Advances in the Treatment of Posttraumatic Stress Disorder: Cognitive-Behavioral Perspectives

By Steven Taylor | Go to book overview

Chapter 8
COMBINING COGNITIVE
RESTRUCTURING AND EXPOSURE
THERAPY: TOWARD AN OPTIMAL
INTEGRATION

Sally A. Moore, Lori A. Zoellner, and Joyce N. Bittinger


INTRODUCTION

Both cognitive and exposure therapies are highly effective for the treatment of chronic posttraumatic stress disorder (PTSD). In clinical practice, the integration of these therapies for treatment of this disorder is often quite common. However, in light of recent treatment outcome research indicating that their combination may not increase the efficacy of comprehensive exposure or cognitive monotherapies, clinicians are left wondering how to proceed. First, this chapter reviews theory and research on cognitive features common to PTSD. Second, this chapter reviews treatment outcome research that explores our ability to enhance patient response by combining cognitive and exposure approaches. Third, this chapter discusses advantages and disadvantages of combining these approaches. Finally, this chapter suggests some practical methods aimed at obtaining an [optimal integration] of exposure and cognitive interventions. While no simple answers are forthcoming regarding such optimal integration, clinicians are urged to use the information and recommendations that follow to guide their decision making about appropriate PTSD treatment.

This chapter was supported in part by the [Moving PTSD Treatment into the Real World] Grant awarded
by the Anxiety Disorders Association of America to Lori A. Zoellner, PI, and by a National Research
Scientist Award 1F31MH068050 from the National Institutes of Health, awarded to Sally A. Moore.

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