Outcome Predictors for Three PTSD Treatments: Exposure Therapy, EMDR, and Relaxation Training
Outcome Predictors for Three PTSD Treatments: Exposure Therapy, EMDR, and Relaxation Training
复制标题
三种 PTSD 治疗方法的结果预测:暴露疗法、EMDR 和放松训练
DOI:
10.1891/jcop.17.2.149.57432
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发表时间:
2003
影响因子:
0.7
通讯作者:
S. Taylor
中科院分区:
文献类型:
--
作者:
S. Taylor
Several psychosocial treatments appear to be effective in treating posttraumatic stress disorder (PTSD). However, little is known about the predictors of treatment outcome. It is possible that some variables predict poor outcome for some treatments but not for other treatments. To investigate this issue, outcome predictors were investigated for three eight-session treatments: exposure therapy (entailing prolonged imaginal and in vivo exposure), relaxation training, and eye movement desensitization and reprocessing (EMDR). Sixty people with PTSD entered and 45 completed treatment. Treatments did not differ in attrition or perceived credibility. Exposure tended to be most effective, and EMDR and relaxation did not differ in efficacy. A number of clinical and cognitive variables were examined to identify predictors of treatment dropout as well as predictors of the likelihood that patients would be remitted from PTSD after treatment. These analyses were conducted by controlling for treatment condition. Low patient ratings of treatment credibility (assessed in session 2) predicted treatment dropout, regardless of treatment type. Severe reexperiencing symptoms (assessed prior to treatment) predicted poor outcome for relaxation training but not for the other therapies. These findings suggest that treatment outcome could be improved by improving treatment credibility. The findings also support the use of exposure therapy and, to a lesser extent, the use of EMDR in treating PTSD.
DOI:
--
发表时间:
1991
期刊:
The Journal of clinical psychiatry
影响因子:
--
作者:
Pitman,RK;Altman,B;Greenwald,E;Longpre,RE;Macklin,ML;Poire,RE;Steketee,GS
通讯作者:
Steketee,GS
影响因子:
5.9
作者:
E. Foa;C. Dancu;E. Hembree;L. Jaycox;E. Meadows;Gordon P. Street
通讯作者:
E. Foa;C. Dancu;E. Hembree;L. Jaycox;E. Meadows;Gordon P. Street
影响因子:
5.9
作者:
Foa,EB;Rothbaum,BO;Riggs,DS;Murdock,TB
通讯作者:
Murdock,TB