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Fear activation and habituation patterns as early process predictors of response to prolonged exposure treatment in PTSD
Abstract
Improved (n = 21) and nonimproved (n = 13) PTSD patients (a mixed trauma population) were compared for fear activation and habituation patterns during and between the 1st and 2nd prolonged exposure sessions. Drop‐outs (n = 11) were also evaluated. Nonimproved patients had significantly higher ratings of anxiety at the start of the first exposure session. Improved patients showed more within‐session habituation during the self‐exposures at home and more between‐session habituation. Even after controlling for initial PTSD and depression symptom severity, habituation between the first and second exposure sessions was significantly related to treatment outcome. Patients who dropped out of the treatment were found not to differ from completers on fear activation and within‐session habituation during the first exposure session.
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“We are aware of only two studies in individuals with PTSD (Vaughan & Tarrier, 1992; van Minnen et al., 2002).”
From Does change in distress matter? Mechanisms of change in prolonged exposure for PTSD (2014) · cites this paper as van Minnen et al., 2002
In the citing paper
“In the other (van Minnen et al., 2002), a limited measure of homework compliance was not associated with clinical improvement.”
From Does change in distress matter? Mechanisms of change in prolonged exposure for PTSD (2014) · cites this paper as van Minnen et al., 2002
In the citing paper
“Similarly, van Minnen and Hagenaars (2002) found that greater habituation between early therapy sessions, session 1 to session 2, was associated with better treatment outcome.”
From Does change in distress matter? Mechanisms of change in prolonged exposure for PTSD (2014) · cites this paper as van Minnen and Hagenaars (2002)
In the citing paper
“The van Minnen and Hagenaars (2002) examined average distress but only at session 1 and session 2.”
From Does change in distress matter? Mechanisms of change in prolonged exposure for PTSD (2014) · cites this paper as van Minnen and Hagenaars (2002)
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Metadata
- Authors
- van Minnen, A., & Hagenaars, M.
- Affiliations
- Radboud University Nijmegen (NL)
- ORCID
- Hagenaars, Muriel
- Venue
- Journal of Traumatic Stress
- Publisher
- Wiley
- Published
- 2002-10
- Volume
- 15
- Issue
- 5
- Pages
- 359-367
- ISSN
- 0894-9867 (ISSN-L)
- 1573-6598
- OpenAlex
- W2130288907
- Cited by
- 154
- References
- 43
- Citations by year
- 2026: 6 · 2024: 1 · 2023: 8 · 2022: 14 · 2021: 10 · 2020: 20 · 2019: 6 · 2018: 6 · 2017: 6 · 2016: 12 · 2015: 9 · 2014: 12 · 2013: 7 · 2012: 3
- FWCI
- 4.42
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Traumatic Stress (publishedVersion)
- PubMed (publishedVersion)
- Radboud Repository (Radboud University) (submittedVersion)
- 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, prolonged exposure therapy, treatment outcome predictors, treatment discontinuation, anxiety, depression, self-exposure
- MeSH terms
- Acoustic Stimulation, Adult, Fear, Female, Forecasting, Habituation, Psychophysiologic, Humans, Male, Stress Disorders, Post-Traumatic, Tape Recording, Time Factors, Treatment Outcome
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