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Treatment of acute stress disorder: A randomized controlled trial


Bryant, RA and Mastrodomenico, J and Felmingham, KL and Hopwood, S and Kenny, L and Kandris, E and Cahill, C and Creamer, M, Treatment of acute stress disorder: A randomized controlled trial, Archives of General Psychiatry, 65, (6) pp. 659-667. ISSN 0003-990X (2008) [Refereed Article]

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Copyright 1995-2011 American Medical Association

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DOI: doi:10.1001/archpsyc.65.6.659


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:Clinical and health psychology
Research Field:Health psychology
Objective Division:Health
Objective Group:Clinical health
Objective Field:Clinical health not elsewhere classified
UTAS Author:Felmingham, KL (Professor Kim Felmingham)
ID Code:72051
Year Published:2008
Web of Science® Times Cited:90
Deposited By:Psychology
Deposited On:2011-08-18
Last Modified:2014-12-03
Downloads:5 View Download Statistics

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