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Gender Differences in the Maintenance of Response to Cognitive Behavior Therapy for Posttraumatic Stress Disorder


Felmingham, KL and Bryant, RA, Gender Differences in the Maintenance of Response to Cognitive Behavior Therapy for Posttraumatic Stress Disorder, Journal of Consulting and Clinical Psychology, 80, (2) pp. 196-200. ISSN 0022-006X (2012) [Refereed Article]

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Copyright Statement

Copyright 2012 American Psychological Society

DOI: doi:10.1037/a0027156


Objective: To examine potential differential responses in men and women to cognitive behavior therapy for posttraumatic stress disorder (PTSD).

Method: Fifty-two men and 56 women diagnosed with PTSD participated in randomized controlled trials of cognitive behavior therapy for PTSD. Participants were randomly allocated to either (a) exposure-only therapy (Ex) or (b) exposure-based treatment combined with cognitive restructuring (ExCR).

Results: There were no significant differences between men and women in treatment response immediately after treatment in either Ex or ExCR. At 6-month follow-up, men displayed significantly more severe PTSD symptoms in the Ex group compared with women in the Ex group, and compared with men and women in the ExCR conditions.

Conclusions: These findings suggest that men with PTSD have a reduced maintenance of treatment gains following exposure therapy compared with women, but display less relapse if exposure therapy is combined with cognitive therapy. These findings are consistent with evidence that women recall emotional memories and retain extinction memories more strongly than men, which may facilitate emotional processing and long-term treatment gains.

Item Details

Item Type:Refereed Article
Keywords:posttraumatic stress disorder, cognitive-behavioral therapy, gender differences, exposure, PTSD
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:75843
Year Published:2012
Web of Science® Times Cited:31
Deposited By:Psychology
Deposited On:2012-02-17
Last Modified:2017-11-03
Downloads:4 View Download Statistics

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