Changes in negative cognitions mediate PTSD symptom reductions during client-centered therapy and prolonged exposure for adolescents

Behaviour Research and Therapy

Volumn 68, Issue , 2015, Pages 64-69

  McLean, Carmen P ^a   Yeh, Rebecca ^a   Rosenfield, David ^b   Foa, Edna B ^a  

^a UNIVERSITY OF PENNSYLVANIA   (United States)

^b SOUTHERN METHODIST UNIVERSITY   (United States)

Author keywords

Adolescents; Mechanisms; Negative cognitions; Post traumatic stress; Prolonged exposure

Indexed keywords

ADOLESCENT; ADULT; AGE DISTRIBUTION; ARTICLE; COGNITION; COGNITIVE DEFECT; COGNITIVE THERAPY; COMMUNITY CARE; CONTROLLED STUDY; DEPRESSION; DISEASE SEVERITY; FEMALE; HUMAN; INTERMETHOD COMPARISON; MAJOR CLINICAL STUDY; PATIENT COUNSELING; POSTTRAUMATIC STRESS DISORDER; PROLONGED EXPOSURE FOR ADOLESCENT; RANDOMIZED CONTROLLED TRIAL; SECONDARY ANALYSIS; SELF REPORT; SEXUAL ASSAULT; SURVIVOR; YOUNG ADULT; CLIENT CENTERED THERAPY; DEFENSE MECHANISM; IMPLOSIVE THERAPY; PHYSIOLOGY; PROCEDURES; PSYCHOLOGY; RAPE; REHABILITATION; SEXUAL CRIME; STRESS DISORDERS, POST-TRAUMATIC; TREATMENT OUTCOME;

ADOLESCENT; COGNITION; DEPRESSION; FEMALE; HUMANS; IMPLOSIVE THERAPY; NEGATIVISM; PERSON-CENTERED THERAPY; RAPE; SEX OFFENSES; STRESS DISORDERS, POST-TRAUMATIC; SURVIVORS; TREATMENT OUTCOME;

EID: 84925432595     PISSN: 00057967     EISSN: 1873622X     Source Type: Journal    
DOI: 10.1016/j.brat.2015.03.008     Document Type: Article

References (29)

1. Baron R.M., Kenny D.A. The moderator-mediator variable distinction in social psychological research: conceptual, strategic, and statistical considerations. Journal of Personality and Social Psychology 1986, 51(6):1173.
2. Cahill S.P., Foa E.B. PTSD: treatment efficacy and future directions. Psychiatric Times 2007, 24(3):32-34.
3. Cohen J.A., Mannarino A.P. Atreatment outcome study for sexually abused preschool children: initial findings. Journal of the American Academy of Child & Adolescent Psychiatry 1996, 35:42-50.
4. Cohen J.A., Mannarino A.P. Client-centered therapy treatment manual 1996, MCP Hahnemann University School of Medicine, Pittsburgh, PA, (Unpublished treatment manual).
5. Dunmore E., Clark D.M., Ehlers A. Aprospective investigation of the role of cognitive factors in persistent posttraumatic stress disorder (PTSD) after physical or sexual assault. Behaviour Research and Therapy 2001, 39:1063-1084.
6. Foa E.B., Chrestman K.R., Gilboa-Schechtman E. Prolonged exposure therapy for adolescents with PTSD: emotional processing of traumatic experiences: therapist guide 2009, Cambridge University Press.
7. Foa E.B., Ehlers A., Clark D.M., Tolin D.F., Orsillo S.M. The Posttraumatic Cognitions Inventory (PTCI): development and validation. Psychological Assessment 1999, 11:303-314.
8. Foa E.B., Hembree E.A., Cahill S.P., Rauch S.A., Riggs D.S., Feeny N.C., et al. Randomized trial of prolonged exposure for posttraumatic stress disorder with and without cognitive restructuring: outcome at academic and community clinics. Journal of Consulting and Clinical Psychology 2005, 73(5):953.
9. Foa E.B., Huppert J.D., Cahill S.P. Emotional processing theory: an update. Pathological anxiety: Emotional processing in etiology and treatment 2006, 3-24. Guilford Press, New York. B.O. Rothbaum (Ed.).
10. Foa E.B., Johnson K.M., Feeny N.C., Treadwell K.R.H. The child PTSD symptom scale (CPSS): a preliminary examination of its psychometric properties. Journal of Clinical Child Psychology 2001, 30:376-384.
11. Foa E.B., Kozak M.J. Emotional processing of fear: exposure to corrective information. Psychological Bulletin 1986, 99:20-35.
12. Foa E.B., McLean C.P., Capaldi S., Rosenfield D. Prolonged exposure vs. supportive counseling for sexual abuse-related PTSD in adolescent girls: a randomized clinical trial. Journal of the American Medical Association 2013, 10:2650-2657.
13. Foa E.B., Rauch S.A.M. Cognitive changes during prolonged exposure versus prolonged exposure plus cognitive restructuring in female assault survivors with posttraumatic stress disorder. Journal of Consulting and Clinical Psychology 2004, 72:879-884.
14. Johnson K.M., Foa E.B., Jaycox L.H., Rescorla L. Post trauma attitudes in traumatised children. Poster presented to the Annual Conference of the International Society for Traumatic Stress Studies, San Francisco, CA 1996.
15. Kaufman N.K., Rohde P., Seeley J.R., Clarke G.N., Stice E. Potential mediators of cognitive-behavioral therapy for adolescents with comorbid major depression and conduct disorder. Journal of Consulting and Clinical Psychology 2005, 73:38-46.
16. Kleim B., Grey N., Wild J., Nussbeck F.W., Stott R., Hackmann A., et al. Cognitive changes predicts symptom reduction with cognitive therapy for posttraumatic stress disorder. Journal of Consulting and Clinical Psychology 2013, 81:383-393.
17. Kovacs M. The children's depression inventory (CDI). Psychopharmacological Bulletin 1985, 21:995-998.
18. MacKinnon D.P. Integrating mediators and moderators in research design. Research on Social Work Practice 2011, 21(6):675-681.
19. McLean, C. P., Su, Y., & Foa, E. B., Mechanisms of symptom reduction in a combined treatment for comorbid posttraumatic stress disorder and alcohol dependence. Journal of Clinical and Consulting Psychology (in press).
20. Moser J.S., Hajcak G., Simons R.F., Foa E.B. Posttraumatic stress disorder symptoms in trauma-exposed college students: the role of trauma-related cognitions, gender and negative affect. Journal of Anxiety Disorders 2007, 21:1039-1049.
21. Olatunji B.O., Rosenfield D., Tart C., Cottraux J., Powers M., Smits J.A.J. Behavioral versus cognitive treatment of obsessive-compulsive disorder: an examination of outcome and mediators of change. Journal of Consulting and Clinical Psychology 2013, 18:1939-2117.
22. Powers M.B., Halpern J.M., Ferenschak M.P., Gillihan S.J., Foa E.B. Ameta-analytic review of prolonged exposure for posttraumatic stress disorder. Clinical Psychology Review 2010, 30:635-641.
23. Rosenfield D., Foa E.B. Psychometric properties of the child post-trauma attitudes scale 2015, (Unpublished data).
24. Shrout P.E., Bolger N. Mediation in experimental and nonexperimental studies: new procedures and recommendations. Psychological Methods 2002, 7:422-445.
25. Smith P., Yule W., Perrin S., Tranah T., Dalgleish T., Clark D.M. Cognitive-behavioral therapy for PTSD in children and adolescents: a preliminary randomized controlled trial. Journal of the American Academy of Child & Adolescent Psychiatry 2007, 46:1051-1061.
26. Smucker M.R., Craighead W.E., Craighead L.W., Green B.J. Normative and reliability data for the children's depression inventory. Journal of Abnormal Child Psychology 1986, 14:25-39.
27. Steinberg L. Cognitive and affective development in adolescence. Trends in Cognitive Sciences 2005, 9(2):69-74.
28. Tein J., Sandler I.N., MacKinnon D.P., Wolchik S.A. How did it work? Who did it work for? Mediation in the context of a moderated prevention effect for children of divorce. Journal of Consulting and Clinical Psychology 2004, 72:617-624.
29. Zalta A.K., Gillihan S.J., Fisher A.J., Mintz J., McLean C.P., Yehuda R., et al. Change in negative cognitions associated with PTSD predicts symptom reduction in prolonged exposure. Journal of Consulting and Clinical Psychology 2013, 82:171-175.