About the PTSD Repository
For Everyone
What is it?
The best way for us to learn about PTSD treatments is
through research. The National Center for PTSD (NCPTSD) created the PTSD Repository to gather
the best treatment research in one place.
The PTSD Repository is a database—it brings together information
from 550 published studies on a wide range of PTSD treatments. We update it each
year to include data from new studies. There are over 300 variables (or pieces
of information) from each study. The “For Everyone” section includes basic data
stories that summarize what we know from research. These stories use charts and
tables–called visualizations—to help you “see” the data and understand how it
helps us decide which treatments work best.
What is in it?
All treatment studies in the PTSD Repository include adults
with PTSD. The studies look at PTSD outcomes, like symptom change during and
after treatment. Some studies also examine the impact of the PTSD treatment on
other mental health conditions and related problems (such as difficulty
sleeping or anger).
PTSD became a diagnosis in 1980 and the PTSD Repository goes
back to the beginning of treatment research. This database contains treatment studies published from January 1, 1988
through April 1, 2024.
Which PTSD treatments are included in the PTSD Repository?
There are many different types of treatment and we created 8 main categories to organize studies:
- Psychotherapy is talk therapy with a licensed provider. We also divided psychotherapies into “trauma-focused” or “non-trauma-focused” for more detail.
- Pharmacotherapy uses medications. Medications are grouped into drug classes such as antidepressants and antiadrenergic medications or could be looked at individually (by a specific drug name).
- Complementary and integrative health (CIH) is a wide category of approaches that are considered to be outside of usual Western medicine practices or that are used in coordination with standard approaches.
- Nonpharmacologic biological treatments use a medical device or medical procedure of some kind.
- Nonpharmacologic cognitive treatments teach cognitive skills (such as attention training) to improve focus.
- Collaborative care treatments are those in which integrated medical and mental health treatment is delivered, often in primary care by nurse managers.
- Controls are conditions (or interventions) that the group not selected for the treatment being tested receive, such as placebo pill, waitlist, or treatment as usual.
- Other treatments include studies that did not fit the main 7 classifications (such as, animal-assisted therapy, physical therapies, and internet-based facilitated self-help).
Some studies test more than one treatment, so may be a combined
category (like “Psychotherapy & Pharmacotherapy"). For more detail, see
our Reference Guide: Treatments Found in the PTSD-Repository that
outlines the organization and provides definitions.
How do I know this is good science?
Because of who created it
The PTSD Repository is a project of the Department of Veterans
Affairs National Center
for Posttraumatic Stress Disorder (NCPTSD), the world's leading research
and educational center of excellence on PTSD and traumatic stress. Since the
Center was founded in 1989, NCPTSD researchers have been recognized for their
contributions to what we know about the causes, assessment, and treatment of
PTSD. NCPTSD collaborates with the Pacific
Northwest Evidence-based Practice Center (EPC), a research center at Oregon
Health & Science University with experience doing research reviews as
part of the Agency for Healthcare Research and Quality (AHRQ) EPC Program.
Together, NCPTSD and EPC gather data and information from research articles to
update the PTSD Repository.
Because of how we built it
Data is collected using AHRQ's Methods Guide for Effectiveness and Comparative Effectiveness Reviews. This
work brings together an expert panel with
members who have expertise in researching and providing PTSD treatment. We consulted with these
experts throughout the development process. We also received input from
independent peer reviewers and the public before publication.
Because of what's in it
The PTSD Repository includes data drawn from the most
rigorous type of treatment research study: randomized controlled trials, or
RCTs. RCTs are studies that assign participants in the study randomly—by
chance—to the treatment(s) being examined. RCTs provide the strongest level of
scientific evidence because assigning participants randomly improves our
confidence that changes in PTSD symptoms are due to the treatments themselves.
Please contact us at NCPTSD@va.gov if
you have any questions.
Understanding treatment studies
Learn more about randomized controlled trials (RCTs) and other types of treatment studies in this short video.