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Cited by 133Posttraumatic Stress Disorder ResearchPsychotherapy Techniques and ApplicationsAnxiety, Depression, Psychometrics, Treatment, Cognitive Processes

An analog study of patient preferences for exposure versus alternative treatments for posttraumatic stress disorder

Becker, Carolyn Black, Darius, Ellen, Schaumberg, Katherine·2007·Behaviour Research and Therapy
DOI 10.1016/j.brat.2007.05.006
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Abstract

Although several efficacious treatments for posttraumatic stress disorder (PTSD) exist, these treatments are currently underutilized in clinical practice. To address this issue, research must better identify barriers to dissemination of these treatments. This study investigated patient preferences for PTSD treatment given a wide range of treatment options in an analog sample. One hundred and sixty individuals, with varying degrees of trauma history, were asked to imagine themselves undergoing a trauma, developing PTSD, and seeking treatment. Participants evaluated seven different treatment descriptions, which depicted treatment options that they might encounter in a clinical setting. Participants rated their most and least preferred treatments along with their personal reactions to and the perceived credibility of each treatment. Participants also completed a critical thinking skills questionnaire. Participants predominantly chose exposure or another variant of cognitive-behavioral therapy as their most preferred therapy, and those who chose exclusively empirically supported treatments evidenced higher critical thinking skills. The present study contributes to a growing literature indicating that patients may be more interested in these therapies than indicated by utilization rates. The problem of underutilization of empirically supported treatments for PTSD in clinical practice may be due to therapist factors.

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  • Patients with PTSD have strong preferences for their treatment, and many prefer to do exposure therapy when asked.

    “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 Becker et al., 2007

  • Analog studies have demonstrated participants prefer CT and exposure therapy over psychodynamic psychotherapy, EMDR, and therapies using novel technologies.

    “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 Becker et al., 2007

  • Students confronted with treatment vignettes for anxiety disorders consistently show a preference for exposure-based CBT over other psychological interventions or medication.

    “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 Becker, Darius, & Schaumberg, 2007

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Authors
Becker, C. B., Darius, E., & Schaumberg, K.
Affiliations
Trinity University (US)
Corresponding author
Becker, Carolyn Black
ORCID
Venue
Behaviour Research and Therapy
Publisher
Elsevier BV
Published
2007-12
Volume
45
Issue
12
Pages
2861-2873
ISSN
0005-7967 (ISSN-L)
DOI
10.1016/j.brat.2007.05.006
OpenAlex
W1978428227
Cited by
133
References
22
Citations by year
2026: 1 · 2025: 4 · 2024: 38 · 2023: 6 · 2022: 2 · 2021: 13 · 2020: 8 · 2019: 2 · 2018: 5 · 2017: 4 · 2016: 2 · 2015: 12 · 2014: 3 · 2013: 10 · 2012: 2
FWCI
5.45
Type
journal article
Language
en
Open access
closed
Licence
www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations
  • Behaviour Research and Therapy (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Social Sciences › Psychology › Clinical Psychology › Posttraumatic Stress Disorder Research
  • Social Sciences › Psychology › Clinical Psychology › Psychotherapy Techniques and Applications
  • Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
Keywords
post-traumatic stress disorder, patient preferences, treatment preferences, exposure therapy, cognitive behavioral therapy, empirically supported treatments, undertreatment, treatment dissemination, critical thinking skills, therapist factors
MeSH terms
Adolescent, Choice Behavior, Female, Humans, Male, Psychotherapy, Stress Disorders, Post-Traumatic, Patient Satisfaction, Selective Serotonin Reuptake Inhibitors, Sertraline

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