Does Imaginal Exposure Exacerbate PTSD Symptoms?
Symptom exacerbation (i.e., treatment side effects) has often been neglected in the psychotherapy literature. Although prolonged exposure has gained empirical support for the treatment of chronic posttraumatic stress disorder (PTSD), some have expressed concern that imaginal exposure, a component of...
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| Veröffentlicht in: | Journal of consulting and clinical psychology 2002-08, Vol.70 (4), p.1022-1028 |
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| container_issue | 4 |
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| container_title | Journal of consulting and clinical psychology |
| container_volume | 70 |
| creator | Foa, Edna B Zoellner, Lori A Feeny, Norah C Hembree, Elizabeth A Alvarez-Conrad, Jennifer |
| description | Symptom exacerbation (i.e., treatment side effects) has often been neglected in the psychotherapy literature. Although prolonged exposure has gained empirical support for the treatment of chronic posttraumatic stress disorder (PTSD), some have expressed concern that imaginal exposure, a component of this therapy, may cause symptom exacerbation, leading to inferior outcome or dropout. In the present study, symptom exacerbation was examined in 76 women with chronic PTSD. To define a"reliable" exacerbation, we used a method incorporating the standard deviation and test-retest reliability of each outcome measure. Only a minority of participants exhibited reliable symptom exacerbation. Individuals who reported symptom exacerbation benefited comparably from treatment. Further, symptom exacerbation was unrelated to dropout. Thus, although a minority of individuals experienced a temporary symptom exacerbation, this exacerbation was unrelated to outcome. |
| doi_str_mv | 10.1037/0022-006X.70.4.1022 |
| format | Article |
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Although prolonged exposure has gained empirical support for the treatment of chronic posttraumatic stress disorder (PTSD), some have expressed concern that imaginal exposure, a component of this therapy, may cause symptom exacerbation, leading to inferior outcome or dropout. In the present study, symptom exacerbation was examined in 76 women with chronic PTSD. To define a"reliable" exacerbation, we used a method incorporating the standard deviation and test-retest reliability of each outcome measure. Only a minority of participants exhibited reliable symptom exacerbation. Individuals who reported symptom exacerbation benefited comparably from treatment. Further, symptom exacerbation was unrelated to dropout. 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Psychiatry ; Psychotherapy - methods ; Severity of Illness Index ; Sex Offenses ; Stress Disorders, Post-Traumatic - diagnosis ; Stress Disorders, Post-Traumatic - psychology ; Stress Disorders, Post-Traumatic - therapy ; Symptoms ; Therapy ; Treatment Outcomes ; Treatments ; Violence ; Women</subject><ispartof>Journal of consulting and clinical psychology, 2002-08, Vol.70 (4), p.1022-1028</ispartof><rights>2002 American Psychological Association</rights><rights>2002 INIST-CNRS</rights><rights>Copyright American Psychological Association Aug 2002</rights><rights>2002, American Psychological Association</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-a448t-3f0a2c569eb5b55ebd19497b56a75612f1c94c3b2b47369f02732701044ade613</citedby><cites>FETCH-LOGICAL-a448t-3f0a2c569eb5b55ebd19497b56a75612f1c94c3b2b47369f02732701044ade613</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925,30999,31000</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=13826451$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/12182265$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><contributor>Kendall, Philip C</contributor><creatorcontrib>Foa, Edna B</creatorcontrib><creatorcontrib>Zoellner, Lori A</creatorcontrib><creatorcontrib>Feeny, Norah C</creatorcontrib><creatorcontrib>Hembree, Elizabeth A</creatorcontrib><creatorcontrib>Alvarez-Conrad, Jennifer</creatorcontrib><title>Does Imaginal Exposure Exacerbate PTSD Symptoms?</title><title>Journal of consulting and clinical psychology</title><addtitle>J Consult Clin Psychol</addtitle><description>Symptom exacerbation (i.e., treatment side effects) has often been neglected in the psychotherapy literature. Although prolonged exposure has gained empirical support for the treatment of chronic posttraumatic stress disorder (PTSD), some have expressed concern that imaginal exposure, a component of this therapy, may cause symptom exacerbation, leading to inferior outcome or dropout. In the present study, symptom exacerbation was examined in 76 women with chronic PTSD. To define a"reliable" exacerbation, we used a method incorporating the standard deviation and test-retest reliability of each outcome measure. Only a minority of participants exhibited reliable symptom exacerbation. Individuals who reported symptom exacerbation benefited comparably from treatment. Further, symptom exacerbation was unrelated to dropout. Thus, although a minority of individuals experienced a temporary symptom exacerbation, this exacerbation was unrelated to outcome.</description><subject>Adult</subject><subject>Behavior therapy. Cognitive therapy</subject><subject>Behaviour therapy</subject><subject>Biological and medical sciences</subject><subject>Chronic Disease</subject><subject>Chronicity (Disorders)</subject><subject>Crime Victims</subject><subject>Exposure</subject><subject>Exposure Therapy</subject><subject>Female</subject><subject>Human</subject><subject>Humans</subject><subject>Imagery</subject><subject>Imaginal Exposure</subject><subject>Imagination</subject><subject>Medical sciences</subject><subject>Post traumatic stress disorder</subject><subject>Posttraumatic Stress Disorder</subject><subject>Psychology</subject><subject>Psychology. Psychoanalysis. Psychiatry</subject><subject>Psychopathology. 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Although prolonged exposure has gained empirical support for the treatment of chronic posttraumatic stress disorder (PTSD), some have expressed concern that imaginal exposure, a component of this therapy, may cause symptom exacerbation, leading to inferior outcome or dropout. In the present study, symptom exacerbation was examined in 76 women with chronic PTSD. To define a"reliable" exacerbation, we used a method incorporating the standard deviation and test-retest reliability of each outcome measure. Only a minority of participants exhibited reliable symptom exacerbation. Individuals who reported symptom exacerbation benefited comparably from treatment. Further, symptom exacerbation was unrelated to dropout. 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| subjects | Adult Behavior therapy. Cognitive therapy Behaviour therapy Biological and medical sciences Chronic Disease Chronicity (Disorders) Crime Victims Exposure Exposure Therapy Female Human Humans Imagery Imaginal Exposure Imagination Medical sciences Post traumatic stress disorder Posttraumatic Stress Disorder Psychology Psychology. Psychoanalysis. Psychiatry Psychopathology. Psychiatry Psychotherapy - methods Severity of Illness Index Sex Offenses Stress Disorders, Post-Traumatic - diagnosis Stress Disorders, Post-Traumatic - psychology Stress Disorders, Post-Traumatic - therapy Symptoms Therapy Treatment Outcomes Treatments Violence Women |
| title | Does Imaginal Exposure Exacerbate PTSD Symptoms? |
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