Cognitive behaviour therapy for posttraumatic stress disorder
Abstract
Following considerable empirical scrutiny, cognitive behaviour therapy (CBT) has proven to be a safe and effective treatment for posttraumatic stress disorder (PTSD). This article overviews the general principles of treatment and describes the components that comprise CBT for PTSD. We then move on to review the efficacy of CBT for the treatment of PTSD caused by various traumas, including assault, road traffic accident (RTA), combat, and terrorism. Recent advances in early intervention and in the treatment of disorders that are comorbid with PTSD are reviewed. Finally, future directions are discussed. In particular, it is proposed that randomised controlled trials (RCT) of CBT for PTSD must be conducted with enhanced methodological rigour and public health relevance.
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Breathing interventions-including controlled breathing, slow-breathing techniques, coherence breathing, brahmari breathing, and breathing at one's resonant frequency-utilize a decrease in respiratory rate, prolonged expiration, breathing against airway resistance, or vibration of the airway to reduce physiological arousal.
“Breathing interventions—including controlled breathing, slow-breathing techniques (from yoga and other Eastern disciplines), coherence breathing, brahmari breathing (“bee breath,” also from yoga), and breathing at ones resonant frequency—utilize a decrease in respiratory rate, prolonged expiration (pranayama), breathing against airway resistance, or vibration of the airway to reduce physiological”
From Fear and the Defense Cascade (2015) · cites this paper as [146]
CBT interventions are thought to be a form of extinction learning in which conditioned fear responses are inhibited by new learning of safe associations, involving top-down inhibition of the amygdala by the PFC and hippocampus.
“These interventions—which potentially include repeated exposure to traumatic memories and cognitive-restructuring techniques that aim to teach more realistic appraisals of the trauma—are thought to be a form of extinction learning in which conditioned fear responses are inhibited by new learning of safe associations, a process that involves top-down inhibition of the amygdala by the PFC and hippo”
From Fear and the Defense Cascade (2015) · cites this paper as [188]
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Self-citation
- Authors
- Harvey, A. G., Bryant, R. A., & Tarrier, N.
- Affiliations
- University of Oxford (GB)
- UNSW Sydney (AU)
- University of Manchester (GB)
- Corresponding author
- Harvey, Allison G.
- Venue
- Clinical Psychology Review
- Publisher
- Elsevier BV
- Published
- 2003-05
- Volume
- 23
- Issue
- 3
- Pages
- 501-522
- ISSN
- 0272-7358 (ISSN-L)
- OpenAlex
- W1998199554
- Cited by
- 203
- References
- 95
- Citations by year
- 2026: 4 · 2025: 4 · 2024: 1 · 2023: 1 · 2022: 4 · 2021: 9 · 2020: 3 · 2019: 5 · 2018: 4 · 2017: 10 · 2016: 6 · 2015: 11 · 2014: 7 · 2013: 9 · 2012: 8
- FWCI
- 1.96
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Clinical Psychology Review (publishedVersion)
- PubMed (publishedVersion)
- Research Explorer (The University of Manchester) (publishedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Posttraumatic Stress Disorder Research
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and related disorders
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Keywords
- cognitive behavioral therapy, post-traumatic stress disorder, trauma treatment, assault, traffic accidents, combat-related PTSD, terrorism, early intervention, comorbidities, treatment efficacy, randomized controlled trials
- MeSH terms
- Humans, Stress Disorders, Post-Traumatic, Cognitive Behavioral Therapy
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