43862
document
Evidence for poorer outcome in patients with severe negative trauma-related cognitions receiving prolonged exposure plus cognitive restructuring : implications for treatment matching in posttraumatic stress disorder . In the current article , we address the existing assumption in the literature on cognitive behavioral treatment of PTSD that patients with severe negative trauma-related cognitions would benefit more from a treatment package that includes exposure and cognitive techniques compared with a treatment that includes exposure only . To test this assumption , 54 PTSD patients were randomized to prolonged exposure therapy or prolonged exposure therapy plus cognitive restructuring . Contrary to expectations , findings revealed that patients characterized by more severe pretreatment trauma-related cognitions ( and more severe pretreatment PTSD symptoms ) fared slightly worse in treatment combining exposure and cognitive restructuring . However , there was no relationship between pre- and post-treatment measures of negative cognitions and PTSD symptoms in the exposure alone group . The implications of these findings for examining Person X Treatment interactions and the efficacy of combining treatments for PTSD are discussed .
43863
Intervention_Psychological
prolonged exposure
43864
Intervention_Other
cognitive restructuring
43865
Intervention_Psychological
:
43866
Intervention_Psychological
cognitive behavioral treatment
43867
Intervention_Control
exposure only .
43868
Intervention_Control
prolonged exposure therapy
43869
Intervention_Psychological
prolonged exposure therapy plus cognitive restructuring
43870
Intervention_Psychological
exposure and cognitive restructuring .
43871
Intervention_Control
exposure alone
43872
Outcome_Mental
post-treatment measures of negative cognitions
43873
Outcome_Physical
and PTSD symptoms
43874
Outcome_Other
efficacy
43875
Participant_Condition
patients with severe negative trauma-related cognitions