Journal of Traumatic Stress, 31(4), 591–601. https://doi.org/10.1002/jts.22306
- Benjet, C., et al. (2016). The epidemiology of traumatic event exposure worldwide: Results from the World Mental Health Survey Consortium. Psychological Medicine, 46(2), 327-343. doi:10.1017/S0033291715001981
- Borenstein, M. L. V. Hedges, J. P. T. Higgins and H. R. Rothstein. (2009) Introduction to Meta-Analysis. John Wiley & Sons, Ltd. ISBN: 978-0-470-05724-7
- Carl, J. R., Miller, C. B., Henry, A. L., Davis, M. L., Stott, R., Smits, J. A., Emsley, R., Gu, J., Shin, O., Otto, M. W., Craske, M. G., Saunders, K. E., Goodwin, G. M., & Espie, C. A. (202 0). Efficacy of digital cognitive behavioral therapy for moderate‐to‐severe symptoms of generalized anxiety disorder: A randomized controlled trial. Depression and Anxiety, 37(12), 1168–1178. https://doi.org/10.1002/da.23079
- Dückers, M., Alisic, E., & Brewin, C. (2016). A vulnerability paradox in the cross-national prevalence of post-traumatic stress disorder. British Journal of Psychiatry, 209(4), 300-305. doi:10.1192/bjp.bp.115.176628
- Efendi, F., Indarwati, R., & Aurizki, G. E. (2020). Effect of trauma-focused cognitive behavior therapy on depression and the quality of life of the elderly in Indonesia. Working with Older People, 24(3), 149–157. https://doi.org/10.1108/wwop-02-2020-0004
- Goldbeck, L., Muche, R., Sachser, C., Tutus, D., & Rosner, R. (2016). Effectiveness of trauma-focused cognitive behavioral therapy for children and adolescents: A randomized controlled trial in eight German Mental Health Clinics. Psychotherapy and Psychosomatics, 85(3), 159–170. https://doi.org/10.1159/000442824
- Greer, J. A., Traeger, L., Bemis, H., Solis, J., Hendriksen, E. S., Park, E. R., Pirl, W. F., Temel, J. S., Prigerson, H. G., & Safren, S. A. (2012). A pilot randomized controlled trial of brief cognitive-behavioral therapy for anxiety in patients with terminal cancer. The Oncologist, 17(10), 1337–1345. https://doi.org/10.1634/theoncologist.2012-0041
- Hammond, C. (2020). 7 types of parental abuse. PsychCentral. https://pro.psychcentral.com/exhausted-woman/2016/12/7-types-of-parental-abuse/
- Hamblen, J. (2001). PTSD in children and adolescents, a National Center for PTSD fact sheet. Washington, DC: National Center for PTSD.
- Ishikawa, S.-ichi, Kikuta, K., Sakai, M., Mitamura, T., Motomura, N., & Hudson, J. L. (2019). A randomized controlled trial of a bidirectional cultural adaptation of cognitive behavior therapy for children and adolescents with anxiety disorders. Behaviour Research and Therapy, 120, 103432. https://doi.org/10.1016/j.brat.2019.103432
- Johnson, S. U., Hoffart, A., Nordahl, H. M., & Wampold, B. E. (2017). Metacognitive therapy versus disorder-specific CBT for comorbid anxiety disorders: A randomized controlled trial. Journal of Anxiety Disorders, 50, 103–112. https://doi.org/10.1016/j.janxdis.2017.06.004
- Kementerian Pemberdayaan Perempuan dan Perlindungan Anak Republik Indonesia. (2019). KEMEN PPPA luncurkan hasil survei nasional pengalaman hidup anak dan remaja snphar tahun 2018
- Kladnitski, N., Smith, J., Uppal, S., James, M. A., Allen, A. R., Andrews, G., & Newby, J. M. (2020). Transdiagnostic internet-delivered CBT and mindfulness-based treatment for depression and anxiety: A randomised controlled trial. Internet Interventions, 20, 100310. https://doi.org/10.1016/j.invent.2020.100310
- Knipscheer, J., Sleijpen, M., Frank, L., de Graaf, R., Kleber, R., Ten Have, M., & Dückers, M. (2020). Prevalence of Potentially Traumatic Events, Other Life Events and Subsequent Reactions Indicative for Posttraumatic Stress Disorder in the Netherlands: A General Population Study Based on the Trauma Screening Questionnaire. International journal of environmental research and public health, 17(5), 1725. https://doi.org/10.3390/ijerph17051725
- Lyness. (2013). Abuse. TeensHealth from Nemours. https://kidshealth.org/en/teens/family-abuse.html
- Markowitz, J. C. (2008). Treatment of acute posttraumatic stress disorder with brief cognitive behavioral therapy: A randomized controlled trial. Yearbook of Psychiatry and Applied Mental Health, 2008, 53–55. https://doi.org/10.1016/s0084-3970(08)70659-5
- McMullen, J., O’Callaghan, P., Shannon, C., Black, A., & Eakin, J. (2013). Group trauma-focused cognitive-behavioural therapy with former child soldiers and other war-affected boys in the DR congo: A randomised controlled trial. Journal of Child Psychology and Psychiatry, 54(11), 1231–1241. https://doi.org/10.1111/jcpp.12094
- Moonen, A. J. H., Mulders, A. E. P., Defebvre, L., Duits, A., Flinois, B., Köhler, S., Kuijf, M. L., Leterme, A. C., Servant, D., Vugt, M., Dujardin, K., & Leentjens, A. F. G. (2021). Cognitive behavioral therapy for anxiety in parkinsonʼs disease: A randomized controlled trial. Movement Disorders, 36(11), 2539–2548. https://doi.org/10.1002/mds.28533
- Newman, M. G., Castonguay, L. G., Borkovec, T. D., Fisher, A. J., Boswell, J. F., Szkodny, L. E., & Nordberg, S. S. (2011). A randomized controlled trial of cognitive-behavioral therapy for generalized anxiety disorder with integrated techniques from emotion-focused and interpersonal therapies. Journal of Consulting and Clinical Psychology, 79(2), 171–181. https://doi.org/10.1037/a0022489
- Paldam, M. (2015). Meta-analysis in a nutshell: Techniques and general findings. Economics, 9(1). https://doi.org/10.5018/economics-ejournal.ja.2015-11
- Petanase, S. (1988). Kejahatan kekerasan kolektif. (Pascasarjana Thesis, Universitas Sriwijaya)
- Spence, J., Titov, N., Johnston, L., Jones, M. P., Dear, B. F., & Solley, K. (2014). Internet-based trauma-focused cognitive behavioural therapy for PTSD with and without exposure components: A randomised controlled trial. Journal of Affective Disorders, 162, 73–80. https://doi.org/10.1016/j.jad.2014.03.009
- Substance Abuse and Mental Health Services Administration (2014). Trauma-Informed Care in Behavioral Health Services. Treatment Improvement Protocol (TIP) Series 57. HHS Publication No. (SMA) 13-4801. Rockville, MD: Substance Abuse and Mental Health Services Administration.
- Tulbure, B. T., Szentagotai, A., David, O., Ștefan, S., Månsson, K. N., David, D., & Andersson, G. (2015). Internet-delivered cognitive-behavioral therapy for Social Anxiety Disorder in Romania: A randomized controlled trial. PLOS ONE, 10(5). https://doi.org/10.1371/journal.pone.0123997
- Wood, J. J., Ehrenreich-May, J., Alessandri, M., Fujii, C., Renno, P., Laugeson, E., Piacentini, J. C., De Nadai, A. S., Arnold, E., Lewin, A. B., Murphy, T. K., & Storch, E. A. (2015). Cognitive behavioral therapy for early adolescents with autism spectrum disorders and clinical anxiety: A randomized, controlled trial. Behavior Therapy, 46(1), 7–19. https://doi.org/10.1016/j.beth.2014.01.002
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Published
2023-11-12
How To Cite
MOZA, Benazir; YUDIARSO, Ananta. A Efektifitas Cognitive Behaviour Therapy (CBT) Sebagai Intervensi Trauma Related Symptomps: Studi Meta Analisis.Jurnal Psikologi Udayana, [S.l.], v. 10, n. 2, p. 394-400, nov. 2023. ISSN 2654-4024. Available at: https://jurnal.harianregional.com/psikologi/id-88875. Date accessed: 02 Jun. 2025. doi:https://doi.org/10.24843//JPU.2023.v10.i02.p08.
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