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Cognitive Processing Therapy

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Evidence Based Treatments for Trauma-Related Psychological Disorders

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Abstract

Cognitive processing therapy (CPT) is an evidence-based, cognitive-behavioral treatment designed specifically to treat posttraumatic stress disorder (PTSD) and comorbid symptoms. This chapter will first review the theoretical underpinnings of the intervention and then provide more detail about the actual protocol including a clinical case description. We then will review several special considerations and challenges in administering the protocol to specific groups of trauma survivors and finally end with an overview of the published randomized controlled clinical trials demonstrating the efficacy of the therapy.

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References

  • Bass, J. K., Annan, J., McIvor-Murray, S., Kaysen, D., Griffiths, S., Cetinoglu, T., Wachter, K., Murray, L., & Bolton, P. A. (2013). Controlled trial of psychotherapy for Congolese survivors of sexual violence. New England Journal of Medicine, 368(23), 2182–2191.

    Article  CAS  PubMed  Google Scholar 

  • Chard, K. M. (2005). An evaluation of cognitive processing therapy for the treatment of posttraumatic stress disorder related to childhood sexual abuse. Journal of Consulting and Clinical Psychology, 73(5), 965–971.

    Article  PubMed  Google Scholar 

  • Chard, K. M., Schumm, J. A., McIlvain, S. M., Bailey, G. W., & Parkinson, R. (2011). Exploring the efficacy of a residential treatment program incorporating cognitive processing therapy-cognitive for veterans with PTSD and traumatic brain injury. Journal of Traumatic Stress, 24(3), 347–351. doi:10.1002/jts.20644.

    Article  PubMed  Google Scholar 

  • Clarke, S. B., Rizvi, S. L., & Resick, P. A. (2008). Borderline personality characteristics and treatment outcome in cognitive-behavioral treatments for PTSD in female rape victims. Behavior Therapy, 39(1), 72–78. doi:10.1016/j.beth.2007.05.002.

    Article  PubMed Central  PubMed  Google Scholar 

  • Fischhoff, B. (1975). Hindsight is not equal to foresight: The effect of outcome knowledge on judgment under uncertainty. Journal of Experimental Psychology: Human Perception and Performance, 1(3), 288–299. doi:10.1037/1076-898X.11.2.124.

    Google Scholar 

  • Foa, E. B., & Kozak, M. J. (1986). Emotional processing of fear: Exposure to corrective information. Psychological Bulletin, 99(1), 20–35. doi:10.1037//0033-2909.99.1.20.

    Article  CAS  PubMed  Google Scholar 

  • Forbes, D., Lloyd, D., Nixon, R. D. V., Elliot, P., Varker, T., Perry, D., Bryant, R. A., & Creamer, M. (2012). A multisite randomized controlled effectiveness trial of cognitive processing therapy for military-related posttraumatic stress disorder. Journal of Anxiety Disorders, 26(3), 442–452.

    Article  CAS  PubMed  Google Scholar 

  • Gallagher, M. W., & Resick, P. A. (2012). Mechanisms of change in cognitive processing therapy and prolonged exposure therapy for PTSD: Preliminary evidence for the differential effects of hopelessness and habituation. Cognitive Therapy and Research, 36(6), 750–755. doi:10.1007/s10608-011-9423-6.

    Article  Google Scholar 

  • Galovski, T. E., Monson, C., Bruce, S. E., & Resick, P. A. (2009). Does cognitive-behavioral therapy for PTSD improve perceived health and sleep impairment? Journal of Traumatic Stress, 22(3), 197–204. doi:10.1002/jts.20418.

    Article  PubMed Central  PubMed  Google Scholar 

  • Galovski, T. E., Blain, L. M., Mott, J. M., Elwood, L., & Houle, T. (2012). Manualized therapy for PTSD: Flexing the structure of cognitive processing therapy. Journal of Consulting and Clinical Psychology, 80(6), 968–981.

    Article  PubMed Central  PubMed  Google Scholar 

  • Gradus, J. L., Suvak, M. K., Wisco, B. E., Marx, B. P., & Resick, P. A. (2013). Treatment of posttraumatic stress disorder reduces suicidal ideation. Depression and Anxiety, 30(10), 1046–1053. doi:10.1002/da.22117.

    PubMed  Google Scholar 

  • Kaysen, D., Schumm, J., Pedersen, E., Seim, R. W., Bedard-Gilligan, M., & Chard, K. (2014). Cognitive processing therapy for veterans with comorbid PTSD and alcohol use disorders. Addictive Behaviors, 39, 420–427. doi:10.1016/j.addbeh.2013.08.016.

    Article  PubMed  Google Scholar 

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

    Google Scholar 

  • Monson, C. M., Schnurr, P. P., Resick, P. A., Friedman, M. J., Young-Xu, Y., & Stevens, S. P. (2006). Cognitive processing therapy for veterans with military-related posttraumatic stress disorder. Journal of Consulting and Clinical Psychology, 74(5), 898–907.

    Article  PubMed  Google Scholar 

  • Morland, L. A., Mackintosh, M. A., Greene, C., Rosen, C. S., Chard, K. M., Resick, P. A., & Frueh, B. C. (2014). Cognitive processing therapy for posttraumatic stress disorder delivered to rural veterans via telemental health: A randomized noninferiority clinical trial. Journal of Clinical Psychiatry, 75(5), 470–476.

    Google Scholar 

  • Resick, P. A., Nishith, P., Weaver, T. L., Astin, M. C., & Feuer, C. A. (2002). A comparison of cognitive-processing therapy with prolonged exposure and a waiting condition for the treatment of chronic posttraumatic stress disorder in female rape victims. Journal of Consulting and Clinical Psychology, 70(4), 867–879.

    Article  PubMed Central  PubMed  Google Scholar 

  • Resick, P. A., Galovski, T. E., Uhlmansick, M. O., Scher, C. D., Clum, G. A., & Young-Xu, Y. (2008a). A randomized clinical trial to dismantle components of cognitive processing therapy for posttraumatic stress disorder in female victims of interpersonal violence. Journal of Consulting and Clinical Psychology, 76(2), 243–258.

    Article  PubMed Central  PubMed  Google Scholar 

  • Resick, P. A., Monson, C. M., & Chard, K. M. (2008b). Cognitive processing therapy: Veteran/military manual. Washington, DC: Veterans Administration.

    Google Scholar 

  • Resick, P. A., Williams, L. F., Suvak, M. K., Monson, C. M., & Gradus, J. L. (2012). Long-term outcomes of cognitive-behavioral treatments for posttraumatic stress disorder among female rape survivors. Journal of Consulting and Clinical Psychology, 80(2), 201–210.

    Article  PubMed Central  PubMed  Google Scholar 

  • Suris, A., Link-Malcolm, J., Chard, K., Ahn, C., & North, C. (2013). A randomized clinical trial of cognitive processing therapy for veterans with PTSD related to military sexual trauma. Journal of Traumatic Stress, 26(1), 28–37.

    Article  PubMed  Google Scholar 

  • Walter, K. H., Bolte, T. A., Owens, G. P., & Chard, K. M. (2012). The impact of personality disorders on treatment outcome for Veterans in a posttraumatic stress disorder residential treatment program. Cognitive Therapy Research, 36(5), 576–584.

    Article  Google Scholar 

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Author information

Authors and Affiliations

  1. Department of Psychological Sciences, Center for Trauma Recovery, University of Missouri – St. Louis, St. Louis, MO, USA

    Tara E. Galovski PhD

  2. Women’s Health Sciences Division, National Center for PTSD, VA Boston Healthcare System, Boston University School of Medicine, Boston, MA, USA

    Jennifer Schuster Wachen PhD

  3. Department of Psychiatry and Behavioral Neuroscience, Cincinnati VA Medical Center, University of Cincinnati, Cincinnati, OH, USA

    Kathleen M. Chard PhD

  4. Department of Psychology, Ryerson University, Toronto, ON, Canada

    Candice M. Monson PhD

  5. Department of Psychiatry and Behavioral Neuroscience, Duke University Medical Center, Durham, NC, USA

    Patricia A. Resick PhD

Authors
  1. Tara E. Galovski PhD
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  2. Jennifer Schuster Wachen PhD
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  3. Kathleen M. Chard PhD
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  4. Candice M. Monson PhD
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  5. Patricia A. Resick PhD
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Editor information

Editors and Affiliations

  1. Department of Psychiatry and Psychotherapy, University Hospital Zurich, Zurich, Switzerland

    Ulrich Schnyder

  2. Dissemination & Training Division, National Center for PTSD, San Franciso, California, USA

    Marylène Cloitre

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© 2015 Springer International Publishing Switzerland

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Galovski, T.E., Wachen, J.S., Chard, K.M., Monson, C.M., Resick, P.A. (2015). Cognitive Processing Therapy. In: Schnyder, U., Cloitre, M. (eds) Evidence Based Treatments for Trauma-Related Psychological Disorders. Springer, Cham. https://doi.org/10.1007/978-3-319-07109-1_10

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  • DOI: https://doi.org/10.1007/978-3-319-07109-1_10

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-07108-4

  • Online ISBN: 978-3-319-07109-1

  • eBook Packages: MedicineMedicine (R0)

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