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The British Journal of Psychiatry 175: 571-575 (1999)
© 1999 The Royal College of Psychiatrists

Cognitive therapy or imaginal exposure in the treatment of post- traumatic stress disorder. Twelve-month follow-up

N Tarrier, C Sommerfield, H Pilgrim and L Humphreys
Department of Clinical Psychology, School of Psychiatry and Behavioural Science, University of Manchester. ntarrier@fsl.with.man.ac.uk

BACKGROUND: Previously reported results have demonstrated the efficacy of exposure and cognitive therapy in the treatment of chronic post- traumatic stress disorder (PTSD), but have not shown one to be superior to the other. AIMS: To investigate whether treatment benefits and equivalence are maintained at 12-month follow-up in patients with chronic PTSD treated with either imaginal exposure or cognitive therapy. METHOD: Twelve-month follow-up of a randomised clinical trial. RESULTS: Fifty-four subjects (87% of the sample) were available to follow-up. They did not significantly differ clinically from drop-outs. There was significant clinical improvement at 12 months compared with pre-treatment. However, 39% of those followed-up still met criteria for PTSD. There were no significant differences between the two treatments. Victims of crime displayed higher levels of symptoms at follow-up than victims of accidents. CONCLUSIONS: Clinical benefits for exposure or cognitive therapy were maintained.


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