Posttraumatic Stress Disorder and Cognitive Behavioral Therapy

Spielmans, Glen I.; Gatlin, Eowyn T.

doi:10.1001/jama.297.24.2694

Cited by 7 publications

(2 citation statements)

References 9 publications

(6 reference statements)

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“…Schnurr et al () noted that the PCT used in their trials was designed to “provide a credible therapeutic alternative to control for nonspecific therapeutic factors so that observed effects of prolonged exposure could be attributed to its specific effects beyond the benefits of good therapy” (p. 823). Spielmans and Gatlin () argued that PCT in this study seemed more to “resemble a weak placebo intervention than a bona fide psychotherapy,…. [PCT] does not reference any established approach to psychotherapy, [and] appears not to be based on any psychological processes” (p. 2694).…”

Section: Discussionmentioning

confidence: 96%

The Evidence for Present‐Centered Therapy as a Treatment for Posttraumatic Stress Disorder

Frost

Laska

Wampold

2014

Journal of Traumatic Stress

119

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To examine the evidence for present-centered therapy (PCT) as a treatment for posttraumatic stress disorder (PTSD), 5 randomized clinical trials that compared PCT to an existing evidence-based treatment for PTSD were reviewed. A meta-analysis was used to estimate between-treatment differences on targeted measures, secondary measures, and dropout. PCT was found to be as efficacious as the comparison evidence-based treatment in 3 of the 5 trials, and in the 2 cases where a no-treatment condition was included, PCT was superior, with large effect sizes for targeted variables (d = 0.88, 0.74, and 1.27). When results were aggregated using meta-analysis, effects for PCT versus an evidence-based treatment for both targeted and secondary measures were small and nonsignificant (d = 0.13 and d = 0.09, respectively). As well, the dropout rate for PCT was significantly less than for the comparison evidence-based treatments (14.3% and 31.3%, respectively). It appears that PCT is an efficacious and acceptable treatment for PTSD.

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Section: Discussionmentioning

confidence: 96%

The Evidence for Present‐Centered Therapy as a Treatment for Posttraumatic Stress Disorder

Frost

Laska

Wampold

2014

Journal of Traumatic Stress

119

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“…This might be also the case in patients suffering from PTSD, for whom PCT achieved lower dropout rates than trauma-focused CBT (26,27). Additional mechanisms underlying PCT may rely on the therapeutic benefits that emerge from a caring relationship, including mobilization of hope and optimism, and increased positive self-regard (67). These are non-specific elements every psychotherapy contains, but they might be activated to a special degree in PCT.…”

Section: Acceptability In Patients and Therapistsmentioning

confidence: 99%

Feasibility of Present-Centered Therapy for Prolonged Grief Disorder: Results of a Pilot Study

et al. 2021

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Present-centered therapy (PCT) was originally developed as a strong comparator for the non-specific effects of psychotherapy in the treatment of posttraumatic stress disorder. PCT qualifies as a not strictly supportive treatment as it is structured and homework is assigned between sessions. It does not focus on cognitive restructuring or exposure. A growing body of literature supports its beneficial effects. For example, it demonstrated only slightly inferior effect sizes and lower dropout rates compared to that of trauma-focused cognitive behavioral therapy in several trials with patients suffering from posttraumatic stress disorder. The current study is the first to evaluate the feasibility and the treatment effects of PCT in adults with prolonged grief disorder (PGD). Meta-analyses on psychotherapy for PGD have yielded moderate effect sizes. N = 20 individuals suffering from PGD were treated with PCT by novice therapists as part of a preparation phase for an upcoming RCT in an outpatient setting. Treatment consisted of 20–24 sessions á 50 min. All outcomes were assessed before treatment, at post-treatment, and at the 3-month follow-up. The primary outcome, PGD symptom severity, was assessed using the Interview for Prolonged Grief-13. Secondary outcomes were self-reported PGD severity, depression, general psychological distress, and somatic symptom severity. Furthermore, therapists evaluated their experiences with their first PCT patient and the treatment manual. In intent-to-treat analyses of all patients we found a significant decrease in interview-based PGD symptom severity at post-treatment (d = 1.26). Decreases were maintained up to the 3-month follow-up assessment (d = 1.25). There were also significant decreases in self-reported PGD symptoms, depression, and general psychological distress. No changes were observed for somatic symptoms. The completion rate was 85%. Therapists deemed PCT to be a learnable treatment program that can be adapted to the patient's individual needs. The preliminary results of PCT as a treatment for PGD demonstrate large effects and indicate good feasibility in outpatient settings. The treatment effects were larger than those reported in meta-analyses. Thus, PCT is a promising treatment for PGD. Possible future research directions are discussed.

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Preoperative Stress Syndromes and Their Evaluation, Consultation, and Management

Fapm

Rifai

Kaufmann

2009

Advances in Anesthesia

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Posttraumatic Stress Disorder and Cognitive Behavioral Therapy

Cited by 7 publications

References 9 publications

The Evidence for Present‐Centered Therapy as a Treatment for Posttraumatic Stress Disorder

The Evidence for Present‐Centered Therapy as a Treatment for Posttraumatic Stress Disorder

Feasibility of Present-Centered Therapy for Prolonged Grief Disorder: Results of a Pilot Study

Preoperative Stress Syndromes and Their Evaluation, Consultation, and Management

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