The Relationship between Posttraumatic and Depressive Symptoms during Prolonged Exposure with and without Cognitive Restructuring for the Treatment of Posttraumatic Stress Disorder

Autor/inn/en	Aderka, Idan M.; Gillihan, Seth J.; McLean, Carmen P.; Foa, Edna B.
Titel	The Relationship between Posttraumatic and Depressive Symptoms during Prolonged Exposure with and without Cognitive Restructuring for the Treatment of Posttraumatic Stress Disorder
Quelle	In: Journal of Consulting and Clinical Psychology, 81 (2013) 3, S.375-382 (8 Seiten) PDF als Volltext Verfügbarkeit
Sprache	englisch
Dokumenttyp	gedruckt; online; Zeitschriftenaufsatz
ISSN	0022-006X
DOI	10.1037/a0031523
Schlagwörter	Depression (Psychology); Posttraumatic Stress Disorder; Cognitive Restructuring; Correlation; Symptoms (Individual Disorders); Therapy; Outcomes of Treatment; Females; Victims of Crime; Mediation Theory; Statistical Analysis + Suchen Sie Ihr Suchwort? Korrelation; Psychiatrische Symptomatik; Therapie; Weibliches Geschlecht; Victim; Victims; Crime; Opfer; Verbrechen; Mediationsverfahren; Statistische Analyse
Abstract	Objective: In the present study, we examined the relationship between posttraumatic and depressive symptoms during prolonged exposure (PE) treatment with and without cognitive restructuring (CR) for the treatment of posttraumatic stress disorder (PTSD). Method: Female assault survivors (N = 153) with PTSD were randomized to either PE alone or PE with added CR (PE/CR). During treatment, bi-weekly self-report measures of posttraumatic and depressive symptoms were administered. Results: Multilevel mediational analyses indicated that during PE, changes in posttraumatic symptoms accounted for 80.3% of changes in depressive symptoms, whereas changes in depressive symptoms accounted for 45.0% of changes in posttraumatic symptoms. During PE/CR, changes in posttraumatic symptoms accounted for 59.6% of changes in depressive symptoms, and changes in depressive symptoms accounted for 50.7% of changes in posttraumatic symptoms. Conclusions: This pattern of results suggests that PE primarily affects posttraumatic symptoms, which in turn affect depressive symptoms. In contrast, PE/CR results in a more reciprocal relationship between posttraumatic and depressive symptoms. (Contains 2 tables, 2 figures, and 4 footnotes.) (As Provided).
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Erfasst von	ERIC (Education Resources Information Center), Washington, DC
Update	2017/4/10