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The acceptability and preference for the psychological treatment of PTSD
Abstract
The acceptability and preference of psychological treatments is important in understanding patient treatment seeking, choice, engagement and attrition and possibly treatment response in health care. The acceptability of, and preference for, 14 different types of psychological treatment for posttraumatic stress disorder (PTSD) were investigated in a student population through invitation to participate in a web-based survey. Respondents were asked to rate each treatment on 10 scales and to rank the treatments in order of preference. Respondents were also asked whether they would seek treatment themselves, recommend treatment to friends and family, feel stigmatised by suffering from PTSD, had any prior knowledge of the treatments and if this had been positive or negative and whether they had a history of psychological problems or treatment. A total of 330 respondents completed the survey. A past or current history of psychological problems and treatment was surprisingly high. Almost all respondents indicated that they would seek or recommend treatment in spite of high levels of stigmatisation. Factor analysis of the 10 scales indicated two factors: Endorsement and Discomfort. Rank ordering on preference and Endorsement scores was highly consistent. The highly preferred and endorsed treatments involved cognitive therapy, exposure or psycho-education in spite of high levels of discomfort anticipated with exposure. Treatments involving new technologies, EMDR and psychodynamic psychotherapy received the lowest Endorsement and preference. There was a modest influence of prior knowledge of a treatment.
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In the citing paper
“This is important because patients with PTSD have strong preferences for their treatment, and many prefer to do exposure therapy when asked (Becker et al., 2007; Schwartzkopff et al., 2021; Tarrier et al., 2006).”
From An Open-Phase Pilot Trial of an Integration of Prolonged Exposure Therapy and the Coping Long-Term With Active Suicide Program (2026) · cites this paper as Tarrier et al., 2006
In the citing paper
“Analog studies have demonstrated that participants have preferences for CT and exposure therapy over psychodynamic psychotherapy, EMDR, and therapies using novel technologies (e.g., virtual reality, computer-based therapy; Tarrier et al., 2006; Becker et al., 2007).”
From Treating PTSD: A Review of Evidence-Based Psychotherapy Interventions (2018) · cites this paper as Tarrier et al., 2006
In the citing paper
“Students confronted with treatment vignettes for anxiety disorders consistently show a preference for exposure-based CBT over other psychological interventions or medication (Becker, Darius, & Schaumberg, 2007;Deacon & Abramowitz, 2005;Tarrier, Liversidge, & Gregg, 2006).”
From Effective—and Tolerable: Acceptance and Side Effects of Intensified Exposure for Anxiety Disorders (2023) · cites this paper as Tarrier, Liversidge, & Gregg, 2006
In the citing paper
“Second, we did not apply a comprehensive treatment acceptance scale (e.g., Tarrier et al., 2006), which reduces the comparability of acceptance scores.”
From Effective—and Tolerable: Acceptance and Side Effects of Intensified Exposure for Anxiety Disorders (2023) · cites this paper as Tarrier et al., 2006
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“Analog studies have demonstrated that participants have preferences for CT and exposure therapy over psychodynamic psychotherapy, EMDR, and therapies using novel technologies (e.g., virtual reality, computer-based therapy; Tarrier et al., 2006; Becker et al., 2007).”
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“In a preference study for treatment of PTSD with an analogue population traditional methods of treatment such as cognitive and exposure therapy were rated significantly more highly on ratings of preference and acceptability compared to VR [55], which suggests that new technology treatments such as VR may be less accep…”
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Metadata
- Authors
- Tarrier, N., Liversidge, T., & Gregg, L.
- Affiliations
- University of Manchester (GB)
- Corresponding author
- Tarrier, Nicholas
- ORCID
- Gregg, Lynsey
- Venue
- Behaviour Research and Therapy
- Publisher
- Elsevier BV
- Published
- 2006-11
- Volume
- 44
- Issue
- 11
- Pages
- 1643-1656
- ISSN
- 0005-7967 (ISSN-L)
- OpenAlex
- W2171832848
- Cited by
- 134
- References
- 49
- Citations by year
- 2026: 2 · 2025: 6 · 2024: 7 · 2023: 5 · 2022: 2 · 2021: 12 · 2020: 12 · 2019: 7 · 2018: 5 · 2017: 5 · 2016: 6 · 2015: 14 · 2014: 7 · 2013: 10 · 2012: 5
- FWCI
- 6.27
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Behaviour Research and Therapy (publishedVersion)
- PubMed (publishedVersion)
- Research Explorer (The University of Manchester) (publishedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Posttraumatic Stress Disorder Research
- Social Sciences › Psychology › Clinical Psychology › Psychotherapy Techniques and Applications
- Health Sciences › Medicine › Psychiatry and Mental health › Mental Health Treatment and Access
- Keywords
- post-traumatic stress disorder, psychological intervention, treatment acceptability, treatment preferences, treatment seeking, stigma, cognitive therapy, exposure therapy, psychoeducation, EMDR, psychodynamic psychotherapy, treatment discontinuation, treatment engagement, prior treatment experience, student population
- MeSH terms
- Adolescent, Adult, England, Female, Humans, Health Knowledge, Attitudes, Practice, Male, Patient Acceptance of Health Care, Psychotherapy, Stress Disorders, Post-Traumatic, Cognitive Behavioral Therapy, Patient Satisfaction
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