scholarly journals Cognitive Processing Therapy for the Treatment of Acute Stress Disorder Following Sexual Assault: A Randomised Effectiveness Study

2016 ◽  
Vol 33 (4) ◽  
pp. 232-250 ◽  
Author(s):  
Reginald D.V. Nixon ◽  
Talitha Best ◽  
Sarah R. Wilksch ◽  
Samantha Angelakis ◽  
Lisa J. Beatty ◽  
...  
Keyword(s):  
Sexual Assault ◽  
Cognitive Processing ◽  
Stress Disorder ◽  
Acute Stress ◽  
Acute Stress Disorder ◽  
Effect Sizes ◽  
Cognitive Processing Therapy ◽  
Depression Symptoms ◽  
Treatment As Usual

The effectiveness of individually administered cognitive processing therapy (CPT) when compared with treatment as usual (TAU) in a community sexual assault centre was tested. Trauma survivors with acute stress disorder (ASD) following sexual assault were randomised to either CPT (n = 25) or TAU (n = 22), and assessed at pretreatment, posttreatment, and 3-, 6- and 12-month follow-up. Both groups demonstrated large reductions in PTSD and depression symptoms following treatment, and these gains were maintained over the course of follow-ups (Cohen's ds for PTSD symptom reductions ranging between 0.76 to 1.45). Although smaller and not always consistent, between-group effect sizes typically favoured CPT. Effect sizes (d) ranged between 0.13–0.50 for posttraumatic stress and 0.13–0.41 for depression over the course of follow-ups. Independent assessment of PTSD severity indicated more CPT participants reached good end-state functioning at 12-month follow-up (50%) than TAU (31%). Although both treatments were effective, there were some indications that CPT led to better outcomes relative to therapists delivering their usual therapy. The present study demonstrates that evidence-based, trauma-focused therapy such as CPT can be effective when delivered as an early intervention in a routine mental health setting.

Effectiveness of Cognitive Processing Therapy for Treating Posttraumatic Stress Disorder

2014 ◽  
Vol 36 (4) ◽  
pp. 360-376 ◽  
Author(s):  
Stephen Lenz ◽  
Brian Bruijn ◽  
Nina Serman ◽  
Laura Bailey
Keyword(s):  
Posttraumatic Stress Disorder ◽  
Posttraumatic Stress ◽  
Cognitive Processing ◽  
Alternative Treatment ◽  
Stress Disorder ◽  
Effect Sizes ◽  
Cognitive Processing Therapy ◽  
Depression Symptoms ◽  
Alternative Treatments ◽  
Treatment Comparisons

Analyzing 11 studies, we evaluated the effectiveness of cognitive processing therapy (CPT) for treating posttraumatic stress disorder (PTSD) and co-occurring depression symptoms in individuals diagnosed with PTSD. Separate meta-analytic procedures for between-group studies using waitlist or alternative treatment comparisons yielded large to very large effect sizes for CPT versus waitlist, and medium to large effect sizes when CPT was compared to alternative treatments. Implications for evidence-supported practice and study limitations are discussed.

scholarly journals Efficacy of an Early Cognitive-Behavioral Intervention for Acute Stress Disorder in Mexican Earthquake Victims

2020 ◽  
Vol 23 ◽  
Author(s):  
Raúl Durón-Figueroa ◽  
Georgina Cárdenas-López ◽  
Soledad Quero
Keyword(s):  
Early Intervention ◽  
Stress Disorder ◽  
Acute Stress ◽  
Traumatic Event ◽  
Single Case ◽  
Theoretical Models ◽  
Acute Stress Disorder ◽  
Significant Clinical Improvement ◽  
Quasi Experimental

Abstract Acute stress disorder (ASD) refers to the symptoms associated with posttraumatic stress disorder (PTSD) within the first four weeks following the traumatic event. Recent theoretical models suggest that early detection of ASD provides an opportunity to implement early interventions to prevent the development of PTSD or ameliorate its symptomatology. The aim of the present study was the evaluation of the efficacy of an ASD treatment for earthquake victims, which would serve as an early intervention for PTSD. A single-case (n = 1) quasi-experimental design was used, with pre and post-assessments, as well as one, three and six-month follow-ups, with direct treatment replications. Fourteen participants completed the treatment and the follow-up measurements. The results obtained using a single-case analysis showed significant clinical improvement and clinically significant change when employing a clinical significance analysis and the reliable index of change. Statistical analyses of the dataset displayed statistically significant differences between the pre and post-assessments and the follow-up measures, as well as large effect sizes in all clinical measures. These results suggest that the treatment was an efficacious early intervention for PTSD during the months following the traumatic event, although some relevant study limitations are discussed in the text.

Cognitive Therapy for Posttraumatic Stress Disorder

2001 ◽  
Vol 15 (4) ◽  
pp. 321-329 ◽  
Author(s):  
Patricia A. Resick
Keyword(s):  
Posttraumatic Stress Disorder ◽  
Treatment Outcome ◽  
Cognitive Therapy ◽  
Posttraumatic Stress ◽  
Cognitive Processing ◽  
Stress Disorder ◽  
Exposure Therapy ◽  
Cognitive Processing Therapy ◽  
One Year

Cognitive therapy for posttraumatic stress disorder is in the early stages of development and study. This article will examine seven controlled studies that included at least a component of cognitive therapy. Two studies specifically focused on early intervention to treat PTSD and included both cognitive therapy and exposure therapy. Three studies examined cognitive processing therapy, which is predominantly cognitive therapy. Two other studies compared pure cognitive therapy with exposure therapy. Overall, cognitive therapy for PTSD appears to be highly effective compared to no-treatment, relaxation, or supportive counseling, and similar to exposure treatments. Treatment effects appear to continue through follow-up periods of up to one year. At this point, little is known about who benefits best with cognitive therapy or predictors of treatment outcome.

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