1. Augmenting cognitive behaviour therapy for post-traumatic stress disorder with emotion tolerance training: a randomized controlled trial.
- Author
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Bryant, R. A., Mastrodomenico, J., Hopwood, S., Kenny, L., Cahill, C., Kandris, E., and Taylor, K.
- Subjects
TREATMENT of post-traumatic stress disorder ,COGNITIVE therapy ,ANALYSIS of covariance ,CHI-squared test ,CONFIDENCE intervals ,EMOTIONS ,MULTIVARIATE analysis ,PSYCHOLOGICAL tests ,QUESTIONNAIRES ,RESEARCH funding ,STATISTICAL sampling ,SCALE analysis (Psychology) ,SELF-evaluation ,SAMPLE size (Statistics) ,STATISTICAL power analysis ,EFFECT sizes (Statistics) ,RANDOMIZED controlled trials ,PRE-tests & post-tests ,SEVERITY of illness index ,DATA analysis software ,DESCRIPTIVE statistics - Abstract
BackgroundMany patients do not adhere to or benefit from cognitive behaviour therapy (CBT) for post-traumatic stress disorder (PTSD). This randomized controlled trial evaluates the extent to which preparing patients with emotion regulation skills prior to CBT enhances treatment outcome.MethodA total of 70 adult civilian patients with PTSD were randomized to 12 sessions of either supportive counselling followed by CBT (Support/CBT) or emotion regulation training followed by CBT (Skills/CBT).ResultsSkills/CBT resulted in fewer treatment drop-outs, less PTSD and anxiety, and fewer negative appraisals at 6 months follow-up than Support/CBT. Between-condition effect size was moderate for PTSD severity (0.43, 95% confidence interval −0.04 to 0.90). More Skills/CBT (31%) patients achieved high end-state functioning at follow-up than patients in Support/CBT (12%) [χ2(n = 70) = 3.67, p < 0.05].ConclusionsThis evidence suggests that response to CBT may be enhanced in PTSD patients by preparing them with emotion regulation skills. High attrition of participants during the study limits conclusions from this study. [ABSTRACT FROM PUBLISHER]
- Published
- 2013
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