Prolonged exposure therapy for post-traumatic stress disorder: a review of evidence and dissemination
Abstract
Post-traumatic stress disorder (PTSD) is a highly prevalent, often chronic and disabling psychiatric disorder that is associated with significant adverse health and life consequences. Fortunately, there is compelling evidence that cognitive-behavioral therapies, notably exposure therapies, are effective in reducing PTSD symptomology relative to waiting list and active control conditions. Prolonged exposure is a specific exposure therapy program that is considered a first-line evidence-based treatment for PTSD. Unfortunately, barriers to treatment dissemination prevent the majority of individuals with PTSD from receiving evidence-based treatment. Strategies to increase the availability of treatment and boost the efficiency of exposure therapy are now being examined.
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Exposure generates new learning of safety-based associations that inhibit former fear response associations to the feared stimulus, thereby either extinguishing the fear response or enabling a level of fear tolerance that reduces anxious distress.
“This exposure generates new learning of safety-based associations that inhibit former fear response associations to the feared stimulus [77, 78, 118], thereby either extinguishing the fear response or enabling a level of fear tolerance that reduces anxious distress.”
From A Sequential Multiple Assignment Randomized Trial (SMART) study of medication and CBT sequencing in the treatment of pediatric anxiety disorders (2021) · cites this paper as [118]
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- Authors
- McLean, C. P., & Foa, E. B.
- Venue
- Expert Review of Neurotherapeutics
- Publisher
- Informa UK Limited
- Published
- 2011-08
- Volume
- 11
- Issue
- 8
- Pages
- 1151-1163
- ISSN
- 1473-7175
- 1744-8360
- Cited by
- 148
- References
- 40
- Language
- en
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