“…Finally, the application of hope theory to the treatment of PTSD may be important given that patients suffering from traumatic stress often report a profound sense of hopelessness when they enter treatment (e.g., Glass, Flory, Hankin, Kloos, & Turecki, 2009). Other studies that have examined hope in the context of psychotherapy have found that levels of hope are positively associated with treatment gains (Cheavens, Feldman, Woodward, & Snyder, 2006). Although it is conceivable that hope may be one nontargeted change mechanism in manualized cognitivebehavioral treatments of PTSD symptoms and associated outcomes (such as depression), it remains unclear if this is actually the case and it remains an open empirical question.…”