Journal article

Changes in cognitive processes and coping strategies precede changes in symptoms during cognitive therapy for posttraumatic stress disorder

Abstract:: Theories of posttraumatic stress disorder (PTSD) highlight the role of cognitive and behavioral factors in its development, maintenance, and treatment. This study investigated the relationship between changes in factors specified in Ehlers and Clark's (2000) model of PTSD and PTSD symptom change in 217 patients with PTSD who were treated with cognitive therapy for PTSD (CT-PTSD) in routine clinical care. Bivariate latent change score models (LCSM) of session-by-session changes in self-report measures showed that changes in PTSD symptoms were preceded by changes in negative appraisals, flashback characteristics of unwanted memories, safety behaviours, and unhelpful responses to intrusions, but not vice versa. For changes in trauma memory disorganization and PTSD symptoms we found a bidirectional association. This study provides evidence that cognitive and behavioral processes proposed in theoretical models of PTSD play a key role in driving symptom improvement during CT-PTSD.

Publication status:: Published

Peer review status:: Peer reviewed

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APA Style

Wiedemann, M., Janecka, M., Wild, J., Warnock-Parkes, E., Stott, R., Grey, N., Clark, D. M., & Ehlers, A. (2023). Changes in cognitive processes and coping strategies precede changes in symptoms during cognitive therapy for posttraumatic stress disorder. Behaviour Research and Therapy, 169.

MLA Style

Wiedemann, M., et al. “Changes in Cognitive Processes and Coping Strategies Precede Changes in Symptoms during Cognitive Therapy for Posttraumatic Stress Disorder.” Behaviour Research and Therapy, vol. 169, Elsevier, 2023.

Chicago Style

Wiedemann, M, M Janecka, J Wild, E Warnock-Parkes, R Stott, N Grey, DM Clark, and A Ehlers. 2023. “Changes in Cognitive Processes and Coping Strategies Precede Changes in Symptoms during Cognitive Therapy for Posttraumatic Stress Disorder.” Behaviour Research and Therapy 169.
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Files:: Wiedemann_et_al_2023_Changes_in_cognitiveV.pdf

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Publisher copy:: 10.1016/j.brat.2023.104407

Authors

+ Wiedemann, M More by this author

Institution:: University of Oxford
Division:: MSD
Department:: Primary Care Health Sciences
Oxford college:: Wolfson College
Role:: Author
ORCID:: 0000-0003-1991-282X

+ Janecka, M More by this author

Role:: Author

+ Wild, J More by this author

Role:: Author

+ Warnock-Parkes, E More by this author

Role:: Author

+ Stott, R More by this author

Role:: Author

More authors...

+ Wellcome Trust More from this funder

Grant:: 200796/Z/16/Z

+ National Institute for Health and Care Research More from this funder

Publisher:: Elsevier
Journal:: Behaviour Research and Therapy More from this journal
Volume:: 169
Article number:: 104407
Publication date:: 2023-09-26
Acceptance date:: 2023-09-18
DOI:: 10.1016/j.brat.2023.104407
ISSN:: 0005-7967

Language:: English
Keywords:: PTSD

appraisals

coping

cognitive therapy

structural equation model

memory

FFR

change processes
Pubs id:: 1544055
Local pid:: pubs:1544055
Deposit date:: 2023-10-09

Terms of use

Copyright holder:: Wiedemann et al
Copyright date:: 2023
Rights statement:: © 2023 The Authors. Published by Elsevier Ltd. This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/).

Licence:: CC Attribution (CC BY)

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