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A randomized controlled trial of exposure therapy and cognitive restructuring for posttraumatic stress disorder


Bryant, RA and Moulds, ML and Guthrie, RM and Dang, ST and Mastrodomenico, J and Nixon, RDV and Felmingham, KL and Hopwood, S and Creamer, M, A randomized controlled trial of exposure therapy and cognitive restructuring for posttraumatic stress disorder, Journal of Consulting and Clinical Psychology, 76, (4) pp. 695-703. ISSN 0022-006X (2008) [Refereed Article]

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Copyright Statement

Copyright 2008 by the American Psychological Association

DOI: doi:10.1037/a0012616


Previous studies have reported that adding cognitive restructuring (CR) to exposure therapy does not enhance treatment gains in posttraumatic stress disorder (PTSD). This study investigated the extent to which CR would augment treatment response when provided with exposure therapy. The authors randomly allocated 118 civilian trauma survivors with PTSD to receive 8 individually administered sessions of either (a) imaginal exposure (IE), (b) in vivo exposure (IVE), (c) IE combined with IVE (IE/IVE), or (d) IE/IVE combined with CR (IE/IVE/CR). There were fewer patients with PTSD in the IE/IVE/CR (31%) condition than the IE (75%), IVE (69%), and IE/IVE (63%) conditions at a 6-month follow-up assessment. The IE/IVE/CR condition resulted in larger effect sizes than each of the other conditions in terms of PTSD and depressive symptoms. These findings suggest that optimal treatment outcome may be achieved by combining CR with exposure therapy in treating PTSD patients.

Item Details

Item Type:Refereed Article
Keywords:posttraumatic stress disorder, cognitive behavior therapy, exposure therapy, randomized
Research Division:Psychology
Research Group:Biological psychology
Research Field:Behavioural neuroscience
Objective Division:Health
Objective Group:Clinical health
Objective Field:Clinical health not elsewhere classified
UTAS Author:Felmingham, KL (Professor Kim Felmingham)
ID Code:72046
Year Published:2008
Web of Science® Times Cited:118
Deposited By:Psychology
Deposited On:2011-08-18
Last Modified:2014-12-03
Downloads:3 View Download Statistics

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