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A comparison of cognitive-processing therapy with prolonged exposure and a waiting condition for the treatment of chronic posttraumatic stress disorder in female rape victims.
Open accessAbstract
The purpose of this study was to compare cognitive-processing therapy (CPT) with prolonged exposure and a minimal attention condition (MA) for the treatment of posttraumatic stress disorder (PTSD) and depression. One hundred seventy-one female rape victims were randomized into 1 of the 3 conditions, and 121 completed treatment. Participants were assessed with the Clinician-Administered PTSD Scale, the PTSD Symptom Scale, the Structured Clinical Interview for DSM-IV, the Beck Depression Inventory, and the Trauma-Related Guilt Inventory. Independent assessments were made at pretreatment, posttreatment, and 3 and 9 months posttreatment. Analyses indicated that both treatments were highly efficacious and superior to MA. The 2 therapies had similar results except that CPT produced better scores on 2 of 4 guilt subscales.
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“Although exposure-based therapies have the largest and strongest research evidence base (Cusack et al., 2016), research and meta-analyses comparing PE, CPT and trauma-focused CBT do not find that one treatment outperforms the other (Resick et al., 2002, 2008; Powers et al., 2010; Cusack et al., 2016).”
From Treating PTSD: A Review of Evidence-Based Psychotherapy Interventions (2018) · cites this paper as Resick et al., 2002
In the citing paper
“PE consistently outperforms control and waitlist conditions in randomized controlled trials (Powers et al., 2010; Resick et al., 2002)”
From Augmenting Prolonged Exposure therapy for PTSD with intranasal oxytocin: a randomized, placebo-controlled pilot trial (2018) · cites this paper as Resick et al., 2002
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Metadata
- Authors
- Resick, P. A., Nishith, P., Weaver, T. L., Astin, M. C., & Feuer, C. A.
- Affiliations
- University of Missouri–St. Louis (US)
- Venue
- Journal of Consulting and Clinical Psychology
- Published
- 2002-08
- Volume
- 70
- Issue
- 4
- Pages
- 867-879
- ISSN
- 0022-006X (ISSN-L)
- 1939-2117
- PMC
- PMC2977927
- OpenAlex
- W1972193811
- Cited by
- 1,294
- References
- 34
- Citations by year
- 2026: 22 · 2025: 35 · 2024: 33 · 2023: 34 · 2022: 45 · 2021: 64 · 2020: 64 · 2019: 90 · 2018: 72 · 2017: 59 · 2016: 65 · 2015: 94 · 2014: 81 · 2013: 84 · 2012: 66
- FWCI
- 37.97
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Journal of Consulting and Clinical Psychology (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institute of Mental Health (R01MH051509, 1-R01-MH51509)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Posttraumatic Stress Disorder Research
- Social Sciences › Psychology › Clinical Psychology › Psychotherapy Techniques and Applications
- Social Sciences › Gender Studies › Sexual Assault and Victimization Studies
- Keywords
- cognitive processing therapy, prolonged exposure, post-traumatic stress disorder, rape victims, depression, trauma-related guilt, psychotherapy efficacy, treatment comparison
- MeSH terms
- Adult, Chronic Disease, Female, Humans, Random Allocation, Rape, Stress Disorders, Post-Traumatic, Time Factors, Reproducibility of Results, Cognitive Behavioral Therapy
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