Is adherence to dialectic behaviour therapy for post-traumatic stress disorder (PTSD) and cognitive processing therapy related to treatment outcome in PTSD after childhood abuse?
Background: Literature on the association between therapist adherence and treatment success in the treatment of post-traumatic stress disorder (PTSD) is scarce, and the results are mixed. Objective: To examine the relationship between therapist adherence to dialectical behaviour therapy for PTSD (DB...
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| Hauptverfasser: | , , , , , , , |
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| Dokumenttyp: | Article (Journal) |
| Sprache: | Englisch |
| Veröffentlicht: |
20 Oct 2023
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| In: |
European journal of psychotraumatology
Year: 2023, Jahrgang: 14, Heft: 2, Pages: 1-13 |
| ISSN: | 2000-8066 |
| DOI: | 10.1080/20008066.2023.2260293 |
| Online-Zugang: | Verlag, kostenfrei, Volltext: https://doi.org/10.1080/20008066.2023.2260293 Verlag, kostenfrei, Volltext: https://www.tandfonline.com/doi/full/10.1080/20008066.2023.2260293 
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| Verfasserangaben: | Regina Steil, Judith Weiss, Meike Müller-Engelmann, Clara Dittmann, Kathlen Priebe, Nikolaus Kleindienst, Thomas Fydrich, Ulrich Stangier |
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| 245 | 1 | 0 | |a Is adherence to dialectic behaviour therapy for post-traumatic stress disorder (PTSD) and cognitive processing therapy related to treatment outcome in PTSD after childhood abuse? |c Regina Steil, Judith Weiss, Meike Müller-Engelmann, Clara Dittmann, Kathlen Priebe, Nikolaus Kleindienst, Thomas Fydrich, Ulrich Stangier |
| 246 | 1 | |i Übersetzung des Haupttitels |a ¿La adherencia a la Terapia Dialéctica Conductual para el Trastorno deEstrés Postraumático y la Terapia de Procesamiento Cognitivo serelacionan con los resultados en el TEPT después del abuso en lainfancia? | |
| 246 | 1 | |i Übersetzung des Haupttitels |a 创伤后应激障碍的辩证行为疗法和认知加工疗法的依从性与童年期虐待后PTSD的治疗结果有关吗？ | |
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| 520 | |a Background: Literature on the association between therapist adherence and treatment success in the treatment of post-traumatic stress disorder (PTSD) is scarce, and the results are mixed. Objective: To examine the relationship between therapist adherence to dialectical behaviour therapy for PTSD (DBT-PTSD) and cognitive processing therapy (CPT) on treatment outcome in women with PTSD and emotion regulation difficulties after interpersonal childhood abuse. Method: Videotaped therapy sessions from 160 female participants of a large randomized controlled trial [Bohus, M., Kleindienst, N., Hahn, C., Müller-Engelmann, M., Ludäscher, P., Steil, R., Fydrich, T., Kuehner, C., Resick, P. A., Stiglmayr, C., Schmahl, C., & Priebe, K. (2020). Dialectical behavior therapy for posttraumatic stress disorder (DBT-PTSD) compared with cognitive processing therapy (CPT) in complex presentations of PTSD in women survivors of childhood abuse. JAMA Psychiatry, 77(12), 1235. jamapsychiatry.2020.2148] were rated. Adherence to CPT and DBT-PTSD was assessed using two specifically developed rating scales. Results: Higher therapist adherence was associated with a greater reduction of clinician-rated PTSD symptom severity. This effect was more pronounced in the CPT group than in the DBT-PTSD group. Adherence was also related to a greater reduction of self-rated PTSD symptoms, borderline symptoms, and dissociation intensity. Conclusion: Our results indicate that higher therapist adherence can lead to better treatment outcomes in PTSD treatments, especially in CPT. Higher therapist adherence to cognitive processing therapy was associated with higher treatment gains in women with post-traumatic stress disorder (PTSD) after childhood abuse.Adherence was related to higher reductions in symptom severity of PTSD, borderline symptoms, and dissociation intensity.Adherence to dialectical behaviour therapy for PTSD did not show a strong association with treatment outcome. Higher therapist adherence to cognitive processing therapy was associated with higher treatment gains in women with post-traumatic stress disorder (PTSD) after childhood abuse. Adherence was related to higher reductions in symptom severity of PTSD, borderline symptoms, and dissociation intensity. Adherence to dialectical behaviour therapy for PTSD did not show a strong association with treatment outcome. | ||
| 650 | 4 | |a adherencia al tratamiento | |
| 650 | 4 | |a cognitive processing therapy | |
| 650 | 4 | |a dialectical behaviour therapy for PTSD | |
| 650 | 4 | |a fidelidad al tratamiento | |
| 650 | 4 | |a integridad del tratamiento | |
| 650 | 4 | |a Post-traumatic stress disorder; treatment integrity | |
| 650 | 4 | |a terapia de procesamiento cognitivo | |
| 650 | 4 | |a terapia dialéctica conductual para TEPT | |
| 650 | 4 | |a therapeutic adherence | |
| 650 | 4 | |a Trastorno de estrés postraumático | |
| 650 | 4 | |a treatment fidelity | |
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