Social Support Moderates Outcome in a Randomized Controlled Trial of Exposure Therapy and (or) Cognitive Restructuring for Chronic Posttraumatic Stress Disorder
Objective: To understand what predicts good outcome in psychiatric treatments, thus creating a pathway to improving efficacy. Method: Our study investigated relations between predictor variables and outcome (on the Clinician Administered Posttraumatic Stress Disorder [PTSD] Scale [CAPS]) at posttrea...
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| Veröffentlicht in: | Canadian journal of psychiatry 2010-03, Vol.55 (3), p.187-190 |
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| container_title | Canadian journal of psychiatry |
| container_volume | 55 |
| creator | Thrasher, Sian Power, Michael Morant, Nicola Marks, Isaac Dalgleish, Tim |
| description | Objective:
To understand what predicts good outcome in psychiatric treatments, thus creating a pathway to improving efficacy.
Method:
Our study investigated relations between predictor variables and outcome (on the Clinician Administered Posttraumatic Stress Disorder [PTSD] Scale [CAPS]) at posttreatment for 77 treatment completers in a randomized controlled trial of exposure therapy and (or) cognitive restructuring, compared with relaxation, for chronic PTSD in adults.
Results:
More social support on the Significant Others Scale significantly predicted better outcome on the CAPS, even after controlling for the effects of treatment group and of pretreatment severity. Importantly, social support was only a significant predictor of outcome for participants receiving cognitive restructuring and (or) exposure therapy and not for participants in the relaxation condition.
Conclusions:
Better social support is associated with significantly greater gain following cognitive restructuring and (or) exposure therapy for PTSD. Future interventions should consider augmenting social support as an adjunct to treatment. |
| doi_str_mv | 10.1177/070674371005500311 |
| format | Article |
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To understand what predicts good outcome in psychiatric treatments, thus creating a pathway to improving efficacy.
Method:
Our study investigated relations between predictor variables and outcome (on the Clinician Administered Posttraumatic Stress Disorder [PTSD] Scale [CAPS]) at posttreatment for 77 treatment completers in a randomized controlled trial of exposure therapy and (or) cognitive restructuring, compared with relaxation, for chronic PTSD in adults.
Results:
More social support on the Significant Others Scale significantly predicted better outcome on the CAPS, even after controlling for the effects of treatment group and of pretreatment severity. Importantly, social support was only a significant predictor of outcome for participants receiving cognitive restructuring and (or) exposure therapy and not for participants in the relaxation condition.
Conclusions:
Better social support is associated with significantly greater gain following cognitive restructuring and (or) exposure therapy for PTSD. Future interventions should consider augmenting social support as an adjunct to treatment.</description><identifier>ISSN: 0706-7437</identifier><identifier>EISSN: 1497-0015</identifier><identifier>DOI: 10.1177/070674371005500311</identifier><identifier>PMID: 20370970</identifier><language>eng</language><publisher>Los Angeles, CA: SAGE Publications</publisher><subject>Adolescent ; Adult ; Aged ; Clinical trials ; Cognitive Therapy ; Female ; Humans ; Implosive Therapy ; Male ; Middle Aged ; Nominations ; Post traumatic stress disorder ; Psychiatry ; Regression analysis ; Relaxation Therapy ; Social Support ; Stress Disorders, Post-Traumatic - epidemiology ; Stress Disorders, Post-Traumatic - psychology ; Stress Disorders, Post-Traumatic - therapy ; Treatment Outcome ; Variables ; Young Adult</subject><ispartof>Canadian journal of psychiatry, 2010-03, Vol.55 (3), p.187-190</ispartof><rights>2010 Canadian Psychiatric Association</rights><rights>Copyright Canadian Psychiatric Association Mar 2010</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c444t-8e6ec353768fae69e19f7d8f6f0a2a6cf2601123e1ad05fa8e58869f984185a3</citedby><cites>FETCH-LOGICAL-c444t-8e6ec353768fae69e19f7d8f6f0a2a6cf2601123e1ad05fa8e58869f984185a3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://journals.sagepub.com/doi/pdf/10.1177/070674371005500311$$EPDF$$P50$$Gsage$$H</linktopdf><linktohtml>$$Uhttps://journals.sagepub.com/doi/10.1177/070674371005500311$$EHTML$$P50$$Gsage$$H</linktohtml><link.rule.ids>314,780,784,21819,27924,27925,43621,43622</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/20370970$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Thrasher, Sian</creatorcontrib><creatorcontrib>Power, Michael</creatorcontrib><creatorcontrib>Morant, Nicola</creatorcontrib><creatorcontrib>Marks, Isaac</creatorcontrib><creatorcontrib>Dalgleish, Tim</creatorcontrib><title>Social Support Moderates Outcome in a Randomized Controlled Trial of Exposure Therapy and (or) Cognitive Restructuring for Chronic Posttraumatic Stress Disorder</title><title>Canadian journal of psychiatry</title><addtitle>Can J Psychiatry</addtitle><description>Objective:
To understand what predicts good outcome in psychiatric treatments, thus creating a pathway to improving efficacy.
Method:
Our study investigated relations between predictor variables and outcome (on the Clinician Administered Posttraumatic Stress Disorder [PTSD] Scale [CAPS]) at posttreatment for 77 treatment completers in a randomized controlled trial of exposure therapy and (or) cognitive restructuring, compared with relaxation, for chronic PTSD in adults.
Results:
More social support on the Significant Others Scale significantly predicted better outcome on the CAPS, even after controlling for the effects of treatment group and of pretreatment severity. Importantly, social support was only a significant predictor of outcome for participants receiving cognitive restructuring and (or) exposure therapy and not for participants in the relaxation condition.
Conclusions:
Better social support is associated with significantly greater gain following cognitive restructuring and (or) exposure therapy for PTSD. Future interventions should consider augmenting social support as an adjunct to treatment.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Clinical trials</subject><subject>Cognitive Therapy</subject><subject>Female</subject><subject>Humans</subject><subject>Implosive Therapy</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Nominations</subject><subject>Post traumatic stress disorder</subject><subject>Psychiatry</subject><subject>Regression analysis</subject><subject>Relaxation Therapy</subject><subject>Social Support</subject><subject>Stress Disorders, Post-Traumatic - epidemiology</subject><subject>Stress Disorders, Post-Traumatic - psychology</subject><subject>Stress Disorders, Post-Traumatic - therapy</subject><subject>Treatment Outcome</subject><subject>Variables</subject><subject>Young Adult</subject><issn>0706-7437</issn><issn>1497-0015</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2010</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>8G5</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNp9kc1u1DAUhS0EokPhBVggiw1lMdQ_cewsq6H8SEVFndlHJrmeukricG0j2qfhUXE0BSSQuBtfS98590iHkOecveFc61OmWa0rqTljSjEmOX9AVrxq9Joxrh6S1QKsF-KIPInxhpURwjwmR4JJzRrNVuTHNnTeDnSb5zlgop9CD2gTRHqZUxdGoH6ill7ZqQ-jv4OebsKUMAxDWXe4SIOj59_nEDMC3V0X9XxLC05PAr4u9H7yyX8DegUxYe5SRj_tqQtIN9cYJt_RzyGmhDaPNpXfNiHESN_6GLBkeUoeOTtEeHb_HpPdu_Pd5sP64vL9x83ZxbqrqiqtDdTQSSV1bZyFugHeON0bVztmha07J2rGuZDAbc-UswaUMXXjGlNxo6w8Jq8OtjOGr7lEbUcfOxgGO0HIsdVSGtVoIwv58i_yJmScSrZWCKEbqdQCiQPUYYgRwbUz-tHibctZu5TX_lteEb24d85fRuh_S361VYDTAxDtHv6c_Y_lTw1Qo9M</recordid><startdate>20100301</startdate><enddate>20100301</enddate><creator>Thrasher, Sian</creator><creator>Power, Michael</creator><creator>Morant, Nicola</creator><creator>Marks, Isaac</creator><creator>Dalgleish, Tim</creator><general>SAGE Publications</general><general>SAGE PUBLICATIONS, INC</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>4T-</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>88G</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8FQ</scope><scope>8FV</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>M2M</scope><scope>M2O</scope><scope>M3G</scope><scope>MBDVC</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>PSYQQ</scope><scope>Q9U</scope><scope>7X8</scope></search><sort><creationdate>20100301</creationdate><title>Social Support Moderates Outcome in a Randomized Controlled Trial of Exposure Therapy and (or) Cognitive Restructuring for Chronic Posttraumatic Stress Disorder</title><author>Thrasher, Sian ; Power, Michael ; Morant, Nicola ; Marks, Isaac ; Dalgleish, Tim</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c444t-8e6ec353768fae69e19f7d8f6f0a2a6cf2601123e1ad05fa8e58869f984185a3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2010</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Aged</topic><topic>Clinical trials</topic><topic>Cognitive Therapy</topic><topic>Female</topic><topic>Humans</topic><topic>Implosive Therapy</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Nominations</topic><topic>Post traumatic stress disorder</topic><topic>Psychiatry</topic><topic>Regression analysis</topic><topic>Relaxation Therapy</topic><topic>Social Support</topic><topic>Stress Disorders, Post-Traumatic - epidemiology</topic><topic>Stress Disorders, Post-Traumatic - psychology</topic><topic>Stress Disorders, Post-Traumatic - therapy</topic><topic>Treatment Outcome</topic><topic>Variables</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Thrasher, Sian</creatorcontrib><creatorcontrib>Power, Michael</creatorcontrib><creatorcontrib>Morant, Nicola</creatorcontrib><creatorcontrib>Marks, Isaac</creatorcontrib><creatorcontrib>Dalgleish, Tim</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Docstoc</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Psychology Database (Alumni)</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Canadian Business & Current Affairs Database</collection><collection>Canadian Business & Current Affairs Database (Alumni Edition)</collection><collection>Research Library (Alumni Edition)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Psychology Database</collection><collection>Research Library</collection><collection>CBCA Reference & Current Events</collection><collection>Research Library (Corporate)</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest One Psychology</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><jtitle>Canadian journal of psychiatry</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Thrasher, Sian</au><au>Power, Michael</au><au>Morant, Nicola</au><au>Marks, Isaac</au><au>Dalgleish, Tim</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Social Support Moderates Outcome in a Randomized Controlled Trial of Exposure Therapy and (or) Cognitive Restructuring for Chronic Posttraumatic Stress Disorder</atitle><jtitle>Canadian journal of psychiatry</jtitle><addtitle>Can J Psychiatry</addtitle><date>2010-03-01</date><risdate>2010</risdate><volume>55</volume><issue>3</issue><spage>187</spage><epage>190</epage><pages>187-190</pages><issn>0706-7437</issn><eissn>1497-0015</eissn><abstract>Objective:
To understand what predicts good outcome in psychiatric treatments, thus creating a pathway to improving efficacy.
Method:
Our study investigated relations between predictor variables and outcome (on the Clinician Administered Posttraumatic Stress Disorder [PTSD] Scale [CAPS]) at posttreatment for 77 treatment completers in a randomized controlled trial of exposure therapy and (or) cognitive restructuring, compared with relaxation, for chronic PTSD in adults.
Results:
More social support on the Significant Others Scale significantly predicted better outcome on the CAPS, even after controlling for the effects of treatment group and of pretreatment severity. Importantly, social support was only a significant predictor of outcome for participants receiving cognitive restructuring and (or) exposure therapy and not for participants in the relaxation condition.
Conclusions:
Better social support is associated with significantly greater gain following cognitive restructuring and (or) exposure therapy for PTSD. Future interventions should consider augmenting social support as an adjunct to treatment.</abstract><cop>Los Angeles, CA</cop><pub>SAGE Publications</pub><pmid>20370970</pmid><doi>10.1177/070674371005500311</doi><tpages>4</tpages><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0706-7437 |
| ispartof | Canadian journal of psychiatry, 2010-03, Vol.55 (3), p.187-190 |
| issn | 0706-7437 1497-0015 |
| language | eng |
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| source | Access via SAGE; MEDLINE |
| subjects | Adolescent Adult Aged Clinical trials Cognitive Therapy Female Humans Implosive Therapy Male Middle Aged Nominations Post traumatic stress disorder Psychiatry Regression analysis Relaxation Therapy Social Support Stress Disorders, Post-Traumatic - epidemiology Stress Disorders, Post-Traumatic - psychology Stress Disorders, Post-Traumatic - therapy Treatment Outcome Variables Young Adult |
| title | Social Support Moderates Outcome in a Randomized Controlled Trial of Exposure Therapy and (or) Cognitive Restructuring for Chronic Posttraumatic Stress Disorder |
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