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The impact of sudden gains in cognitive behavioral therapy for posttraumatic stress disorder

✍ Scribed by Kacie A. Kelly; Shireen L. Rizvi; Candice M. Monson; Patricia A. Resick

Publisher
Springer
Year
2009
Tongue
English
Weight
120 KB
Volume
22
Category
Article
ISSN
0894-9867

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✦ Synopsis

Abstract

This study investigated sudden gains, i.e., rapid and stable improvements, in posttraumatic stress disorder (PTSD) symptoms that may occur in cognitive–behavioral therapy. Twenty‐nine of 72 participants (39.2%) experienced a sudden gain during treatment. Mixed model ANOVAs analyzed sudden gains impact on clinician‐rated PTSD symptom severity, patient‐rated PTSD symptom severity, and patient‐rated depressive symptom severity. Sudden gains in PTSD symptomology were associated with greater reductions in PTSD symptom severity for the avoidance/numbing and hyperarousal symptom clusters at posttreatment. By 6‐month follow‐up, the sudden gains group had maintained those reductions in symptoms, but the nonsudden gains group had achieved equal reductions in symptom severity. Participants experiencing sudden gains on PTSD measures had lower depression severity at posttreatment and follow‐up.

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