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Sian Thrasher - One of the best experts on this subject based on the ideXlab platform.
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Treatment of Posttraumatic Stress Disorder by Exposure and/or Cognitive Restructuring: A Controlled Study
Archives of general psychiatry, 1998Co-Authors: Isaac Marks, Karina Lovell, Homa Noshirvani, Maria Livanou, Sian ThrasherAbstract:Background Unanswered questions from controlled studies of posttraumatic stress disorder concern the value of Cognitive Restructuring alone without prolonged exposure therapy and whether its combination with prolonged exposure is enhancing. Methods In a controlled study, 87 patients with posttraumatic stress disorder of at least 6 months' duration were randomly assigned to have 10 sessions of 1 of 4 treatments: prolonged exposure (imaginal and live) alone; Cognitive Restructuring alone; combined prolonged exposure and Cognitive Restructuring; or relaxation without prolonged exposure or Cognitive Restructuring. Results Integrity of audiotaped treatment sessions was satisfactory when rated by an assessor unaware of the treatment assignment. Seventy-seven patients completed treatment. The pattern of results was similar regardless of rater, statistical method, measure, occasion, and therapist. Exposure and Cognitive Restructuring, singly or combined, improved posttraumatic stress disorder markedly on a broad front. Gains continued to 6-month follow-up and were significantly greater than the moderate improvement from relaxation. Conclusion Both prolonged exposure and Cognitive Restructuring were each therapeutic on their own, were not mutually enhancing when combined, and were each superior to relaxation.
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treatment of posttraumatic stress disorder by exposure and or Cognitive Restructuring a controlled study
Archives of General Psychiatry, 1998Co-Authors: Isaac Marks, Karina Lovell, Homa Noshirvani, Maria Livanou, Sian ThrasherAbstract:Background Unanswered questions from controlled studies of posttraumatic stress disorder concern the value of Cognitive Restructuring alone without prolonged exposure therapy and whether its combination with prolonged exposure is enhancing. Methods In a controlled study, 87 patients with posttraumatic stress disorder of at least 6 months' duration were randomly assigned to have 10 sessions of 1 of 4 treatments: prolonged exposure (imaginal and live) alone; Cognitive Restructuring alone; combined prolonged exposure and Cognitive Restructuring; or relaxation without prolonged exposure or Cognitive Restructuring. Results Integrity of audiotaped treatment sessions was satisfactory when rated by an assessor unaware of the treatment assignment. Seventy-seven patients completed treatment. The pattern of results was similar regardless of rater, statistical method, measure, occasion, and therapist. Exposure and Cognitive Restructuring, singly or combined, improved posttraumatic stress disorder markedly on a broad front. Gains continued to 6-month follow-up and were significantly greater than the moderate improvement from relaxation. Conclusion Both prolonged exposure and Cognitive Restructuring were each therapeutic on their own, were not mutually enhancing when combined, and were each superior to relaxation.
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Cognitive Restructuring in the treatment of post traumatic stress disorder two single cases
Clinical Psychology & Psychotherapy, 1996Co-Authors: Sian Thrasher, Karina Lovell, M. Noshirvani, Maria LivanouAbstract:Two single cases of chronic Post-Traumatic Stress Disorder following violent assault were successfully treated using Cognitive Restructuring. The techniques used are outlined, outcome measures reported, and the possible mechanisms of therapeutic change discussed.
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Cognitive Restructuring in the Treatment of Post‐Traumatic Stress Disorder—Two Single Cases
Clinical Psychology & Psychotherapy, 1996Co-Authors: Sian Thrasher, Karina Lovell, M. Noshirvani, Maria LivanouAbstract:Two single cases of chronic Post-Traumatic Stress Disorder following violent assault were successfully treated using Cognitive Restructuring. The techniques used are outlined, outcome measures reported, and the possible mechanisms of therapeutic change discussed.
Maria Livanou - One of the best experts on this subject based on the ideXlab platform.
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Treatment of Posttraumatic Stress Disorder by Exposure and/or Cognitive Restructuring: A Controlled Study
Archives of general psychiatry, 1998Co-Authors: Isaac Marks, Karina Lovell, Homa Noshirvani, Maria Livanou, Sian ThrasherAbstract:Background Unanswered questions from controlled studies of posttraumatic stress disorder concern the value of Cognitive Restructuring alone without prolonged exposure therapy and whether its combination with prolonged exposure is enhancing. Methods In a controlled study, 87 patients with posttraumatic stress disorder of at least 6 months' duration were randomly assigned to have 10 sessions of 1 of 4 treatments: prolonged exposure (imaginal and live) alone; Cognitive Restructuring alone; combined prolonged exposure and Cognitive Restructuring; or relaxation without prolonged exposure or Cognitive Restructuring. Results Integrity of audiotaped treatment sessions was satisfactory when rated by an assessor unaware of the treatment assignment. Seventy-seven patients completed treatment. The pattern of results was similar regardless of rater, statistical method, measure, occasion, and therapist. Exposure and Cognitive Restructuring, singly or combined, improved posttraumatic stress disorder markedly on a broad front. Gains continued to 6-month follow-up and were significantly greater than the moderate improvement from relaxation. Conclusion Both prolonged exposure and Cognitive Restructuring were each therapeutic on their own, were not mutually enhancing when combined, and were each superior to relaxation.
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treatment of posttraumatic stress disorder by exposure and or Cognitive Restructuring a controlled study
Archives of General Psychiatry, 1998Co-Authors: Isaac Marks, Karina Lovell, Homa Noshirvani, Maria Livanou, Sian ThrasherAbstract:Background Unanswered questions from controlled studies of posttraumatic stress disorder concern the value of Cognitive Restructuring alone without prolonged exposure therapy and whether its combination with prolonged exposure is enhancing. Methods In a controlled study, 87 patients with posttraumatic stress disorder of at least 6 months' duration were randomly assigned to have 10 sessions of 1 of 4 treatments: prolonged exposure (imaginal and live) alone; Cognitive Restructuring alone; combined prolonged exposure and Cognitive Restructuring; or relaxation without prolonged exposure or Cognitive Restructuring. Results Integrity of audiotaped treatment sessions was satisfactory when rated by an assessor unaware of the treatment assignment. Seventy-seven patients completed treatment. The pattern of results was similar regardless of rater, statistical method, measure, occasion, and therapist. Exposure and Cognitive Restructuring, singly or combined, improved posttraumatic stress disorder markedly on a broad front. Gains continued to 6-month follow-up and were significantly greater than the moderate improvement from relaxation. Conclusion Both prolonged exposure and Cognitive Restructuring were each therapeutic on their own, were not mutually enhancing when combined, and were each superior to relaxation.
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Cognitive Restructuring in the treatment of post traumatic stress disorder two single cases
Clinical Psychology & Psychotherapy, 1996Co-Authors: Sian Thrasher, Karina Lovell, M. Noshirvani, Maria LivanouAbstract:Two single cases of chronic Post-Traumatic Stress Disorder following violent assault were successfully treated using Cognitive Restructuring. The techniques used are outlined, outcome measures reported, and the possible mechanisms of therapeutic change discussed.
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Cognitive Restructuring in the Treatment of Post‐Traumatic Stress Disorder—Two Single Cases
Clinical Psychology & Psychotherapy, 1996Co-Authors: Sian Thrasher, Karina Lovell, M. Noshirvani, Maria LivanouAbstract:Two single cases of chronic Post-Traumatic Stress Disorder following violent assault were successfully treated using Cognitive Restructuring. The techniques used are outlined, outcome measures reported, and the possible mechanisms of therapeutic change discussed.
Sheila A. M. Rauch - One of the best experts on this subject based on the ideXlab platform.
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Cognitive changes during prolonged exposure versus prolonged exposure plus Cognitive Restructuring in female assault survivors with posttraumatic stress disorder
Journal of Consulting and Clinical Psychology, 2004Co-Authors: Sheila A. M. RauchAbstract:The authors report on changes in cognitions related to posttraumatic stress disorder (PTSD) among 54 female survivors of sexual and nonsexual assault with chronic PTSD who completed either prolonged exposure alone or in combination with Cognitive Restructuring. Treatment included 9-12 weekly sessions, and assessment was conducted at pretreatment, posttreatment, and a modal 12-month follow-up. As hypothesized, treatment that included prolonged exposure resulted in clinically significant, reliable, and lasting reductions in negative cognitions about self, world, and self-blame as measured by the Posttraumatic Cognitions Inventory. The hypothesis that the addition of Cognitive Restructuring would augment Cognitive changes was not supported. Reductions in these negative cognitions were significantly related to reductions in PTSD symptoms. The addition of Cognitive Restructuring did not significantly augment the Cognitive changes. Theoretical implications of the results are discussed. Language: en
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Cognitive changes during prolonged exposure versus prolonged exposure plus Cognitive Restructuring in female assault survivors with posttraumatic stress disorder.
Journal of consulting and clinical psychology, 2004Co-Authors: Edna B. Foa, Sheila A. M. RauchAbstract:The authors report on changes in cognitions related to posttraumatic stress disorder (PTSD) among 54 female survivors of sexual and nonsexual assault with chronic PTSD who completed either prolonged exposure alone or in combination with Cognitive Restructuring. Treatment included 9-12 weekly sessions, and assessment was conducted at pretreatment, posttreatment, and a modal 12-month follow-up. As hypothesized, treatment that included prolonged exposure resulted in clinically significant, reliable, and lasting reductions in negative cognitions about self, world, and self-blame as measured by the Posttraumatic Cognitions Inventory. The hypothesis that the addition of Cognitive Restructuring would augment Cognitive changes was not supported. Reductions in these negative cognitions were significantly related to reductions in PTSD symptoms. The addition of Cognitive Restructuring did not significantly augment the Cognitive changes. Theoretical implications of the results are discussed.
Karina Lovell - One of the best experts on this subject based on the ideXlab platform.
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Treatment of Posttraumatic Stress Disorder by Exposure and/or Cognitive Restructuring: A Controlled Study
Archives of general psychiatry, 1998Co-Authors: Isaac Marks, Karina Lovell, Homa Noshirvani, Maria Livanou, Sian ThrasherAbstract:Background Unanswered questions from controlled studies of posttraumatic stress disorder concern the value of Cognitive Restructuring alone without prolonged exposure therapy and whether its combination with prolonged exposure is enhancing. Methods In a controlled study, 87 patients with posttraumatic stress disorder of at least 6 months' duration were randomly assigned to have 10 sessions of 1 of 4 treatments: prolonged exposure (imaginal and live) alone; Cognitive Restructuring alone; combined prolonged exposure and Cognitive Restructuring; or relaxation without prolonged exposure or Cognitive Restructuring. Results Integrity of audiotaped treatment sessions was satisfactory when rated by an assessor unaware of the treatment assignment. Seventy-seven patients completed treatment. The pattern of results was similar regardless of rater, statistical method, measure, occasion, and therapist. Exposure and Cognitive Restructuring, singly or combined, improved posttraumatic stress disorder markedly on a broad front. Gains continued to 6-month follow-up and were significantly greater than the moderate improvement from relaxation. Conclusion Both prolonged exposure and Cognitive Restructuring were each therapeutic on their own, were not mutually enhancing when combined, and were each superior to relaxation.
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treatment of posttraumatic stress disorder by exposure and or Cognitive Restructuring a controlled study
Archives of General Psychiatry, 1998Co-Authors: Isaac Marks, Karina Lovell, Homa Noshirvani, Maria Livanou, Sian ThrasherAbstract:Background Unanswered questions from controlled studies of posttraumatic stress disorder concern the value of Cognitive Restructuring alone without prolonged exposure therapy and whether its combination with prolonged exposure is enhancing. Methods In a controlled study, 87 patients with posttraumatic stress disorder of at least 6 months' duration were randomly assigned to have 10 sessions of 1 of 4 treatments: prolonged exposure (imaginal and live) alone; Cognitive Restructuring alone; combined prolonged exposure and Cognitive Restructuring; or relaxation without prolonged exposure or Cognitive Restructuring. Results Integrity of audiotaped treatment sessions was satisfactory when rated by an assessor unaware of the treatment assignment. Seventy-seven patients completed treatment. The pattern of results was similar regardless of rater, statistical method, measure, occasion, and therapist. Exposure and Cognitive Restructuring, singly or combined, improved posttraumatic stress disorder markedly on a broad front. Gains continued to 6-month follow-up and were significantly greater than the moderate improvement from relaxation. Conclusion Both prolonged exposure and Cognitive Restructuring were each therapeutic on their own, were not mutually enhancing when combined, and were each superior to relaxation.
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Cognitive Restructuring in the treatment of post traumatic stress disorder two single cases
Clinical Psychology & Psychotherapy, 1996Co-Authors: Sian Thrasher, Karina Lovell, M. Noshirvani, Maria LivanouAbstract:Two single cases of chronic Post-Traumatic Stress Disorder following violent assault were successfully treated using Cognitive Restructuring. The techniques used are outlined, outcome measures reported, and the possible mechanisms of therapeutic change discussed.
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Cognitive Restructuring in the Treatment of Post‐Traumatic Stress Disorder—Two Single Cases
Clinical Psychology & Psychotherapy, 1996Co-Authors: Sian Thrasher, Karina Lovell, M. Noshirvani, Maria LivanouAbstract:Two single cases of chronic Post-Traumatic Stress Disorder following violent assault were successfully treated using Cognitive Restructuring. The techniques used are outlined, outcome measures reported, and the possible mechanisms of therapeutic change discussed.
Peter J. Norton - One of the best experts on this subject based on the ideXlab platform.
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An Experimental Comparison of Techniques: Cognitive Defusion, Cognitive Restructuring, and in-vivo Exposure for Social Anxiety.
Behavioural and cognitive psychotherapy, 2015Co-Authors: Terri L. Barrera, Derek D. Szafranski, Chelsea G. Ratcliff, Sarah L. Garnaat, Peter J. NortonAbstract:Background: One of the primary differences between Cognitive Behavioral Therapy (CBT) and Acceptance and Commitment Therapy (ACT) for anxiety is the approach to managing negative thoughts. CBT focuses on challenging the accuracy of dysfunctional thoughts through Cognitive Restructuring exercises, whereas ACT attempts to foster acceptance of such thoughts through Cognitive defusion exercises. Previous research suggests that both techniques reduce the distress associated with negative thoughts, though questions remain regarding the benefit of these techniques above and beyond exposure to feared stimuli. Aims: In the present study, we conducted a brief experimental intervention to examine the utility of Cognitive defusion + in-vivo exposure, Cognitive Restructuring + in-vivo exposure, and in-vivo exposure alone in reducing the impact of negative thoughts in patients with social anxiety disorder. Method: All participants completed a brief public speaking exposure and those in the Cognitive conditions received training in the assigned Cognitive technique. Participants returned a week later to complete a second exposure task and self-report measures. Results: All three conditions resulted in similar decreases in discomfort related to negative thoughts. ANOVA models failed to find an interaction between change in accuracy or importance and assignment to condition in predicting decreased distress of negative thoughts. Conclusions: These preliminary results suggest that changes in perceived importance and accuracy of negative thoughts may not be the mechanisms by which Cognitive defusion and Cognitive Restructuring affect distress in the short-term.