Changes in reported physical health symptoms and social function with prolonged exposure therapy for chronic posttraumatic stress disorder
dc.contributor.author | Rauch, Sheila A. M. | en_US |
dc.contributor.author | Grunfeld, Tania E. E. | en_US |
dc.contributor.author | Yadin, Elna | en_US |
dc.contributor.author | Cahill, Shawn P. | en_US |
dc.contributor.author | Hembree, Elizabeth | en_US |
dc.contributor.author | Foa, Edna B. | en_US |
dc.date.accessioned | 2009-09-02T14:38:08Z | |
dc.date.available | 2010-10-05T18:27:29Z | en_US |
dc.date.issued | 2009-08 | en_US |
dc.identifier.citation | Rauch, Sheila A.M.; Grunfeld, Tania E.E.; Yadin, Elna; Cahill, Shawn P.; Hembree, Elizabeth; Foa, Edna B. (2009). "Changes in reported physical health symptoms and social function with prolonged exposure therapy for chronic posttraumatic stress disorder." Depression and Anxiety 26(8): 732-738. <http://hdl.handle.net/2027.42/63596> | en_US |
dc.identifier.issn | 1091-4269 | en_US |
dc.identifier.issn | 1520-6394 | en_US |
dc.identifier.uri | https://hdl.handle.net/2027.42/63596 | |
dc.description.abstract | Background : Postraumatic stress disorder (PTSD) is associated with significant health risk, illness, and functional impairment, e.g., Green and Kimerling [2004: Physical Health Consequences of Exposure to Extreme Stress. Washington, DC: American Phychological Association] Kimerling et al. [2000: Trauma and Health: J Trauma Stress 13:115–128]. Methods : These analyses examined whether negative health perceptions and general social functioning change with treatment of chronic PTSD among women from a randomized controlled study comparing prolonged exposure (PE; n =48) or PE combined with cognitive restructuring (PE/CR; n =40) to waitlist ( n =19; Foa et al., 2005: J Consult Clin Psychol 73:953–964]. Results : Self- reported physical health difficulties were significantly reduced in the PE and PE/CR conditions compared to the waitlist condition. These reductions did not demonstrate significant change during the 12 month follow-up period. Self-reported discomfort associated with physical health difficulties did not demonstrate significant change over treatment. No difference was detected between the active treatment and waitlist conditions. Both the PE and PE/CR groups reported improved social functioning at post treatment compared to the waitlist. Additional improvement in general social functioning was found between 3 and 12 month follow-up assessments. Changes in PTSD and depressive symptoms over treatment accounted for 29% of the variance in reduction of reported health problems and 30% of the variance in improvement of general social functioning. Importantly, only changes in PTSD symptoms significantly contribute to the model predicting change in physical health problems with depression associated only at a trend level. However, collinearity between PTSD and depression makes interpretation difficult. Conclusions : Negative health perceptions and general social function improve with PE. Changes in depression and PTSD with treatment are related to these changes. Depression and Anxiety, 2009. © 2008 Wiley-Liss, Inc. | en_US |
dc.format.extent | 101982 bytes | |
dc.format.extent | 3118 bytes | |
dc.format.mimetype | application/pdf | |
dc.format.mimetype | text/plain | |
dc.publisher | Wiley Subscription Services, Inc., A Wiley Company | en_US |
dc.subject.other | Life and Medical Sciences | en_US |
dc.subject.other | Neuroscience, Neurology and Psychiatry | en_US |
dc.title | Changes in reported physical health symptoms and social function with prolonged exposure therapy for chronic posttraumatic stress disorder | en_US |
dc.type | Article | en_US |
dc.rights.robots | IndexNoFollow | en_US |
dc.subject.hlbsecondlevel | Psychiatry | en_US |
dc.subject.hlbsecondlevel | Psychology | en_US |
dc.subject.hlbtoplevel | Health Sciences | en_US |
dc.subject.hlbtoplevel | Social Sciences | en_US |
dc.description.peerreviewed | Peer Reviewed | en_US |
dc.contributor.affiliationum | Veterans Administration Ann Arbor Healthcare System, Ann Arbor, Michigan ; Department of Psychiatry, University of Michigan Medical School, Ann Arbor, Michigan ; VA Ann Arbor Healthcare System, 2215 Fuller Road (116c), Ann Arbor, MI 48105 | en_US |
dc.contributor.affiliationother | Department of Psychiatry, School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania [all work completed at Department of Psychiatry, School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania.] ; RMIT University, Melbourne, Australia | en_US |
dc.contributor.affiliationother | Department of Psychiatry, School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania [all work completed at Department of Psychiatry, School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania.] | en_US |
dc.contributor.affiliationother | Department of Psychiatry, School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania [all work completed at Department of Psychiatry, School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania.] | en_US |
dc.contributor.affiliationother | Department of Psychiatry, School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania [all work completed at Department of Psychiatry, School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania.] | en_US |
dc.contributor.affiliationother | Department of Psychiatry, School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania [all work completed at Department of Psychiatry, School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania.] | en_US |
dc.identifier.pmid | 18781660 | en_US |
dc.description.bitstreamurl | http://deepblue.lib.umich.edu/bitstream/2027.42/63596/1/20518_ftp.pdf | |
dc.identifier.doi | 10.1002/da.20518 | en_US |
dc.identifier.source | Depression and Anxiety | en_US |
dc.owningcollname | Interdisciplinary and Peer-Reviewed |
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