![]() ![]() ![]() Greater decrease in heart rate reactivity for CBT than for WL. These results were consistent in follow-ups.ĬBT treatment proved to be highly effective in terms of PTSD symptom reduction, showed increases in post-traumatic growth subdomains “new possibilities” and “personal strength”.Įffective CBT treatment of PTSD may be accompanied by adaptive changes in asymmetrical brain function. Telephone CBT completers reported fewer illness-related PTSD symptoms, including less avoidance ( P < 0.001) and fewer intrusive thoughts ( P < 0.05) even after controlling for covariates. CBT that includes imaginal exposure is safe. Nonsignificant improvements in the CBT group, with a significant improvement in Clinical Global Scale-Severity and in PTSD symptoms in a subgroup of patients with acute unscheduled cardiovascular events and high baseline PTSD symptoms. Improvement was maintained at 6- and 9-month follow-ups.ĬBT clients improved significantly more than did clients in TAU at blinded posttreatment and 3- and 6-month follow-up assessments in PTSD symptoms, other symptoms, perceived health, negative trauma-related beliefs, knowledge about PTSD, and case manager working alliance. Participants in both CBT conditions had significant reductions in substance use, PTSD, and psychiatric symptoms, but community care participants worsened over time. Manualized CBT addressing only substance abuse, standard community care Manualized CBT addressing both PTSD and substance abuse No differences in efficacy were detected between CBT and structured writing therapy.Ĭomorbid PTSD and substance use disorders in women CBT was better in the dimensional ITT analysis at post test. However, patients with baseline comorbid major depression and who were included within the first month of incident had significantly lower PTSD scores at 4 months.Ī 2-year follow-up study where CBT retained significantly more patients in treatment than ST, but its effects were equivalent to those of ST in the completers. There is extensive literature in this area which needs comprehensive review.īrief early CBT group had significantly fewer symptoms at one week post intervention, but the difference was smaller and not significant at 4 months. While the randomized controlled trials have established the efficacy of CBT in PTSD secondary to various types of trauma in different situations and age groups, various other studies have widened the applicability and usability of CBT in PTSD. 11 – 41 In addition, manual searches were conducted for relevant articles in specific areas for a comprehensive review. This left 31 randomized controlled trials involving CBT in PTSD patients (see Table 1). Studies that did not include patients with PTSD or CBT, or were not relevant to the topic, were excluded. A further manual search found seven further randomized controlled trials in the relevant area. ![]() Search with key terms of (“cognitive behavior therapy” OR CBT) AND (“stress disorders, post-traumatic” OR (“stress” AND “disorders” AND “post-traumatic” ) OR “post-traumatic stress disorders” OR “PTSD” ) resulted in 192 articles representing 58 randomized controlled trials. It is also intended to review the long-term outcome and preventive role of CBT in PTSD and various modes of delivery of CBT in practice, and the current understanding of its mechanism of action is also discussed.Ī literature search was conducted in electronic databases, including PubMed, for articles on CBT and PTSD. 6 – 10 The purpose of this review is to evaluate the studies of CBT for PTSD following various types of trauma, and those related to physical disorders in adults, children, and adolescents. 5 Currently, trauma-focused CBT is recommended for PTSD by various treatment guidelines and expert consensus panels. Since the introduction of PTSD into the diagnostic classificatory systems in 1980, 4 considerable research has been done on the efficacy of cognitive behavioral therapy (CBT) in its treatment. 3 The PTSD syndrome is a conglomeration of various cognitive, behavioral, and physiological disturbances characterized by three symptom clusters, ie, intrusion, avoidance, and arousal. 2 Depending upon the nature and degree of the traumatic event, the prevalence rates of PTSD in victims have been reported to approach 100%. It may affect 10% of women and 5% of men at some stage. 1 Given the ubiquitous nature of threatening or catastrophic trauma, PTSD is becoming more and more common. Post-traumatic stress disorder (PTSD) is a debilitating mental health condition frequently associated with psychiatric comorbidity and diminished quality of life, and typically follows a chronic, often lifelong, course. ![]()
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