Fear activation and habituation patterns as early process predictors of response to prolonged exposure treatment in PTSD

Journal of Traumatic Stress - Tập 15 Số 5 - Trang 359-367 - 2002
Agnes van Minnen1, Muriel A. Hagenaars1
1Department of Clinical Psychology and Personality, University of Nijmegen, The Netherlands

Tóm tắt

AbstractImproved (n = 21) and nonimproved (n = 13) PTSD patients (a mixed trauma population) were compared for fear activation and habituation patterns during and between the 1st and 2nd prolonged exposure sessions. Drop‐outs (n = 11) were also evaluated. Nonimproved patients had significantly higher ratings of anxiety at the start of the first exposure session. Improved patients showed more within‐session habituation during the self‐exposures at home and more between‐session habituation. Even after controlling for initial PTSD and depression symptom severity, habituation between the first and second exposure sessions was significantly related to treatment outcome. Patients who dropped out of the treatment were found not to differ from completers on fear activation and within‐session habituation during the first exposure session.

Từ khóa


Tài liệu tham khảo

American Psychiatric Association, 1987, Diagnostic and statistical manual of mental disorders

American Psychiatric Association, 1994, Diagnostic and statistical manual of mental disorders

Arrindell W. A., 1986, SCL‐90: Handleiding bij een multidimensionele psychopathologie‐indicator [SCL‐90: Manual of a multidimensional psychopathology indicator]

10.1016/S0005-7894(72)80049-2

10.1016/0005-7967(79)90096-2

10.1016/S0005-7894(05)80189-3

10.1016/S0005-7967(99)00092-3

10.1016/S0005-7894(89)80057-7

10.1016/0005-7967(78)90010-4

10.1037/0022-006X.67.2.194

10.1037/0033-2909.99.1.20

Foa E. B., 1996, Current controversies in the anxiety disorders, 329

10.1146/annurev.psych.48.1.449

Foa E. B., 1982, Practical applications of learning theories in psychiatry, 129

10.1002/jts.2490060405

10.1016/S0005-7894(05)80096-6

10.1037/0022-006X.59.5.715

10.1016/0005-7967(82)90091-2

Griffin M. G., 1997, Psychobiology of posttraumatic stress disorder, 388

Hiller W., 1990, Münich Diagnostic Checklists for DSM‐III‐R and ICD‐10

10.1037/0022-006X.66.1.185

Keane T. M., 1989, Implosive (flooding) therapy reduces symptoms of PTSD in Vietnam Veterans, Behavior Therapy, 20, 245, 10.1016/S0005-7894(89)80072-3

10.1016/S0005-7894(88)80039-X

10.1111/j.1469-8986.1979.tb01511.x

10.1037/h0029875

10.1037/0022-006X.67.4.571

10.1001/archpsyc.55.4.317

Nune J. S., 1975, Passive and participant modeling in exposure treatment of obsessive‐compulsive neurotics, Archives of General Psychiatry, 32, 933

10.1016/S0010-440X(96)90024-3

Rachman S., 1980, Emotional processing, Behaviour Research and Therapy, 14, 349

10.1037/013734

10.1001/archpsyc.1973.01750320098015

10.1037/0022-006X.67.1.13

Van der Ploeg H. M., 1980, Handleiding bij de Zelf‐Beoordelings Vragenlijst [Manual of the Dutch Version of the STAI]

10.1016/S0005-7967(01)00024-9

10.1016/0005-7967(72)90043-5

10.1016/S0005-7894(71)80062-X

Thông tin
Thông tin xuất bản

Journal of Traumatic Stress

Tập 15 Số 5

359-367

Thông tin tác giả