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Q For people with post-traumatic stress disorder (PTSD), does cognitive restructuring with prolonged imaginal exposure lead to greater symptom relief than imaginal exposure alone?
Randomised controlled trial.
Assessors blinded to treatment.
Follow up period:
Hospital PTSD unit, Sydney, Australia.
58 people referred to PTSD unit after non-sexual assault or traffic accident, displaying PTSD (DSM-IV criteria) ≥ 3 months. Exclusions: history of psychosis, substance dependence, childhood sexual abuse, current suicidal ideation, or aged <17 or >60 years.
Imaginal exposure; imaginal exposure plus cognitive restructuring; or supportive counselling for 8 weekly 90 minute sessions with daily homework.
PTSD symptoms assessed using clinician administered PTSD scale. …
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