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

The DOI matches its Crossref record; 27 of the 27 references it cites were found in a registry or an index.

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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Research works printed but not linked: 1

  1. Mc Donagh-Coyle, 2005, Randomized controlled trial of cognitive–behavioral therapy for chronic posttraumatic stress disorder in adult female survivors of childhood sexual abuse, Journal of Consulting and Clinical Psychology, 74, 898

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Metadata

Authors
van Minnen, A., Hendriks, L., & Olff, M.
Affiliations
  • Radboud University Nijmegen (NL)
  • Amsterdam UMC Location University of Amsterdam (NL)
ORCID
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
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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