Temporal Relationship Between Change in Subjective Distress and PTSD Symptom Decrease During Prolonged Exposure Therapy for Posttraumatic Stress Disorder
Autor: | Rianne A. de Kleine, Willem van der Does, Chris M. Hoeboer, Danielle A.C. Oprel, Agnes van Minnen, Maartje Schoorl, Marike J. Kooistra |
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Rok vydání: | 2021 |
Předmět: |
Problem Behavior
Mediation (statistics) Future studies Prolonged exposure therapy Treatment outcome Implosive Therapy PTSD Prolonged exposure Experimental Psychopathology and Treatment Stress Disorders Post-Traumatic Clinical Psychology Distress Posttraumatic stress Treatment Outcome Symptom improvement change in distress working mechanism prolonged exposure Humans dynamic panel model sense organs Psychology skin and connective tissue diseases temporal sequencing Clinical psychology |
Zdroj: | Behavior Therapy, 1-12 STARTPAGE=1;ENDPAGE=12;TITLE=Behavior Therapy Behavior Therapy, 53, 2, pp. 170-181 Behavior Therapy, 53, 170-181 Behavior Therapy, 53(2), 170-181. ELSEVIER INC |
ISSN: | 1878-1888 0005-7894 |
Popis: | Contains fulltext : 236628.pdf (Publisher’s version ) (Closed access) There is growing evidence that change in distress is an indicator of change during Prolonged Exposure (PE) for posttraumatic stress disorder (PTSD). However, temporal sequencing studies investigating whether change in distress precedes PTSD symptom decline are lacking. These studies are essential since the timeline between indicators of change and treatment outcome is a key assumption for mediation. The aim of the present study was to assess the temporal relationship between within- and between-session change in subjective distress and PTSD symptom decrease. We analyzed session data from 86 patients with PTSD. Data were analyzed using dynamic panel models. We distinguished temporal effects (within-persons) from averaged effects (between-persons). Results regarding the temporal effect showed that within-session change in subjective distress preceded PTSD symptom improvement while the reversed effect was absent. Averaged within-session change in subjective distress was also related to PTSD symptom improvement. Results regarding the temporal effect of between-session change in subjective distress showed that it did not precede PTSD symptom improvement. Averaged between-session change in subjective distress was related to PTSD symptom improvement. This study provides evidence for within- but not between-session change in subjective distress as indicator of change during PE. We also found that the way of modeling potential indicators of change affects results and implications. We recommend future studies to analyze mediators during treatment using temporal rather than averaged effects. 12 p. |
Databáze: | OpenAIRE |
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