Research has shown that complex post-traumatic stress disorder (cPTSD) differs from post-traumatic stress disorder (PTSD) on core symptoms relating to the individual’s sense of self, and this has driven the need for treatment approaches to address these specific features of cPTSD. The COVID-19 pandemic has led to the increased use of digital-based interventions (DBIs) to treat mental illnesses, including trauma-related disorders. However, while evidence for the use of DBIs for PTSD has previously been synthesized, the current review is the first synthesis of research on the use of DBIs for cPTSD. A systematic search of Scopus, PsychINFO, and EBSCOhost was conducted, using search terms targeting “cPTSD” and “DBIs,” to identify research on the use of DBIs to treat cPTSD symptoms. Ten papers were identified, which provided preliminary evidence for the efficacy of DBIs to reduce cPTSD symptoms. Further, DBIs were reported as acceptable by individuals with a history of complex trauma. The paper also provides insight into the therapeutic approaches adopted, digital modalities utilized, safety measures included, and whether/to what degree support was provided. While DBIs show promise for treating cPTSD, there is substantial room for advancement of the empirical evidence base for these approaches. Both clinical and research-based recommendations are provided separately.

中文翻译：

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基于数字的复杂创伤后应激障碍干预措施：系统文献综述

研究表明，复杂的创伤后应激障碍 (cPTSD) 与创伤后应激障碍 (PTSD) 的不同之处在于与个人自我意识相关的核心症状，这推动了对治疗方法的需求，以解决 cPTSD 的这些特定特征。 COVID-19 大流行导致越来越多地使用基于数字的干预措施 (DBI) 来治疗精神疾病，包括与创伤相关的疾病。然而，虽然之前已经综合了使用 DBI 治疗 PTSD 的证据，但当前的综述是对使用 DBI 治疗 cPTSD 的研究的首次综合。使用针对“cPTSD”和“DBI”的搜索词对 Scopus、PsychINFO 和 EBSCOhost 进行了系统搜索，以确定使用 DBI 治疗 cPTSD 症状的研究。确定了 10 篇论文，为 DBI 减轻 cPTSD 症状的功效提供了初步证据。此外，据报道，有复杂创伤史的个体可以接受 DBI。该论文还深入了解了所采用的治疗方法、所使用的数字模式、所包括的安全措施以及是否提供/提供了何种程度的支持。虽然 DBI 有望治疗 cPTSD，但这些方法的经验证据基础还有很大的进步空间。临床和基于研究的建议均单独提供。