Innovations in exposure therapy for PTSD treatment.

Rauch, Sheila A.M.; Rothbaum, Barbara O.

doi:10.1037/pri0000027

Cited by 11 publications

(5 citation statements)

References 23 publications

(27 reference statements)

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“…However, these modifications have not resulted in clinically significant improvement of either outcome or dropout rates. A relatively new strategy is to deliver the treatment sessions in a highly intensive format (Hendriks, de Kleine, Hendriks, & van Minnen, 2016; Rauch & Rothbaum, 2016), with patients attending multiple sessions within a compact period of time (e.g. within one week) instead of weekly sessions over the course of several months.…”

Section: Introductionmentioning

confidence: 99%

Intensive prolonged exposure therapy for chronic PTSD patients following multiple trauma and multiple treatment attempts

Hendriks

Kleine

Broekman³

et al. 2018

European Journal of Psychotraumatology

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Background: Suboptimal response and high dropout rates leave room for improvement of trauma-focused treatment (TFT) effectiveness in ameliorating posttraumatic stress disorder (PTSD) symptoms. Objective: To explore the effectiveness and safety of intensive prolonged exposure (iPE) targeting chronic PTSD patients with a likely diagnosis of ICD-11 Complex PTSD following multiple interpersonal trauma and a history of multiple treatment attempts. Method: Participants (N = 73) received iPE in 12 × 90-minute sessions over four days (intensive phase) followed by four weekly 90-minute booster prolonged exposure (PE) sessions (booster phase). The primary outcomes, clinician-rated severity of PTSD symptoms, and diagnostic status (Clinician-Administered PTSD Scale; CAPS-IV) were assessed at baseline, post-treatment, and at three and six months. Treatment response trajectories were identified and predictors of these trajectories explored. Results: Mixed model repeated measures analysis of CAPS-IV scores showed a baseline-to-posttreatment decrease in PTSD symptom severity (p < .001) that persisted during the three- and six-month follow-ups with large effect sizes (Cohen’s d > 1.2); 71% of the participants responded. None of the participants dropped out during the intensive phase and only 5% during the booster phase. Adverse events were extremely low and only a minority showed symptom exacerbation. Cluster analysis demonstrated four treatment response trajectories: Fast responders (13%), Slow responders (26%), Partial responders (32%), and Non-responders (29%). Living condition and between-session fear habituation were found to predict outcome. Participants living alone were more likely to belong to the Partial responders than to the Non-responders cluster, and participants showing more between-session fear habituation were more likely to belong to the Fast responders than to the Non-responders cluster. Conclusions: The results of this open study suggest that iPE can be effective in PTSD patients with multiple interpersonal trauma and after multiple previous treatment attempts. In addition, in this chronic PTSD population iPE was safe.

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Section: Introductionmentioning

confidence: 99%

Intensive prolonged exposure therapy for chronic PTSD patients following multiple trauma and multiple treatment attempts

Hendriks

Kleine

Broekman³

et al. 2018

European Journal of Psychotraumatology

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“…A single case study combining EMDR and ERP with antidepressant treatment had low results on several measures ( Nijdam et al, 2013 ). Rauch and Rothbaum (2016) suggested that ERP and exposure-based therapies could be considered for PTSD for individuals who do not wish to participate in evidence-based treatments. ERP was not endorsed by the APA ( Bufka et al, 2020 ) and VA/ DoD (2017) guidelines ( not recommended at this time ).…”

Section: Discussionmentioning

confidence: 99%

A Systematic Review of Evidence-Based Treatments for Adolescent and Adult Sexual Assault Victims

Miles,

Valentine,

Mabey

et al. 2023

J Am Psychiatr Nurses Assoc

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BACKGROUND: Sexual assault (SA) is a serious crime that is a prevalent mental and public health problem. AIMS: Addressing the needs of SA victims and providing appropriate treatment are essential to reduce potential adverse short- and long-term outcomes. METHODS: Our team undertook an extensive systematic literature review (published between January 2006 and July 2021) to provide evidence-based mental health intervention recommendations for adolescent and adult victims of SA. Where SA-specific research was limited, the literature and clinical practice guidelines on treatments for trauma-induced post-traumatic stress disorder (PTSD) were reviewed to provide additional information to formulate recommendations. RESULTS: Findings strongly support several primary psychotherapy treatments: cognitive behavioral therapy, cognitive processing therapy, eye movement desensitization and reprocessing, narrative exposure therapy, and prolonged exposure therapy. Complementary (aerobic exercise, art, drama, and music therapy) and pharmacological treatments were explored. CONCLUSIONS: Mental health nurses who provide services for victims of SA can utilize this overview to guide recommendations for treatment of SA trauma and related PTSD symptoms to mitigate the short- and long-term negative impacts after a traumatic event. When victims of SA receive optimal mental health treatments, our communities benefit as victims heal and recover.

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“…Most clinical applications of VR in the field of counseling occur in the context of treatment with disabilities and self‐esteem (Nosek et al., 2016), childhood and adolescent social anxiety (Sarver et al., 2014), nightmares (McNamara et al., 2018), posttraumatic stress disorder (Rauch & Rothbaum, 2016), and so forth. This technology has yet to be used as a frontline training tool in counselor education.…”

Section: Experiential Learning and Counselor Educationmentioning

confidence: 99%