At follow-up , CBT/exposure led to greater reductions in depression ( B -LSB- SE -RSB- , @ -LSB- @ -RSB- ; t@ @ = @ -LSB- @ % CI , @-@ @ -RSB- ; P = @ ) , negative appraisals ( B -LSB- SE -RSB- , @ -LSB- @ -RSB- ; t@ @ = @ -LSB- @ % CI , @-@ @ -RSB- ; P = @ ) , and functional impairment ( B -LSB- SE -RSB- , @ -LSB- @ -RSB- ; t@ @ = @ -LSB- @ % CI , @-@ @ -RSB- ; P = @ ) than CBT alone .