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DO COGNITIVE AND EXPOSURE TREATMENTS IMPROVE VARIOUS PTSD SYMPTOMS DIFFERENTLY? A RANDOMIZED CONTROLLED TRIAL

Published online by Cambridge University Press:  06 March 2001

Karina Lovell ,
Isaac M. Marks ,
Homa Noshirvani ,
Sian Thrasher  and
Maria Livanou
Karina Lovell
Affiliation:
University of Manchester, U.K.
Isaac M. Marks
Affiliation:
Institute of Psychiatry, London, U.K.
Homa Noshirvani
Affiliation:
Institute of Psychiatry, London, U.K.
Sian Thrasher
Affiliation:
Oxfordshire, U.K.
Maria Livanou
Affiliation:
Institute of Psychiatry, London, U.K.
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Abstract

This study (part of a larger one whose main outcomes were reported by Marks, Lovell, Noshirvani, Thrasher, & Livanou, 1998) investigated the impact of exposure therapy and cognitive restructuring alone and combined on the individual symptoms of PTSD and on associated features. Exposure therapy was expected to act mainly on fear and avoidance, and cognitive restructuring mainly on detachment, restricted range of affect, and associated features of PTSD. Seventy-seven PTSD outpatients were randomly allocated to one of four treatments: 1) exposure alone; 2) cognitive restructuring alone; 3) combined exposure and cognitive restructuring; or 4) relaxation (placebo control). The active treatments were superior to relaxation in improving clusters of PTSD symptoms and associated features and some but not all individual symptoms and associated features of PTSD. Exposure and cognitive restructuring improved almost all individual symptoms similarly.

Keywords

Posttraumatic stress disordertreatmentbehavioural and cognitive treatments
Type
Brief Clinical Reports
Information
Behavioural and Cognitive Psychotherapy , Volume 29 , Issue 1 , January 2001 , pp. 107 - 112
Copyright
© 2001 British Association for Behavioural and Cognitive Psychotherapies

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