Literature DB >> 19637322

The impact of sudden gains in cognitive behavioral therapy for posttraumatic stress disorder.

Kacie A Kelly1, Shireen L Rizvi, Candice M Monson, Patricia A Resick.   

Abstract

This study investigated sudden gains, i.e., rapid and stable improvements, in posttraumatic stress disorder (PTSD) symptoms that may occur in cognitive-behavioral therapy. Twenty-nine of 72 participants (39.2%) experienced a sudden gain during treatment. Mixed model ANOVAs analyzed sudden gains impact on clinician-rated PTSD symptom severity, patient-rated PTSD symptom severity, and patient-rated depressive symptom severity. Sudden gains in PTSD symptomology were associated with greater reductions in PTSD symptom severity for the avoidance/numbing and hyperarousal symptom clusters at posttreatment. By 6-month follow-up, the sudden gains group had maintained those reductions in symptoms, but the nonsudden gains group had achieved equal reductions in symptom severity. Participants experiencing sudden gains on PTSD measures had lower depression severity at posttreatment and follow-up.

Entities:  

Mesh：

Year:  2009        PMID： 19637322      PMCID： PMC2793672          DOI： 10.1002/jts.20427

Source DB:  PubMed          Journal:  J Trauma Stress        ISSN： 0894-9867


  21 in total

1.  Patterns of recovery from trauma: the use of intraindividual analysis.

Authors:  E Gilboa-Schechtman; E B Foa
Journal:  J Abnorm Psychol       Date:  2001-08

2.  Early sudden gains in psychotherapy under routine clinic conditions: practice-based evidence.

Authors:  William B Stiles; Chris Leach; Michael Barkham; Mike Lucock; Steve Iveson; David A Shapiro; Michaela Iveson; Gillian E Hardy
Journal:  J Consult Clin Psychol       Date:  2003-02

3.  Six-year outcome of cognitive behavior therapy for prevention of recurrent depression.

Authors:  Giovanni A Fava; Chiara Ruini; Chiara Rafanelli; Livio Finos; Sandra Conti; Silvana Grandi
Journal:  Am J Psychiatry       Date:  2004-10       Impact factor: 18.112

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Authors:  N S Jacobson; P Truax
Journal:  J Consult Clin Psychol       Date:  1991-02

Review 5.  A multidimensional meta-analysis of psychotherapy for PTSD.

Authors:  Rebekah Bradley; Jamelle Greene; Eric Russ; Lissa Dutra; Drew Westen
Journal:  Am J Psychiatry       Date:  2005-02       Impact factor: 18.112

Review 6.  The development of a Clinician-Administered PTSD Scale.

Authors:  D D Blake; F W Weathers; L M Nagy; D G Kaloupek; F D Gusman; D S Charney; T M Keane
Journal:  J Trauma Stress       Date:  1995-01

7.  A comparison of flashbacks and ordinary autobiographical memories of trauma: cognitive resources and behavioural observations.

Authors:  S J Hellawell; C R Brewin
Journal:  Behav Res Ther       Date:  2002-10

8.  Treatment of posttraumatic stress disorder in rape victims: a comparison between cognitive-behavioral procedures and counseling.

Authors:  E B Foa; B O Rothbaum; D S Riggs; T B Murdock
Journal:  J Consult Clin Psychol       Date:  1991-10

9.  The prevalence and impact of large sudden improvements during adolescent therapy for depression: a comparison across cognitive-behavioral, family, and supportive therapy.

Authors:  Scott T Gaynor; V Robin Weersing; David J Kolko; Boris Birmaher; Jungeun Heo; David A Brent
Journal:  J Consult Clin Psychol       Date:  2003-04

10.  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.

Authors:  Patricia A Resick; Pallavi Nishith; Terri L Weaver; Millie C Astin; Catherine A Feuer
Journal:  J Consult Clin Psychol       Date:  2002-08
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  11 in total

1.  Identifying Trajectories and Predictors of Response to Psychotherapy for Post-Traumatic Stress Disorder in Adults: A Systematic Review of Literature.

Authors:  Michelle Dewar; Alison Paradis; Christophe A Fortin
Journal:  Can J Psychiatry       Date:  2019-09-19       Impact factor: 4.356

2.  Sudden gains in prolonged exposure for children and adolescents with posttraumatic stress disorder.

Authors:  Idan M Aderka; Edna Appelbaum-Namdar; Naama Shafran; Eva Gilboa-Schechtman
Journal:  J Consult Clin Psychol       Date:  2011-08

3.  Do sudden gains predict treatment outcome in social anxiety disorder? Findings from two randomized controlled trials.

Authors:  Rachel M Butler; Emily B O'Day; Simona C Kaplan; Michaela B Swee; Arielle Horenstein; Amanda S Morrison; Philippe R Goldin; James J Gross; Richard G Heimberg
Journal:  Behav Res Ther       Date:  2019-08-09

4.  Sudden Gains in Two Trauma-Focused Treatments for Posttraumatic Stress Disorder.

Authors:  Denise M Sloan; Johanna Thompson-Hollands; Adele M Hayes; Daniel J Lee; Elizabeth Alpert; Brian P Marx
Journal:  Behav Ther       Date:  2021-08-30

5.  Sudden Gains During Patient-Directed Expressive Writing Treatment Predicts Depression Reduction in Women with History of Childhood Sexual Abuse: Results from a Randomized Clinical Trial.

Authors:  Tierney A Lorenz; Carey S Pulverman; Cindy M Meston
Journal:  Cognit Ther Res       Date:  2013-08-01

6.  Manualized therapy for PTSD: flexing the structure of cognitive processing therapy.

Authors:  Tara E Galovski; Leah M Blain; Juliette M Mott; Lisa Elwood; Timothy Houle
Journal:  J Consult Clin Psychol       Date:  2012-10-29

7.  Sudden gains in prolonged exposure and sertraline for chronic PTSD.

Authors:  Janie J Jun; Lori A Zoellner; Norah C Feeny
Journal:  Depress Anxiety       Date:  2013-04-30       Impact factor: 6.505

8.  Effect of Patient-Therapist Gender Match on Psychotherapy Retention Among United States Veterans with Posttraumatic Stress Disorder.

Authors:  Brian Shiner; Christine Leonard Westgate; Juliette M Harik; Bradley V Watts; Paula P Schnurr
Journal:  Adm Policy Ment Health       Date:  2017-09

9.  Moderators of sudden gains after sessions addressing emotion regulation among women in treatment for alcohol use.

Authors:  Cathryn Glanton Holzhauer; Elizabeth E Epstein; Jumi Hayaki; James S Marinchak; Barbara S McCrady; Sharon M Cook
Journal:  J Subst Abuse Treat       Date:  2017-09-29

10.  Sudden losses and sudden gains during a DBT-PTSD treatment for posttraumatic stress disorder following childhood sexual abuse.

Authors:  Antje Krüger; Thomas Ehring; Kathlen Priebe; Anne S Dyer; Regina Steil; Martin Bohus
Journal:  Eur J Psychotraumatol       Date:  2014-09-17
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