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Treatment of acute stress disorder: A randomized controlled trial
journal contribution
posted on 2023-05-17, 07:15 authored by Bryant, RA, Mastrodomenico, J, Kim FelminghamKim Felmingham, Hopwood, S, Kenny, L, Kandris, E, Cahill, C, Creamer, MPrevious 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.
History
Publication title
Archives of General PsychiatryVolume
65Issue
6Pagination
659-667ISSN
0003-990XDepartment/School
School of Psychological SciencesPublisher
Amer Medical AssocPlace of publication
515 N State St, Chicago, USA, Il, 60610Rights statement
Copyright 1995-2011 American Medical AssociationRepository Status
- Restricted