Comparison of two treatments for traumatic stress: a community-based study of EMDR and prolonged exposure.

Abstract:

:This pilot study compared the efficacy of two treatments for postraumatic stress disorder (PTSD): Eye Movement Desensitization and Reprocessing (EMDR) and Prolonged Exposure (PE). Data were analyzed for 22 patients from a university-based clinic serving the outside community (predominantly rape and crime victims) who completed at least one active session of treatment after three preparatory sessions. Results showed both approaches produced a significant reduction in PTSD and depression symptoms, which were maintained at three-month follow-up. Successful treatment was faster with EMDR as a larger number of people (7 of 10) had a 70% reduction in PTSD symptoms after three active sessions compared to 2 of 12 with PE. EMDR appeared to be better tolerated as the dropout rate was significantly lower in those randomized to EMDR versus PE (0 of 10 vs. 3 of 10). However all patients who remained in treatment with PE had a reduction in PTSD scores. Finally, Subjective Units of Distress (SUDS) ratings decreased significantly during the initial session of EMDR, but changed little during PE. Postsession SUDS were significantly lower for EMDR than for PE. Suggestions for future research are discussed.

journal_name

J Clin Psychol

authors

Ironson G,Freund B,Strauss JL,Williams J

doi

10.1002/jclp.1132

keywords:

subject

Has Abstract

pub_date

2002-01-01 00:00:00

pages

113-28

issue

1

eissn

0021-9762

issn

1097-4679

pii

10.1002/jclp.1132

journal_volume

58

pub_type

临床试验,杂志文章,随机对照试验
  • Effects of phenothiazines and social skills training in a withdrawn schizophrenic.

    abstract::The effects of phenothiazines and social skills training on a severely withdrawn schizophrenic were examined. Regulation of phenothiazine levels had the result that the patient became more receptive to behavioral interventions. Specific application of a token economy program effected a marked improvement in the assert...

    journal_title:Journal of clinical psychology

    pub_type: 杂志文章

    doi:10.1002/1097-4679(197510)31:4<588::aid-jclp2270310

    authors: Hersen M,Turner SM,Edelstein BA,Pinkston SG

    更新日期:1975-10-01 00:00:00

  • Meeting suffering with kindness: effects of a brief self-compassion intervention for female college students.

    abstract:OBJECTIVE:The present study investigated the effectiveness of a newly developed 3-week self-compassion group intervention for enhancing resilience and well-being among female college students. METHOD:Fifty-two students were randomly assigned to either an intervention designed to teach skills of self-compassion (n = 27...

    journal_title:Journal of clinical psychology

    pub_type: 杂志文章,随机对照试验

    doi:10.1002/jclp.22076

    authors: Smeets E,Neff K,Alberts H,Peters M

    更新日期:2014-09-01 00:00:00

  • A refined neurobehavioral inventory of hemispheric preference.

    abstract::With the advent and rapid growth of neuropsychology has come the need for reliable and valid measures of neuropsychological behaviors. The inventory described in this article measures neurobehavioral preference based on theoretical assumptions and previous research findings in the field, such as brain localization and...

    journal_title:Journal of clinical psychology

    pub_type: 杂志文章

    doi:10.1002/1097-4679(198509)41:5<671::aid-jclp2270410

    authors: Wagner RF,Wells KA

    更新日期:1985-09-01 00:00:00

  • Group metacognitive therapy for adolescents with anxiety and depressive disorders: A pilot study.

    abstract:OBJECTIVE(S):The metacognitive model suggests that beliefs about cognition maintain repetitive negative thinking (RNT), a transdiagnostic process that underlies commonly comorbid, emotional disorders. To date, there has been the limited application of metacognitive therapy (MCT) to adolescents. This study aimed to eval...

    journal_title:Journal of clinical psychology

    pub_type: 杂志文章

    doi:10.1002/jclp.22914

    authors: Thorslund J,McEvoy PM,Anderson RA

    更新日期:2020-04-01 00:00:00

  • The MCMI as a measure of DSM-III Axis II diagnoses: an empirical comparison.

    abstract::This study compared MCMI and clinician Axis II diagnoses for DSM-III diagnostic categories. Subjects were 151 consecutively admitted inpatients at a private psychiatric hospital. The MCMI was administered to all subjects shortly after admission and shortly before discharge. MCMI diagnostic impressions for both admissi...

    journal_title:Journal of clinical psychology

    pub_type: 杂志文章

    doi:10.1002/1097-4679(198709)43:5<478::aid-jclp2270430

    authors: Piersma HL

    更新日期:1987-09-01 00:00:00

  • An empirical test of the sociocybernetic model.

    abstract::A theoretical"sociocybernetic" systems analysis model was tested empirically. Two independent groups completed a questionnaire that described their reactions to four hypothetical interpersonal situations. Half of the persons in each group described their reactions to a friend and used Likert scales to rate the unfavor...

    journal_title:Journal of clinical psychology

    pub_type: 杂志文章

    doi:10.1002/1097-4679(197707)33:3<760::aid-jclp2270330

    authors: Kunce HW,Kunce JT

    更新日期:1977-07-01 00:00:00

  • Adult attachment as a predictor and moderator of psychotherapy outcome: A meta-analysis.

    abstract::Bowlby's attachment theory describes characteristic patterns of relating to close others and has important implications for psychotherapy. Attachment patterns have been characterized as secure (healthy interdependence with others), anxious (overdependence on others), and avoidant (difficulty relying on others). We upd...

    journal_title:Journal of clinical psychology

    pub_type: 杂志文章,meta分析,评审

    doi:10.1002/jclp.22685

    authors: Levy KN,Kivity Y,Johnson BN,Gooch CV

    更新日期:2018-11-01 00:00:00

  • An investigation of the relationship between self-report of memory functioning and memory test performance.

    abstract::Memory complaints are some of the most common cognitive problems presented to clinical psychologists and neuropsychologists. However, the probable validity of memory complaints presented to a psychologist rarely has been validated by objective memory tests. Using the Memory Functioning Questionnaire (MFQ; Gilewski et ...

    journal_title:Journal of clinical psychology

    pub_type: 杂志文章

    doi:10.1002/1097-4679(199111)47:6<772::aid-jclp2270470

    authors: Brown FH Jr,Dodrill CB,Clark T,Zych K

    更新日期:1991-11-01 00:00:00

  • MMPI-2 patterns in African-American females.

    abstract::Researchers have reported conflicting conclusions about the relation of the MMPI (MMPI-2) clinical scale elevations and race. Consequently, this study examined the concurrent validity of the MMPI-2 in evaluating African-American females. Seventy-eight (78) African American college student volunteers were administered ...

    journal_title:Journal of clinical psychology

    pub_type: 杂志文章

    doi:10.1002/(SICI)1097-4679(199607)52:4<437::AID-JCLP8

    authors: Reed MK,Walker B,Williams G,McLeod S,Jones S

    更新日期:1996-07-01 00:00:00

  • Anhedonia as a function of non-affective interpretation of ambiguous stimuli and threshold for affective and neutral stimuli.

    abstract::A theory that schizophrenic anhedonia-the failure to express pleasure-is associated with a tendency to interpret ambiguous stimuli as neutral rather than emotion-laden and arises from selectively high perceptual thresholds for affective stimuli was tested. Seventy-six schizophrenic males were required to guess whether...

    journal_title:Journal of clinical psychology

    pub_type: 杂志文章

    doi:10.1002/1097-4679(197701)33:1+<58::aid-jclp2270330

    authors: Watson CG

    更新日期:1977-01-01 00:00:00

  • Correlates of alpha, beta and theta wave production.

    abstract::Studied the correlations of alpha, beta and theta time densities with psychological and psychophysiological variables in a psychiatric population (N = 76). The correlations of the EEG variables with measures of adjustment were small and barely exceeded chance expectations. Alpha and beta were correlated positively wit...

    journal_title:Journal of clinical psychology

    pub_type: 杂志文章

    doi:

    authors: Watson CG,Jacobs L,Herder J

    更新日期:1979-04-01 00:00:00

  • A team effort: reply to Snyder and Elliott.

    abstract::This response to C.R. Snyder and T.R. Elliott's innovative proposals for training (this issue, pp. 1033-1054) highlights areas of agreement with the authors as well as encourages greater attention to several issues. These include counseling psychology and its historical emphasis on wellness, mentoring training for cur...

    journal_title:Journal of clinical psychology

    pub_type: 评论,杂志文章

    doi:10.1002/jclp.20158

    authors: Hendrick SS

    更新日期:2005-09-01 00:00:00

  • Problem solving moderates the effects of life event stress and chronic stress on suicidal behaviors in adolescence.

    abstract::The present study examined the unique and interactive effects of stress and problem-solving skills on suicidal behaviors among 102 inpatient adolescents. As expected, life event stress and chronic stress each significantly predicted suicidal ideation and suicide attempt. Problem solving significantly predicted suicida...

    journal_title:Journal of clinical psychology

    pub_type: 杂志文章

    doi:10.1002/jclp.20632

    authors: Grover KE,Green KL,Pettit JW,Monteith LL,Garza MJ,Venta A

    更新日期:2009-12-01 00:00:00

  • Chronicity. Adjustment differences of Vietnam combat veterans differing in rates of psychiatric hospitalization.

    abstract::The study focuses on the frequency of inpatient care for patients with Posttraumatic Stress Disorder (PTSD). This factor, termed "chronicity," is, perhaps surprisingly, largely overlooked in many PTSD studies. The significance of chronicity was addressed through administration of Minnesota Multiphasic Personality Inve...

    journal_title:Journal of clinical psychology

    pub_type: 杂志文章

    doi:10.1002/1097-4679(198909)45:5<745::aid-jclp2270450

    authors: Long R,Wine P,Penk W,Keane T,Chew D,Gerstein C,O'Neill J,Nadelson T

    更新日期:1989-09-01 00:00:00

  • Identity dimensions and related processes in emerging adulthood: helpful or harmful?

    abstract:OBJECTIVES:The current study evaluated the mediational role of well-being in the relationship between identity development and psychosocial functioning. METHOD:A sample of 7,649 undergraduate students (73% female; mean age = 19.95, standard deviation = 1.98; 62% Caucasian) completed measures of personal identity, well...

    journal_title:Journal of clinical psychology

    pub_type: 杂志文章,多中心研究

    doi:10.1002/jclp.21960

    authors: Ritchie RA,Meca A,Madrazo VL,Schwartz SJ,Hardy SA,Zamboanga BL,Weisskirch RS,Kim SY,Whitbourne SK,Ham LS,Lee RM

    更新日期:2013-04-01 00:00:00

  • Relationship between patients' in-process evaluations of therapy and psychotherapy outcome.

    abstract::Investigated relationship between patients' session-by-session evaluations of brief psychotherapy and outcome. Twenty-eight patients were seen by six therapists for a mean of 10 sessions in a university health service setting. In addition to the session evaluations, which were administered at the conclusion of the sec...

    journal_title:Journal of clinical psychology

    pub_type: 杂志文章

    doi:10.1002/1097-4679(198001)36:1<259::aid-jclp2270360

    authors: Bernard HS,Schwartz AJ,Oclatis KA,Stiner A

    更新日期:1980-01-01 00:00:00

  • Attributional style of depressed chronic low back patients.

    abstract::This study used the Attributional Style Questionnaire to study the attributional styles of depressed and nondepressed chronic low back pain patients (N = 91) in order to test the Revised Learned Helplessness model's prediction of differences between the two. The results partly supported the hypothesis; an internal, st...

    journal_title:Journal of clinical psychology

    pub_type: 杂志文章

    doi:10.1002/1097-4679(198805)44:3<317::aid-jclp2270440

    authors: Love AW

    更新日期:1988-05-01 00:00:00

  • New developments in technology-assisted supervision and training: a practical overview.

    abstract::Clinical supervision and training are now widely available online. In this article, three of the most accessible and widely adopted new developments in clinical supervision and training technology are described: Videoconference supervision, cloud-based file sharing software, and clinical outcome tracking software. Par...

    journal_title:Journal of clinical psychology

    pub_type: 杂志文章,评审

    doi:10.1002/jclp.22129

    authors: Rousmaniere T,Abbass A,Frederickson J

    更新日期:2014-11-01 00:00:00

  • Personality and intellectual characteristics of adult male felons as a function of offense category.

    abstract::A step-wise discriminant function analysis identified demographic, personality, and intellectual variables that differentiate categories of felony offenders. Male inmates (N = 766) were categorized according to their most recent offense (Person, Property, Drug, or Indecent Liberties). Each completed the 16PF and the M...

    journal_title:Journal of clinical psychology

    pub_type: 杂志文章

    doi:10.1002/1097-4679(199011)46:6<906::aid-jclp2270460

    authors: Tammany JM,Evans RG,Barnett RW

    更新日期:1990-11-01 00:00:00

  • Nonverbal behavior and client state changes during psychotherapy.

    abstract::In an intensive videotape analysis of 10 psychotherapy sessions, the body positions and gesticulation patterns of the client were examined in relation to changes in her verbal behavior. Verbal ratings were obtained on the Experiencing Scale (Klein, Mathieu, Gendlin, & Kiesler, 1970), and nonverbal ratings were obtaine...

    journal_title:Journal of clinical psychology

    pub_type: 杂志文章

    doi:10.1002/1097-4679(199005)46:3<340::aid-jclp2270460

    authors: Davis M,Hadiks D

    更新日期:1990-05-01 00:00:00

  • Distorted body image in normal college women: possible implications for the development of anorexia nervosa.

    abstract::College women (N = 100) who averaged about 18 years of age were asked to rate the size of their bodies after looking in a mirror, and these ratings were compared to their actual body sizes. Women whose personality characteristics more closely resembled those proposed as basic to anorexic development in Slade's model w...

    journal_title:Journal of clinical psychology

    pub_type: 杂志文章

    doi:10.1002/1097-4679(199007)46:4<398::aid-jclp2270460

    authors: Heilbrun AB Jr,Friedberg L

    更新日期:1990-07-01 00:00:00

  • MMPL-differences between fee-paying and non-fee-paying psychotherapy clients.

    abstract::Compared the MMPI profiles of 23 randomly selected fee-paying clients (FP group) of an out-patient psychiatry clinic to those of 23 clients who left unpaid bills (NFP group). All Ss had been terminated at least 2 months. No differences between groups were found on age, education, income, fee level, number of therapy s...

    journal_title:Journal of clinical psychology

    pub_type: 杂志文章

    doi:10.1002/1097-4679(197810)34:4<953::aid-jclp2270340

    authors: Brown JB,Dunbar PW

    更新日期:1978-10-01 00:00:00

  • Clinical versus statistical prediction: the contribution of Paul E. Meehl.

    abstract::The background of Paul E. Meehl's work on clinical versus statistical prediction is reviewed, with detailed analyses of his arguments. Meehl's four main contributions were the following: (a) he put the question, of whether clinical or statistical combinations of psychological data yielded better predictions, at center...

    journal_title:Journal of clinical psychology

    pub_type: 传,历史文章,杂志文章

    doi:10.1002/jclp.20179

    authors: Grove WM

    更新日期:2005-10-01 00:00:00

  • This is what I need a clinical feedback system to do for me: A qualitative inquiry into perspectives of adolescents and their therapists.

    abstract:OBJECTIVE:Routine outcome monitoring and clinical feedback systems might be beneficial for adolescent psychotherapy processes. METHODS:Clinicians (n = 34) and adolescent clients (n = 22) aged 14-19 from seven different outpatient clinics located in Norway participated in the study. Adolescents were interviewed in indi...

    journal_title:Journal of clinical psychology

    pub_type: 杂志文章

    doi:10.1002/jclp.23100

    authors: Lavik KO,Veseth M,Frøysa H,Stefansen J,Nøtnes JC,Moltu C

    更新日期:2020-12-15 00:00:00

  • Lexical differences between working and resistance sessions in psychoanalysis.

    abstract::Divided 25 psychoanalytic sessions with a single patient into 10 working sessions, 5 neutral sessions, and 10 resistance sessions on the basis of ratings by psychoanalysts. Using the Regressive Imagery Dictionary on keypunched transcripts of these sessions, significantly more primary process content and less secondary...

    journal_title:Journal of clinical psychology

    pub_type: 杂志文章

    doi:10.1002/1097-4679(198405)40:3<733::aid-jclp2270400

    authors: Reynes R,Martindale C,Dahl H

    更新日期:1984-05-01 00:00:00

  • Codetype base rates for the "I Mean Business" suicide items on the MMPI-2.

    abstract::This study focused on the frequency with which two MMPI-2 suicide items (506 and 520) were endorsed. These two items can be referred to as the "I Mean Business" items, for there is no denying that the client is reporting the recent contemplation of actively taking his or her life. A large sample (N = 23,646) of well-d...

    journal_title:Journal of clinical psychology

    pub_type: 杂志文章

    doi:10.1002/(sici)1097-4679(199909)55:9<1167::aid-jclp

    authors: Sepaher I,Bongar B,Greene RL

    更新日期:1999-09-01 00:00:00

  • MMPI-168 profiles of male narcotic addicts by ethnic group and city.

    abstract::MMPI-168 profiles were obtained on 225 male narcotic addicts who were attending methadone maintenance clinics in Baltimore and New York City during 1983 and 1984. Data were collected on Black and White (Anglo, other than Hispanic) addicts in Baltimore and on Black, Hispanic, and White addicts in New York City. In gene...

    journal_title:Journal of clinical psychology

    pub_type: 杂志文章

    doi:10.1002/1097-4679(198803)44:2<292::aid-jclp2270440

    authors: Shaffer JW,Nurco DN,Hanlon TE,Kinlock TW,Duszynski KR,Stephenson P

    更新日期:1988-03-01 00:00:00

  • The psychometric structure of the Wechsler Memory Scale in comparison to the WAIS-R in a low-IQ clinical population.

    abstract::The psychometric structure of the Wechsler Memory Scale (WMS) and its relationship to the revised Wechsler Adult Intelligence Scale (WAIS-R) were studied in an outpatient population of 103 individuals with low Full Scale IQ scores (M = 71). We found that the age correction of the WMS scores gave memory quotients (WMQ)...

    journal_title:Journal of clinical psychology

    pub_type: 杂志文章

    doi:10.1002/1097-4679(198807)44:4<549::aid-jclp2270440

    authors: Oresick RJ,Broder SN

    更新日期:1988-07-01 00:00:00

  • Autism--assessment and placement under The Education for All Handicapped Children Act: a case history.

    abstract::Over the years, various clinicians diagnosed a school-aged child as mentally retarded, mentally retarded with autistic-like features, or autistic. A school district sought to place the child locally in a school for mentally retarded children, while the child's parents desired replacement in a residential school that s...

    journal_title:Journal of clinical psychology

    pub_type: 杂志文章

    doi:10.1002/1097-4679(198505)41:3<440::aid-jclp2270410

    authors: Blau GL

    更新日期:1985-05-01 00:00:00

  • Clients' assessment of the affective environment of the psychotherapy session: relationship to session quality and treatment effectiveness.

    abstract::This study investigated clients' affective experience during therapy. Clients (N= 268) completed Therapy Session Reports (TSR) in an early session of treatment. The two sections of the TSR that assess how the client felt and how the client perceived the therapist to be feeling were combined and factor analyzed. Six st...

    journal_title:Journal of clinical psychology

    pub_type: 杂志文章

    doi:10.1002/(sici)1097-4679(199905)55:5<597::aid-jclp7

    authors: Saunders SM

    更新日期:1999-05-01 00:00:00