Article1998

Treatment of Posttraumatic Stress Disorder by Exposure and/or Cognitive Restructuring

Karina Lovell · Maria Livanou · Sian Thrasher

705 citations0/0 files storedArchives of General Psychiatry

No readable copy stored yet — this record is metadata only.

No open-access location is known for this record yet.

Literature note Cite in a project Citation map

Posttraumatic Stress Disorder Research Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes Psychotherapy Techniques and Applications

Abstract

BACKGROUND: Unanswered questions from controlled studies of posttraumatic stress disorder concern the value of cognitive restructuring alone without prolonged exposure therapy and whether its combination with prolonged exposure is enhancing. METHODS: In a controlled study, 87 patients with posttraumatic stress disorder of at least 6 months' duration were randomly assigned to have 10 sessions of 1 of 4 treatments: prolonged exposure (imaginal and live) alone; cognitive restructuring alone; combined prolonged exposure and cognitive restructuring; or relaxation without prolonged exposure or cognitive restructuring. RESULTS: Integrity of audiotaped treatment sessions was satisfactory when rated by an assessor unaware of the treatment assignment. Seventy-seven patients completed treatment. The pattern of results was similar regardless of rater, statistical method, measure, occasion, and therapist. Exposure and cognitive restructuring, singly or combined, improved posttraumatic stress disorder markedly on a broad front. Gains continued to 6-month follow-up and were significantly greater than the moderate improvement from relaxation. CONCLUSION: Both prolonged exposure and cognitive restructuring were each therapeutic on their own, were not mutually enhancing when combined, and were each superior to relaxation.

Paper brief

Loading…

Cite this work

Citation unavailable for this work.

BibTeX RIS CSL-JSON

No public copy is stored for this record, so only the metadata is cited.

Citations in this library

Citation map →

Stored only when both papers are in the corpus — 705 citations exist upstream.

References

1991Clinical significance: A statistical approach to defining meaningful change in psychotherapy research.2012Cognitive Therapy for Depression 1979Impact of Event Scale: A Measure of Subjective Stress 1979A scaled version of the General Health Questionnaire 1995The development of a Clinician-Administered PTSD Scale 1979Cognitive Therapy of Depression 1985Anxiety Disorders and Phobias: A Cognitive Perspective 1993Reliability and validity of a brief instrument for assessing post-traumatic stress disorder

Cited by

2005Posttraumatic stress disorder: A state-of-the-science review 2004A Comparison of Narrative Exposure Therapy, Supportive Counseling, and Psychoeducation for Treating Posttraumatic Stress Disorder in an African Refugee Settlement.2013Meta-analysis of dropout in treatments for posttraumatic stress disorder.2008Nonresponse and Dropout Rates in Outcome Studies on PTSD: Review and Methodological Considerations 2005Psychological treatment of post-traumatic stress disorder (PTSD)

Explore the map →

Papers that cite the same references — the relational fallback while embeddings are still backfilling.

Imported from OpenAlex (CC0) — nothing here is generated.