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Cognitive changes during prolonged exposure versus prolonged exposure plus cognitive restructuring i

22 Aug
Investigators from the Center for the Treatment and Study of Anxiety at The University of Pennsylvania conducted a randomized, controlled clinical trial to see if female survivors of sexual and nonsexual assault the addition of a technique called cognitive restructuring to prolonged exposure therapy would augment the positive cognitive changes produced by treatment.

Fifty-four subjects completed either prolonged exposure alone or in combination with cognitive restructuring in a course of treatment that included 9-12 weekly sessions. Assessment was conducted at pretreatment, posttreatment, and a modal 12-month follow-up.

As hypothesized, treatment that included prolonged exposure resulted in clinically significant, reliable, and lasting reductions in negative cognitions about self, world, and self-blame as measured by the Posttraumatic Cognitions Inventory. However, The hypothesis that the addition of cognitive restructuring would augment cognitive changes was not supported. Reductions in these negative cognitions were significantly related to reductions in PTSD symptoms. The addition of cognitive restructuring did not significantly augment the cognitive changes.

Citation: Foa EB, Rauch SA. Cognitive changes during prolonged exposure versus prolonged exposure plus cognitive restructuring in female assault survivors with posttraumatic stress disorder. Journal of Consulting and Clinical Psychology. 2004 Oct; 72 (5): pages 879-884. This email address is being protected from spambots. You need JavaScript enabled to view it..

Belleruth Naparstek

Psychotherapist, author and guided imagery pioneer Belleruth Naparstek is the creator of the popular Health Journeys guided imagery audio series. Her latest book on imagery and posttraumatic stress, Invisible Heroes: Survivors of Trauma and How They Heal (Bantam Dell), won the Spirituality & Health Top 50 Books Award