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Cognitive Behavioral Treatment for PTSD

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Part of the book series: Springer Series on Stress and Coping ((SSSO))

Abstract

Cognitive behavioral therapies encompass a range of procedures, a number of which have been found efficacious in treating PTSD. These include variations of exposure, cognitive restructuring, and anxiety management training, as well as combinations of methods. In this chapter, we review the cognitive behavioral treatments that have been studied in PTSD populations and describe the theories underlying the treatments and the research literature examining their efficacy.

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References

  • Beck, A. T. (1972). Depression: Causes and treatment. Philadelphia: University of Pennsylvania Press.

    Google Scholar 

  • Beck, A. T., Emery, G.,& Greenberg, R. L. (1985). Anxiety disorders and phobias: A cognitive perspective. New York: Basic Books.

    Google Scholar 

  • Beck, A. T., Rush, A. J., Shaw, B. F.,& Emery, G. (1979). Cognitive therapy of depression. New York: Guilford.

    Google Scholar 

  • Blanchard, E. B.,& Abel, G. G. (1976). An experimental case study of the biofeedback treatment of a rape induced psychophysiological cardiovascular disorder. Behavior Therapy, 7, 113–119.

    Article  Google Scholar 

  • Boudewyns, P. A.,& Hyer, L. (1990). Physiological response to combat memories and preliminary treatment outcome in Vietnam veteran PTSD patients treated with direct therapeutic exposure. Behavior Therapy, 21, 63–87.

    Article  Google Scholar 

  • Boudewyns, P. A., Hyer, L., Woods, M. G., Harrison, W. R.,& McCranie, E. (1990). PTSD among Vietnam veterans: An early look at treatment outcome using direct therapeutic exposure. Journal of Traumatic Stress, 3, 359–368.

    Article  Google Scholar 

  • Brom, D., Kleber, R. J.,& Defares, P. B. (1989). Brief psychotherapy for posttraumatic stress disorders. Journal of Consulting and Clinical Psychology, 51, 607–612.

    Article  Google Scholar 

  • Clark, D. M. (1986). A cognitive approach to panic. Behaviour Research and Therapy, 24, 461–470.

    Article  PubMed  Google Scholar 

  • Cooper, N. A.,& Clum, G. A. (1989). Imaginai flooding as a supplementary treatment for PTSD in combat veterans: A controlled study. Behavior Therapy, 20, 381–391.

    Article  Google Scholar 

  • Echeburua, E., de Corral, P., Sarasua, B.,& Zubizarreta, I. (1996). Treatment of acute posttraumatic stress disorder in rape victims: An experimental study. Journal of Anxiety Disorders, 10, 185–199.

    Article  Google Scholar 

  • Echeburua, E., de Corral, P. Zubizarreta, I.,& Sarasua, B. (1997). Psychological treatment of chronic posttraumatic stress disorder in victims of sexual aggression. Behavior Modification, 21, 433–456.

    Article  PubMed  Google Scholar 

  • Epstein, R. S. (1989). Posttraumatic stress disorder: A review of diagnostic and treatment issues. Psychiatric Annals, 19, 556–563.

    Google Scholar 

  • Fairbank, J. A.,& Keane, T. M. (1982). Flooding for combat-related stress disorders: Assessment of anxiety reduction across traumatic memories. Behavior Therapy, 13, 499–510.

    Article  Google Scholar 

  • Foa, E. B.,& Kozak, M. J. (1986). Emotional processing of fear: Exposure to corrective information. Psychological Bulletin, 99, 20–35.

    Article  PubMed  Google Scholar 

  • Foa, E. B.,& Meadows, E. A. (1997). The psychosocial treatment of PTSD: A critical review. Annual Review of Psychology, 48, 449–480.

    Article  PubMed  Google Scholar 

  • Foa, E. B.,& Rothbaum, B. O. (1998). Treating the trauma of rape New York: Guilford.

    Google Scholar 

  • Foa, E. B., Dancu, C. V, Hembree, E., Jaycox, L. H., Meadows, E. A.,& Street, G. (1999). A comparison of exposure therapy, stress inoculation training, and their combination for reducing posttraumatic stress disorder in female assault victims. Journal of Consulting and Clinical Psychology, 67, 194–200.

    Article  PubMed  Google Scholar 

  • Foa, E. B., Rothbaum, B. O.,& Kozak, M.J. (1989). Behavioral treatments of anxiety and depression. In P. Kendall& D. Watson (Eds.), Anxiety and depression: Distinctive and overlapping features (pp. 413–454). New York: Academic Press.

    Google Scholar 

  • Foa, E. B., Rothbaum, B. O., Riggs, D. S.,& Murdock, T. B. (1991). Treatment of posttraumatic stress disorder in rape victims: A comparison between cognitive-behavioral procedures and counseling. Journal of Consulting and Clinical Psychology, 59, 715–723.

    Article  PubMed  Google Scholar 

  • Frank, E.,& Stewart, B. D. (1983). Physical aggression: Treating the victims. In E. A. Bleckman (Ed.), Behavior modification with women (pp. 245–272). New York: Guilford.

    Google Scholar 

  • Frank, E.,& Stewart, B. D. (1984). Depressive symptoms in rape victims, Journal of Affective Disorders, 1, 269–277.

    Article  Google Scholar 

  • Frank, E., Anderson, B., Stewart, B. D., Dancu, C, Hughes, C,& West, D. (1988). Efficacy of cognitive behavior therapy and systematic desensitization in the treatment of rape trauma. Behavior Therapy, 19, 403–420.

    Article  Google Scholar 

  • Frueh, B. C, Turner, S. M., Beidel, D. C, Mirabella, R. F., & Jones, W.J. (1996). Trauma Management Therapy: A preliminary evaluation of a multicomponent behavioral treatment for chronic combat-related PTSD. Behaviour Research and Therapy, 34, 533–543.

    Article  PubMed  Google Scholar 

  • Hickling, E. J.,& Blanchard, E. B. (1997). The private practice psychologist and manual-based treatments: Post-traumatic stress disorder secondary to motor vehicle accidents. Behaviour Research and Therapy, 35, 191–203.

    Article  PubMed  Google Scholar 

  • Hickling, E.J., Sison, G. F. P.,& Vanderploeg, R. D. (1986). Treatment of posttraumatic stress disorder with relaxation and biofeedback training. Biofeedback&Self-Regulation, 11, 125–134.

    Article  Google Scholar 

  • Janoff-Bulman, R. (1992). Shattered assumptions: Towards a new psychology of trauma, New York: The Free Press.

    Google Scholar 

  • Jaycox, L. H.,& Foa, E. B. (1996). Obstacles in implementing exposure therapy for PTSD: Case discussions and practical solutions. Clinical Psychology and Psychotherapy, 3, 176–184.

    Article  Google Scholar 

  • Johnson, C. H., Gilmore, J. D.,& Shenoy, R. Z. (1982). Use of a feeding procedure in the treatment of a stress-related anxiety disorder. Journal of Behavior Therapy and Experimental Psychiatry, 13, 235–237.

    Article  PubMed  Google Scholar 

  • Keane, T. M.,& Kaloupek, D. G. (1982). Imaginai flooding in the treatment of post-traumatic stress disorder. Journal of Consulting and Clinical Psychology, 50, 138–140.

    Article  PubMed  Google Scholar 

  • Keane, T. M., Fairbank, J. A., Caddell, J. M.,& Zimering, R. T. (1989). Implosive (flooding) therapy reduces symptoms of PTSD in Vietnam combat veterans. Behavior Therapy, 20, 245–260.

    Article  Google Scholar 

  • Kilpatrick, D. G.,& Amick, A. E. (1985). Rape trauma. In M. Hersen& C. G. Last (Eds.), Behavior therapy casebook. New York: Springer.

    Google Scholar 

  • Kilpatrick, D. G., Veronen, L. J.,& Resick, P. A. (1982). Psychological sequelae to rape: Assessment and treatment strategies. In D. M. Doleys, R. L. Meredith,& A. R. Ciminero (Eds.), Behavioral medicine: Assessment and treatment strategies (pp. 473–497). New York: Plenum.

    Google Scholar 

  • Marks, I., Lovell, K., Noshirvani, H., Livanou, M.,& Thrasher, S. (1998). Treatment of post-traumatic stress disorder by exposure and/or cognitive restructuring: A controlled study. Archives of General Psychiatry, 55, 317–325.

    Article  PubMed  Google Scholar 

  • McCann, I. L.,& Pearlman, L. A. (1990). Psychological trauma and the adult survivor: Theory, therapy, and transformation. New York: Brunner/Mazel.

    Google Scholar 

  • McCann, I. L., Sakheim, D. K.,& Abrahamson, D. J. (1988). Trauma and victimization: A model of psychological adaptation. The Counseling Psychologist, 16, 531–594.

    Article  Google Scholar 

  • Meichenbaum, D. (1974). Self-instructional methods. In F. H. Kanfer& A. P. Goldstein (Eds.), Helping people change. New York: Pergamon.

    Google Scholar 

  • Mowrer, O. A. (1960). Learning theory and behavior. New York: John Wiley&Sons.

    Book  Google Scholar 

  • Pearson, M. A., Poquette, B. M.,& Wasen, R. E. (1983). Stress inoculation and the treatment of post-rape trauma: A case report. The Behavior Therapist, 6, 58–59.

    Google Scholar 

  • Peniston, E. G. (1986). EMG biofeedback-assisted desensitization treatment for Vietnam combat veterans’ post-traumatic stress disorder. Clinical Biofeedback Health, 9, 35–41.

    Google Scholar 

  • Pitman, R. K., Orr, S. P., Altman, B., Longpre, R. E., Poire, R. E.,& Macklin, M. L. (1996). Emotional processing during eye movement desensitization and reprocessing therapy of Vietnam veterans with chronic posttraumatic stress disorder. Comprehensive Psychiatry, 37, 419–429.

    Article  PubMed  Google Scholar 

  • Resick, P. A.,& Schnicke, M. K. (1992a). Cognitive processing therapy for sexual assault victims. Journal of Consulting and Clinical Psychology, 60, 748–756.

    Article  PubMed  Google Scholar 

  • Resick, P. A.,& Schnicke, M. K. (1992b). Cognitive processing therapy for sexual assault victims. In E. G. Foa (Chair), Treatment of PTSD: An update. Presented at the Eighth Annual Meeting of the International Society for Traumatic Stress Studies, Los Angeles, CA.

    Google Scholar 

  • Resick, P. A. Jordan, C. G., Girelli, S. A., Hutter, C. K.,& Marhoefer-Dvorak, S. (1988). A comparative outcome study of group behavioral therapy for sexual assault victims. Behavior Therapy, 19, 385–401.

    Article  Google Scholar 

  • Resick, P. A., Nishith, P.,&Astin, M. (1998, March). A controlled trial comparing cognitive processing therapy and prolonged exposure: Preliminary findings Paper presented at the Lake George Research Conference on Posttraumatic Stress Disorder, Lake George, NY.

    Google Scholar 

  • Richards, D. A., Lovell, K.,& Marks, I. M. (1994). Post-traumatic stress disorder: Evaluation of a behavioral treatment program. Journal of Traumatic Stress, 7, 669–680.

    Article  PubMed  Google Scholar 

  • Rothbaum, B. O. (1997). A controlled study of eye movement desensitization and reprocessing in the treatment of posttraumatic stress disordered sexual assault victims. Bulletin of the Menninger Clinic, 6, 317–334.

    Google Scholar 

  • Rothbaum, B. O., Foa, E. B., Murdock, T., Riggs, D.,& Walsh, W. (1992). A prospective examination of posttraumatic stress disorder in rape victims. Journal of Traumatic Stress, 5, 455–475.

    Article  Google Scholar 

  • Schindler, F. E. (1980). Treatment by systematic desensitization of a recurring nightmare of a real life trauma. Journal of Behavior Therapy and Experimental Psychiatry, 11, 53–54.

    Article  Google Scholar 

  • Shapiro, F. (1995). Eye movement desensitization and reprocessing: Basic principles, protocols, and procedures. New York: Guilford.

    Google Scholar 

  • Silver, S. M, Brooks, A.,& Obenchain, J. (1995). Treatment of Vietnam war veterans with PTSD: A comparison of eye movement desensitization and reprocessing, biofeedback, and relaxation training. Journal of Traumatic Stress, 8, 337–342.

    Article  PubMed  Google Scholar 

  • Stampfl, T. G.,& Levis, D.J. (1967). Essentials of implosive therapy: A learning-theory-based psychodynamic behavioral therapy. Journal of Abnormal Psychology, 72, 496–503.

    Article  PubMed  Google Scholar 

  • Suinn, R. (1974). Anxiety management training for general anxiety. In R. Suinn& R. Weigel (Eds.), The innovative therapy: Critical and creative contributions. New York: Harper&Row.

    Google Scholar 

  • Thompson, J. A., Charlton, P. F. C, Kerry, R., Lee, D.,& Turner, S. W. (1995). An open trial of exposure therapy based on deconditioning for post-traumatic stress disorder. British Journal of Clinical Psychiatry, 34, 407–416.

    Article  Google Scholar 

  • Tolin, D. F., Montgomery, R. W., Kleinknecht, R. A.,& Lohr. J. M. (1996). An evaluation of eye movement desensitization and reprocessing (EMDR). In T. Jackson (Ed.), Innovations in clinical practice, Vol. 15. Sarasota, FL: Professional Resources Press.

    Google Scholar 

  • Turner, S. M. (1979). Systematic desensitization of fears and anxiety in rape victims. Presented at the Annual Meeting of the Association for Advancement of Behavior Therapy, San Francisco, CA.

    Google Scholar 

  • Vaughan, K., Armstrong, M. S., Gold, R., O’Connor, N., Jenneke, W.,& Tarrier, N. (1994). A trial of eye movement desensitization compared to image habituation training and applied muscle relaxation in post-traumatic stress disorder. Journal of Behavior Therapy and Experimental Psychiatry, 25(4), 283–291.

    Article  PubMed  Google Scholar 

  • Veronen, L. J.,& Kilpatrick, D. G. (1981). Stress inoculation training for victims of rape: Efficacy and differential findings. Presented at the 16th Annual Convention of the Association for Advancement of Behavior Therapy, Los Angeles, CA.

    Google Scholar 

  • Watts, F. N. (1979). Habituation model of systematic desensitization. Psychological Bulletin, 86, 627–637.

    Article  PubMed  Google Scholar 

  • Wolff, R. (1977). Systematic desensitization and negative practice to alter the after effects of a rape attempt. Journal of Behavior Therapy and Experimental Psychiatry, 8, 423–425.

    Article  Google Scholar 

  • Wolpe, J. (1958). Psychotherapy by reciprocal inhibition. Stanford: Stanford University Press.

    Google Scholar 

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Meadows, E.A., Foa, E.B. (2000). Cognitive Behavioral Treatment for PTSD. In: Shalev, A.Y., Yehuda, R., McFarlane, A.C. (eds) International Handbook of Human Response to Trauma. Springer Series on Stress and Coping. Springer, Boston, MA. https://doi.org/10.1007/978-1-4615-4177-6_24

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  • DOI: https://doi.org/10.1007/978-1-4615-4177-6_24

  • Publisher Name: Springer, Boston, MA

  • Print ISBN: 978-1-4613-6873-1

  • Online ISBN: 978-1-4615-4177-6

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