Cited by 282Posttraumatic Stress Disorder ResearchPsychotherapy Techniques and ApplicationsAnxiety, Depression, Psychometrics, Treatment, Cognitive Processes

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When do trauma experts choose exposure therapy for PTSD patients? A controlled study of therapist and patient factors

van Minnen, Agnes, Hendriks, Lotte, Olff, Miranda·2010·Behaviour Research and Therapy

DOI 10.1016/j.brat.2009.12.003

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Abstract

To investigate when and why therapists opt for or rule out imaginal exposure (IE) for patients with posttraumatic stress disorder (PTSD), 255 trauma experts were randomized to two conditions in which they were presented with four cases in which the patients' comorbidity and treatment preferences were manipulated. The results confirmed IE to be an underutilized approach, with the majority of professionals being undertrained in the technique. As predicted, the patient factors influenced the expert's choice of therapy: in case of a comorbid depression, IE was significantly less preferred than medication. Also, IE was significantly more likely to be offered when patients expressed a preference for trauma-focused treatment. The therapist factors were also found to be importantly related to treatment preferences, with high credibility in the technique being positively related to the therapists' preference for IE. Perceived barriers to IE, such as a fear of symptom exacerbation and dropout, were negatively related to the perceived suitability of the treatment when patients had suffered multiple traumas in childhood. The results are discussed in the light of clinical implications and the need of exposure training for trauma professionals.

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Paiva, J. M., Melani, M., Marques, E. S. N., von Arcosy, C., Coutinho, E. S. F., Ventura, P. R., & Berger, W. (2023) · Psychology Health & Medicine · doi:10.1080/13548506.2023.2292478 · Cited by 8
Exploring the Efficacy of Anxiety and PTSD Therapeutic Techniques and Protocols in Practice During Ongoing Terrorism: Evidence From a Focus Group Research
Lahad, M., Leykin, D., Rozenblat, O., & Fajerman, Z. (2014) · International Journal of Social Work · doi:10.5296/ijsw.v1i1.5289 · Cited by 6
Clinician and patient characteristics and cognitions that influence weighing practice in cognitive‐behavioral therapy for eating disorders
Daglish, A., & Waller, G. (2019) · International Journal of Eating Disorders · doi:10.1002/eat.23096 · Cited by 6
Relationships Between Health Promoting Activities, Life Satisfaction, and Depressive Symptoms in Unemployed Individuals
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Educational, but demanding: the experience of therapists in an intensive inpatient trauma treatment program
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Effectiveness of written exposure therapy for Korean patients with post-traumatic stress disorder: non-randomized treatment-as-usual waitlist-controlled study
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“Demographics and expertise: Based on earlier studies [106, 107], we will assess age, gender, years of expertise, main profession, clinical orientation, and memberships of professional associations.”
Method
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EMDR Therapy for Posttraumatic Stress Disorder Symptoms in Adult Inpatient Mental Health Settings
Phillips, R., Pinto, C., McSherry, P., & Maguire, T. (2022) · Journal of EMDR Practice and Research · doi:10.1891/emdr-d-21-2021-00022 · Cited by 4
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Pedersen, M. S., Landheim, A. S., Møller, M., & Lien, L. (2019) · Archives of Psychiatric Nursing · doi:10.1016/j.apnu.2019.10.009 · Cited by 6
Primum Non Nocere (First Do No Harm): Symptom Worsening and Improvement in Female Assault Victims After Prolonged Exposure for PTSD
Jayawickreme, N., Cahill, S. P., Riggs, D. S., Rauch, S. A. M., Resick, P. A., ROTHBAUM, B. O., & Foa, E. B. (2017) · FOCUS The Journal of Lifelong Learning in Psychiatry · doi:10.1176/appi.focus.150404 · Cited by 4
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Virtual reality eye movements are not inferior to computerized eye movements and exposure in ameliorating aversive memories
IJdema, T., Laceulle, O. M., Dibbets, P., & Korrelboom, K. (2023) · Computers in Human Behavior Reports · doi:10.1016/j.chbr.2023.100311 · Cited by 3
How to use theories to explain effects of the creative arts therapies: The case of Polyvagal Theory
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Intensive Cognitive-Behavioral Treatment of PTSD: An Overview of Massed Outpatient Treatment Programs
Hendriks, L., de Kleine, R. A., Hendriks, G., & van Minnen, A. (2015) · Springer eBooks · doi:10.1007/978-3-319-08613-2_123-1 · Cited by 3
Self-citation
Comparing the unified protocol for transdiagnostic treatment of emotional disorders to prolonged exposure for the treatment of PTSD: Design of a non-inferiority randomized controlled trial
Lau, W., Chisholm, K., Gallagher, M. W., Felmingham, K. L., Murray, K., Pearce, A., Doyle, N., Alexander, S., O'Brien, H., Putica, A., et al. (2023) · Contemporary Clinical Trials Communications · doi:10.1016/j.conctc.2023.101134 · Cited by 3
Dropout in a clinical trial for comorbid PTSD and MDD among US service members: Are pretreatment characteristics predictive?
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Authors: van Minnen, A., Hendriks, L., & Olff, M.
Affiliations: Radboud University Nijmegen (NL)
Amsterdam UMC Location University of Amsterdam (NL)
ORCID: Hendriks, Lotte
Olff, Miranda
Venue: Behaviour Research and Therapy
Publisher: Elsevier BV
Published: 2010-04
Volume: 48
Issue: 4
Pages: 312-320
ISSN: 0005-7967 (ISSN-L)
DOI: 10.1016/j.brat.2009.12.003
OpenAlex: W1986710838
Cited by: 282
References: 27
Citations by year: 2026: 9 · 2025: 19 · 2024: 17 · 2023: 18 · 2022: 18 · 2021: 21 · 2020: 24 · 2019: 20 · 2018: 26 · 2017: 15 · 2016: 21 · 2015: 17 · 2014: 13 · 2013: 22 · 2012: 9
FWCI: 7.41
Type: journal article
Language: en
Open access: closed
Licence: www.elsevier.com/tdm/userlicense/1.0/ (tdm)
www.elsevier.com/legal/tdmrep-license (tdm)
Locations: Behaviour Research and Therapy (publishedVersion)
PubMed (publishedVersion)
Pure Amsterdam UMC (publishedVersion)
Data Archiving and Networked Services (DANS) (submittedVersion)
Radboud Repository (Radboud University) (submittedVersion)
Funders: Achmea Stichting Slachtoffer en Samenleving
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, trauma-focused psychotherapy, treatment selection, therapist decision-making, patient treatment preferences, comorbid depression, childhood trauma, therapist credibility, barriers to treatment
MeSH terms: Age Factors, Attitude to Health, Depression, Female, Humans, Implosive Therapy, Male, Middle Aged, Psychotropic Drugs, Sex Characteristics, Stress Disorders, Post-Traumatic, Comorbidity, Multivariate Analysis, Patient Selection, Patient Preference

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When do trauma experts choose exposure therapy for PTSD patients? A controlled study of therapist and patient factors

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