An Evaluation of Cognitive Processing Therapy for the Treatment of Posttraumatic Stress Disorder Related to Childhood Sexual Abuse

PTSD Division, Cincinnati VA Medical Center, Cincinnati, OH 45220, USA.
Journal of Consulting and Clinical Psychology (Impact Factor: 4.85). 10/2005; 73(5):965-71. DOI: 10.1037/0022-006X.73.5.965
Source: PubMed

ABSTRACT This study compared the effectiveness of cognitive processing therapy for sexual abuse survivors (CPT-SA) with that of the minimal attention (MA) given to a wait-listed control group. Seventy-one women were randomly assigned to 1 of the 2 groups. Participants were assessed at pretreatment and 3 times during posttreatment: immediately after treatment and at 3-month and 1-year follow-up, using the Clinician-Administered Posttraumatic Stress Disorder (PTSD) Scale (D. Blake et al., 1995), the Beck Depression Inventory (A. T. Beck, R. A. Steer, & G. K. Brown, 1996), the Structured Clinical Interview for the DSM-IV (R. L. Spitzer, J. B. W. Williams, & M. Gibbon, 1995; M. B. First et al., 1995), the Dissociative Experiences Scale-II (E. M. Bernstein & F. W. Putnam, 1986), and the Modified PTSD Symptom Scale (S. A. Falsetti, H. S. Resnick, P. A. Resick, & D. G. Kilpatrick, 1993). Analyses suggested that CPT-SA is more effective for reducing trauma-related symptoms than is MA, and the results were maintained for at least 1 year.

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Available from: Kathleen M Chard, Sep 26, 2015
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    • "The small number of studies does not allow any type of statistical analysis. In addition, one study (Chard, 2005 "
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    ABSTRACT: There have been significant advances in the treatment of posttraumatic stress disorder in the last two decades. Further improvements in outcomes will be supported by recognition of the heterogeneity of symptoms in trauma populations and the development of treatments that promote the tailoring of interventions according to patient needs. Collaboration with patients regarding preferences about treatment structure, process, and outcomes is critical and will benefit the effectiveness and quality of treatments as well as the speed of their dissemination. New research methodologies are required that can incorporate important variables such as patient preferences and symptom heterogeneity without necessarily extending already lengthy study times or further complicating study designs. An example of alternative methodology is proposed.
    European Journal of Psychotraumatology 05/2015; 6:27344. DOI:10.3402/ejpt.v6.27344 · 2.40 Impact Factor
    • "Still, our sample was characterized by severe PTSD and at least one comorbid disorder on Axis I. The mean CAPS score at pre-treatment was 83, compared to CAPS scores of around 65 in other published RCT's for CA-related PTSD (Chard, 2005; Cloitre et al., 2010; McDonagh et al., 2005). "
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    ABSTRACT: This case series tested the feasibility and explored the efficacy of Imagery Rescripting (ImRs) as a stand-alone treatment for PTSD related to childhood physical and/or sexual abuse (CA). Participants (6 women and 2 men) were patients with PTSD related to CA who entered an 8 week treatment program with 16 twice-weekly ImRs sessions. Blind assessments took place at pre- and post-treatment and at 3 month follow-up. Participants showed improvement in both self-reported and clinician-rated PTSD symptoms. Gains were maintained at 3-month follow-up. At post-treatment, 50% of participants no longer met criteria for PTSD, and this number increased to 75% at 3 month follow-up. The main limitation is the small sample size and the selective nature of the sample, which limits the generalizability of the findings. This pilot study suggests that Imagery Rescripting as stand-alone treatment is feasible and effective without prior stabilization in an outpatient population with CA-related PTSD. Further replication is needed in form of a randomized controlled trial. Copyright © 2015 Elsevier Ltd. All rights reserved.
    Journal of Behavior Therapy and Experimental Psychiatry 04/2015; 48:170-176. DOI:10.1016/j.jbtep.2015.03.013 · 2.23 Impact Factor
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    • "Review of Figure 1 will also indicate that the largest effect sizes were associated with earlier studies (Chard, 2005; Resick et al., 2002), with the remaining majority of studies within our sample closer to the overall mean effect size. "
    12/2014; 5(2):75-88. DOI:10.1177/2150137814550523
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