Cited by 931Posttraumatic Stress Disorder ResearchPsychotherapy Techniques and ApplicationsAnxiety, Depression, Psychometrics, Treatment, Cognitive Processes

Randomized trial of prolonged exposure for posttraumatic stress disorder with and without cognitive restructuring: outcome at academic and community clinics

Foa, Edna B., Hembree, Elizabeth A., Cahill, Shawn P., Rauch, Sheila A. M., Riggs, David S., Feeny, Norah C., Yadin, Elna·2005·Journal of Consulting and Clinical Psychology

Abstract

Female assault survivors (N=171) with chronic posttraumatic stress disorder (PTSD) were randomly assigned to prolonged exposure (PE) alone, PE plus cognitive restructuring (PE/CR), or wait-list (WL). Treatment, which consisted of 9-12 sessions, was conducted at an academic treatment center or at a community clinic for rape survivors. Evaluations were conducted before and after therapy and at 3-, 6-, and 12-month follow-ups. Both treatments reduced PTSD and depression in intent-to-treat and completer samples compared with the WL condition; social functioning improved in the completer sample. The addition of CR did not enhance treatment outcome. No site differences were found: Treatment in the hands of counselors with minimal cognitive- behavioral therapy (CBT) experience was as efficacious as that of CBT experts. Treatment gains were maintained at follow-up, although a minority of patients received additional treatment.

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Crossref · 10.1037/0022-006x.73.5.953

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Authors
Foa, E. B., Hembree, E. A., Cahill, S. P., Rauch, S. A. M., Riggs, D. S., Feeny, N. C., & Yadin, E.
Affiliations
  • University of Pennsylvania (US)
  • Case Western Reserve University (US)
Venue
Journal of Consulting and Clinical Psychology
Published
2005
Volume
73
Issue
5
Pages
953-964
ISSN
  • 0022-006X (ISSN-L)
  • 1939-2117
OpenAlex
W2113294191
Cited by
931
References
39
Citations by year
2026: 8 · 2025: 17 · 2024: 28 · 2023: 25 · 2022: 30 · 2021: 39 · 2020: 39 · 2019: 67 · 2018: 55 · 2017: 50 · 2016: 61 · 2015: 59 · 2014: 68 · 2013: 69 · 2012: 71
FWCI
33.17
Type
journal article
Language
en
Open access
closed
Locations
  • Journal of Consulting and Clinical Psychology (publishedVersion)
  • PubMed (publishedVersion)
Funders
National Institute of Mental Health (MH 42178, R01MH042178)
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
prolonged exposure, post-traumatic stress disorder, cognitive restructuring, rape victims, sexual assault, depression, social functioning, treatment outcomes, community clinics, treatment efficacy, maintenance of treatment gains
MeSH terms
Academic Medical Centers, Adaptation, Psychological, Adult, Community Mental Health Centers, Counseling, Female, Humans, Regression Analysis, Sex Offenses, Stress Disorders, Post-Traumatic, Time Factors, Waiting Lists, Cognitive Behavioral Therapy, Treatment Outcome, Survivors, Crime Victims

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