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Changes in reported physical health symptoms and social function with prolonged exposure therapy for chronic posttraumatic stress disorder.
Depress Anxiety. 2009; 26(8):732-8.DA

Abstract

BACKGROUND

Posttraumatic 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 Psychological 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.

Authors+Show Affiliations

Veterans Administration Ann Arbor Healthcare System, Ann Arbor, Michigan 48105, USA. sherauch@med.umich.eduNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Comparative Study
Journal Article
Research Support, N.I.H., Extramural

Language

eng

PubMed ID

18781660

Citation

Rauch, Sheila A M., et al. "Changes in Reported Physical Health Symptoms and Social Function With Prolonged Exposure Therapy for Chronic Posttraumatic Stress Disorder." Depression and Anxiety, vol. 26, no. 8, 2009, pp. 732-8.
Rauch SA, Grunfeld TE, Yadin E, et al. Changes in reported physical health symptoms and social function with prolonged exposure therapy for chronic posttraumatic stress disorder. Depress Anxiety. 2009;26(8):732-8.
Rauch, S. A., Grunfeld, T. E., Yadin, E., Cahill, S. P., Hembree, E., & Foa, E. 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), 732-8. https://doi.org/10.1002/da.20518
Rauch SA, et al. Changes in Reported Physical Health Symptoms and Social Function With Prolonged Exposure Therapy for Chronic Posttraumatic Stress Disorder. Depress Anxiety. 2009;26(8):732-8. PubMed PMID: 18781660.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Changes in reported physical health symptoms and social function with prolonged exposure therapy for chronic posttraumatic stress disorder. AU - Rauch,Sheila A M, AU - Grunfeld,Tania E E, AU - Yadin,Elna, AU - Cahill,Shawn P, AU - Hembree,Elizabeth, AU - Foa,Edna B, PY - 2008/9/11/pubmed PY - 2009/11/17/medline PY - 2008/9/11/entrez SP - 732 EP - 8 JF - Depression and anxiety JO - Depress Anxiety VL - 26 IS - 8 N2 - BACKGROUND: Posttraumatic 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 Psychological 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. SN - 1520-6394 UR - https://www.unboundmedicine.com/medline/citation/18781660/Changes_in_reported_physical_health_symptoms_and_social_function_with_prolonged_exposure_therapy_for_chronic_posttraumatic_stress_disorder_ L2 - https://doi.org/10.1002/da.20518 DB - PRIME DP - Unbound Medicine ER -