A Randomized Clinical Trial Comparing Affect Regulation and Social Problem-Solving Psychotherapies for Mothers with Victimization-Related PTSD

Autor/inn/en	Ford, Julian D.; Steinberg, Karen L.; Zhang, Wanli
Titel	A Randomized Clinical Trial Comparing Affect Regulation and Social Problem-Solving Psychotherapies for Mothers with Victimization-Related PTSD
Quelle	In: Behavior Therapy, 42 (2011) 4, S.560-578 (19 Seiten) PDF als Volltext Verfügbarkeit
Sprache	englisch
Dokumenttyp	gedruckt; online; Zeitschriftenaufsatz
ISSN	0005-7894
DOI	10.1016/j.beth.2010.12.005
Schlagwörter	Problem Solving; Mothers; Posttraumatic Stress Disorder; Behavior Modification; Memory; Victims of Crime; Self Control; Cognitive Processes; Therapy; Comparative Analysis; Low Income; Minority Groups; Dropouts; Psychotherapy + Suchen Sie Ihr Suchwort? Problemlösen; Mother; Mutter; Behaviour modification; Verhaltensänderung; Gedächtnis; Victim; Victims; Crime; Opfer; Verbrechen; Selbstbeherrschung; Cognitive process; Kognitiver Prozess; Therapie; Niedriglohn; Ethnische Minderheit; Drop-out; Drop-outs; Dropout; Early leavers; Schulversagen; Psychotherapie
Abstract	Addressing affect dysregulation may provide a complementary alternative or adjunctive approach to the empirically supported trauma memory processing models of cognitive behavior therapy (CBT) for posttraumatic stress disorder (PTSD). A CBT designed to enhance affect regulation without trauma memory processing--trauma affect regulation: guide for education and therapy (TARGET)--was compared to present centered therapy (PCT) and wait-list (WL) conditions in a randomized clinical trial with 146 primarily low-income and ethnoracial minority mothers with PTSD. TARGET achieved statistically and clinically significant improvement on PTSD and affect regulation measures compared to WL, with more consistent and sustained (over a 6-month follow-up period) evidence of improvement than PCT. Drop-out rates ([approximately 25%) were comparable in TARGET and PCT, similar to those previously reported for trauma memory processing CBTs. Symptom worsening was rare (2-8%) and transient. Affect regulation-based CBT without trauma memory processing warrants further research as a potentially efficacious therapy for victimization-related PTSD. (Contains 3 tables and 2 figures.) (As Provided).
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Erfasst von	ERIC (Education Resources Information Center), Washington, DC
Update	2017/4/10