Do patients drop out prematurely from exposure therapy for PTSD?
Top Cited Papers
- 1 December 2003
- journal article
- review article
- Published by Wiley in Journal of Traumatic Stress
- Vol. 16 (6) , 555-562
- https://doi.org/10.1023/b:jots.0000004078.93012.7d
Abstract
Many studies have demonstrated the efficacy of exposure therapy in the treatment of chronic post-traumatic stress disorder (PTSD). Despite the convincing outcome literature, a concern that this treatment may exacerbate symptoms and lead to premature dropout has been voiced on the basis of a few reports. In this paper, we examined the hypothesis that treatments that include exposure will be associated with a higher dropout rate than treatments that do not include exposure. A literature search identified 25 controlled studies of cognitive-behavioral treatment for PTSD that included data on dropout. The results indicated no difference in dropout rates among exposure therapy, cognitive therapy, stress inoculation training, and EMDR. These findings are consistent with previous research about the tolerability of exposure therapy.Keywords
This publication has 39 references indexed in Scilit:
- Comparative efficacy, speed, and adverse effects of three PTSD treatments: Exposure therapy, EMDR, and relaxation training.Journal of Consulting and Clinical Psychology, 2003
- Skills training in affective and interpersonal regulation followed by exposure: A phase-based treatment for PTSD related to childhood abuse.Journal of Consulting and Clinical Psychology, 2002
- Does imaginal exposure exacerbate PTSD symptoms?Journal of Consulting and Clinical Psychology, 2002
- A comparison of cognitive-processing therapy with prolonged exposure and a waiting condition for the treatment of chronic posttraumatic stress disorder in female rape victims.Journal of Consulting and Clinical Psychology, 2002
- Exposure therapy in the treatment of PTSD among cocaine-dependent individualsJournal of Substance Abuse Treatment, 2001
- Posttraumatic stress disorder arising after road traffic collisions: Patterns of response to cognitive–behavior therapy.Journal of Consulting and Clinical Psychology, 2001
- The investigation of exposure and cognitive therapy: Comment on Tarrier et al. (1999).Journal of Consulting and Clinical Psychology, 2001
- Eye movement desensitization and reprocessing (EDMR) treatment for combat‐related posttraumatic stress disorderJournal of Traumatic Stress, 1998
- Cognitive processing therapy for sexual assault victims.Journal of Consulting and Clinical Psychology, 1992
- Predictors of dropout and outcome in cognitive therapy for depression in a private practice settingCognitive Therapy and Research, 1988