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A randomized controlled trial of dialogical exposure therapy versus cognitive processing therapy for adult outpatients suffering from PTSD after type I trauma in adulthood

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Butollo, Willi ; Karl, Regina ; König, Julia ; Rosner, Rita:
A randomized controlled trial of dialogical exposure therapy versus cognitive processing therapy for adult outpatients suffering from PTSD after type I trauma in adulthood.
In: Psychotherapy and psychosomatics. Bd. 85 (2016) Heft 1. - S. 16-26.
ISSN 0033-3190

Kurzfassung/Abstract

Background: Although there are effective treatments for posttraumatic stress disorder (PTSD), there is little research on treatments with non-cognitive-behavioural backgrounds, such as gestalt therapy. We tested an integrative gestalt-derived intervention, dialogical exposure therapy (DET), against
an established cognitive-behavioural treatment (cognitive processing therapy, CPT) for possible differential effects in terms of symptomatic outcome and drop-out rates. Methods: We randomized 141 treatment-seeking individuals with
a diagnosis of PTSD to receive either DET or CPT. Therapy length in both treatments was flexible with a maximum duration of 24 sessions. Results: Dropout rates were 12.2% in DET and 14.9% in CPT. Patients in both conditions achieved significant and large reductions in PTSD symptoms (Impact of Event Scale – Revised; Hedges’ g = 1.14 for DET and d = 1.57 for CPT) which were largely stable at the 6-month follow-up. At the posttreatment assessment, CPT performed statistically better than DET on symptom and cognition measures. For several outcome measures, younger patients profited better from CPT than older ones, while there was no age effect for DET. Conclusions: Our results indicate that DET merits further research and may be an alternative to established
treatments for PTSD. It remains to be seen whether DET confers advantages in areas of functioning beyond PTSD symptoms.

Weitere Angaben

Publikationsform:Artikel
Schlagwörter:Posttraumatic stress disorder · Gestalt therapy · Cognitive-behavioural therapy · Treatment outcome · Randomized trial · Dialogical exposure therapy ·
Cognitive processing therapy
Institutionen der Universität:Philosophisch-Pädagogische Fakultät > Psychologie > Psychologie I - Lehrstuhl für Biologische und Klinische Psychologie
Peer-Review-Journal:Ja
Titel an der KU entstanden:Nein
Eingestellt am:11. Mai 2016 07:48
Letzte Änderung:11. Mai 2016 07:48
URL zu dieser Anzeige:http://edoc.ku-eichstaett.de/18108/