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Cognitive therapy or imaginal exposure in the treatment of post-traumatic stress disorder

Twelve-month follow-up

Published online by Cambridge University Press:  03 January 2018

Nicholas Tarrier ,
Claire Sommerfeld ,
Hazel Pilgrim  and
Lloyd Humphreys
Nicholas Tarrier*
Affiliation:
Department of Clinical Psychology, School of Psychiatry and Behavioural Science, University of Manchester
Claire Sommerfeld
Affiliation:
Department of Clinical Psychology, School of Psychiatry and Behavioural Science, University of Manchester
Hazel Pilgrim
Affiliation:
Department of Clinical Psychology, School of Psychiatry and Behavioural Science, University of Manchester
Lloyd Humphreys
Affiliation:
Department of Clinical Psychology, School of Psychiatry and Behavioural Science, University of Manchester
*
Professor N. Tarrier, Department of Clinical Psychology, Withington Hospital, Manchester M20 8LR. Tel: 0161-291 4319; Fax: 0161-291 3814; e-mail: ntarrier@fsl.with.man.ac.uk
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Abstract

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 imaginai 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.

Type
Papers
Information
The British Journal of Psychiatry , Volume 175 , Issue 6 , December 1999 , pp. 571 - 575
Copyright
Copyright © 1999 The Royal College of Psychiatrists 

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Footnotes

Declaration of interest

The research was supported by a project grant from the Wellcome Trust.

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