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Cognitive Behaviour Therapy Volume 53, 2024 - Issue 4
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Research Article

Impact of three variants of prolonged exposure therapy on comorbid diagnoses in patients with childhood abuse-related PTSD

Chris M. Hoeboera Department of Clinical Psychology, Leiden University, Leiden, The Netherlands;b Department of Psychiatry, Amsterdam UMC location University of Amsterdam, Amsterdam, The NetherlandsCorrespondence[email protected]
ORCID Iconhttps://orcid.org/0000-0002-5991-1963View further author information
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Marie-Louise J. Kullberga Department of Clinical Psychology, Leiden University, Leiden, The NetherlandsORCID Iconhttps://orcid.org/0000-0003-0660-5505View further author information
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Danielle A.C. Oprela Department of Clinical Psychology, Leiden University, Leiden, The Netherlands;c PsyQ, Parnassia Groep, The Hague, The NetherlandsORCID Iconhttps://orcid.org/0000-0002-0832-0581View further author information
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Maartje Schoorla Department of Clinical Psychology, Leiden University, Leiden, The NetherlandsORCID Iconhttps://orcid.org/0000-0002-6468-3934View further author information
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Agnes van Minnend PSYTREC, Bilthoven, The Netherlands;e Behavioural Science Institute, Radboud University, Nijmegen, The NetherlandsORCID Iconhttps://orcid.org/0000-0002-3099-8444View further author information
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Niki Antypaa Department of Clinical Psychology, Leiden University, Leiden, The NetherlandsORCID Iconhttps://orcid.org/0000-0001-9343-8842View further author information
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Joanne Mouthaana Department of Clinical Psychology, Leiden University, Leiden, The NetherlandsORCID Iconhttps://orcid.org/0000-0003-2491-7457View further author information
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Rianne A. de Kleinea Department of Clinical Psychology, Leiden University, Leiden, The Netherlands;c PsyQ, Parnassia Groep, The Hague, The NetherlandsORCID Iconhttps://orcid.org/0000-0002-1040-5517View further author information
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Willem van der Doesa Department of Clinical Psychology, Leiden University, Leiden, The Netherlands;c PsyQ, Parnassia Groep, The Hague, The NetherlandsORCID Iconhttps://orcid.org/0000-0002-9753-2454View further author information
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Pages 377-393 | Received 03 Aug 2023, Accepted 24 Jan 2024, Published online: 27 Feb 2024

References

  • Aderka, I. M., Gillihan, S. J., McLean, C. P., & Foa, E. B. (2013). The relationship between posttraumatic and depressive symptoms during prolonged exposure with and without cognitive restructuring for the treatment of posttraumatic stress disorder. Journal of Consulting and Clinical Psychology, 81(3), 375–382. https://doi.org/10.1037/a0031523
  • Alloy, L. B., Kelly, K. A., Mineka, S., & Clements, C. M. (1990). Comorbidity of anxiety and depressive disorders: A helplessness-hopelessness perspective. In J. D. Maser & C. R. Cloninger (Eds.), Comorbidity of mood and anxiety disorders (pp. 499–543). American Psychiatric Association.
  • Althubaiti, A. (2016). Information bias in health research: Definition, pitfalls, and adjustment methods. Journal of Multidisciplinary Healthcare 9, 211–217. https://doi.org/10.2147/JMDH.S104807
  • Back, S. E., Waldrop, A. E., Brady, K. T., & Hien, D. (2006). Evidenced-based time-limited treatment of co-occurring substance-use disorders and civilian-related posttraumatic stress disorder. Brief Treatment and Crisis Intervention, 6(4), 283.
  • Badour, C. L., Bown, S., Adams, T. G., Bunaciu, L., & Feldner, M. T. (2012). Specificity of fear and disgust experienced during traumatic interpersonal victimization in predicting posttraumatic stress and contamination-based obsessive-compulsive symptoms. Journal of Anxiety Disorders, 26(5), 590–598. https://doi.org/10.1016/j.janxdis.2012.03.001
  • Bates, D., Mächler, M., Bolker, B., & Walker, S. (2014). Fitting linear mixed-effects models using lme4. http://arxiv.org/abs/1406.5823
  • Becker, C. B., Zayfert, C., & Anderson, E. (2004). A survey of psychologists’ attitudes towards and utilization of exposure therapy for PTSD. Behaviour Research and Therapy, 42(3), 277–292. https://doi.org/10.1016/S0005-7967(03)00138-4
  • Benjamini, Y. (2010). Discovering the false discovery rate. Journal of the Royal Statistical Society: Series B (Statistical Methodology), 72(4), 405–416. https://doi.org/10.1111/j.1467-9868.2010.00746.x
  • Borah, E. V., Wright, E. C., Donahue, D. A., Cedillos, E. M., Riggs, D. S., Isler, W. C., & Peterson, A. L. (2013). Implementation outcomes of military provider training in cognitive processing therapy and prolonged exposure therapy for post-traumatic stress disorder. Military Medicine, 178(9), 939–944. https://doi.org/10.7205/MILMED-D-13-00072
  • Braakman, M. H., Kortmann, F. A. M., & Van Den Brink, W. (2009). Validity of ‘post-traumatic stress disorder with secondary psychotic features’: A review of the evidence. Acta psychiatrica Scandinavica, 119, 15–24. https://doi.org/10.1111/j.1600-0447.2008.01252.x
  • Brand, R. M., McEnery, C., Rossell, S., Bendall, S., & Thomas, N. (2018). Do trauma-focussed psychological interventions have an effect on psychotic symptoms? A systematic review and meta-analysis. Schizophrenia Research, 195, 13–22. https://doi.org/10.1016/J.SCHRES.2017.08.037
  • Breslau, N., Davis, G. C., & Schultz, L. R. (2003). Posttraumatic stress disorder and the incidence of nicotine, alcohol, and other drug disorders in persons who have experienced trauma. Archives of General Psychiatry, 60(3), 289–294. https://doi.org/10.1001/archpsyc.60.3.289
  • Brewerton, T. D. (2007). Eating disorders, trauma, and comorbidity: Focus on PTSD. Eating Disorders, 15(4), 285–304. https://doi.org/10.1080/10640260701454311
  • Card, P. (2017). VA/DoD clinical practice guideline for the management of posttraumatic stress disorder and acute stress disorder. FOCUS, 16, 430–448.
  • Cloitre, M., Koenen, K. C., Cohen, L. R., & Han, H. (2002). Skills training in affective and interpersonal regulation followed by exposure: A phase-based treatment for PTSD related to childhood abuse. Journal of Consulting and Clinical Psychology, 70(5), 1067–1074. https://doi.org/10.1037/0022-006X.70.5.1067
  • Cloitre, M., Shevlin, M., Brewin, C. R., Bisson, J. I., Roberts, N. P., Maercker, A., Karatzias, T., & Hyland, P. (2018). The international trauma questionnaire: Development of a self-report measure of ICD-11 PTSD and complex PTSD. Acta Psychiatrica Scandinavica, 138(6), 536–546. https://doi.org/10.1111/acps.12956
  • de Bont, P. A. J. M., van den Berg, D. P. G., van der Vleugel, B. M., de Roos, C., de Jongh, A., van der Gaag, M., & van Minnen, A. M. (2016). Prolonged exposure and EMDR for PTSD v. A PTSD waiting-list condition: Effects on symptoms of psychosis, depression and social functioning in patients with chronic psychotic disorders. Psychological Medicine, 46(11), 2411–2421. https://doi.org/10.1017/S0033291716001094
  • De Jongh, A., Groenland, G. N., Sanches, S., Bongaerts, H., Voorendonk, E. M., & Van Minnen, A. (2020). The impact of brief intensive trauma-focused treatment for PTSD on symptoms of borderline personality disorder. European Journal of Psychotraumatology, 11(1), 1721142. https://doi.org/10.1080/20008198.2020.1721142
  • Engelhard, I. M., Arntz, A., & Van den Hout, M. A. (2007). Low specificity of symptoms on the post‐traumatic stress disorder (PTSD) symptom scale: A comparison of individuals with PTSD, individuals with other anxiety disorders and individuals without psychopathology. British Journal of Clinical Psychology, 46(4), 449–456. https://doi.org/10.1348/014466507X206883
  • Ferrell, E. L., Russin, S. E., & Flint, D. D. (2022). Prevalence estimates of comorbid eating disorders and posttraumatic stress disorder: A quantitative synthesis. Journal of Aggression, Maltreatment, & Trauma, 31(2), 264–282. https://doi.org/10.1080/10926771.2020.1832168
  • Foa, E. B., Hembree, E., & Rothbaum, B. (2007). Prolonged exposure therapy for PTSD: Therapist guide. Oxford University Press. https://doi.org/10.1093/med:psych/9780195308501.001.0001
  • Franklin, C. L., & Raines, A. M. (2019). The overlap between OCD and PTSD: Examining self-reported symptom differentiation. Psychiatry Research, 280, 112508. https://doi.org/10.1016/j.psychres.2019.112508
  • Friborg, O., Martinussen, M., Kaiser, S., Øvergård, K. T., & Rosenvinge, J. H. (2013). Comorbidity of personality disorders in anxiety disorders: A meta-analysis of 30 years of research. Journal of Affective Disorders, 145(2), 143–155. https://doi.org/10.1016/j.jad.2012.07.004
  • Gallagher, M. W., & Resick, P. A. (2012). Mechanisms of change in cognitive processing therapy and prolonged exposure therapy for PTSD: Preliminary evidence for the differential effects of hopelessness and habituation. Cognitive Therapy and Research, 36(6), 750–755. https://doi.org/10.1007/s10608-011-9423-6
  • Gershuny, B. S., Baer, L., Parker, H., Gentes, E. L., Infield, A. L., & Jenike, M. A. (2008). Trauma and posttraumatic stress disorder in treatment-resistant obsessive-compulsive disorder. Depression & Anxiety, 25(1), 69–71. https://doi.org/10.1002/da.20284
  • Hamblen, J. L., Norman, S. B., Sonis, J. H., Phelps, A. J., Bisson, J. I., Nunes, V. D., Megnin-Viggars, O., Forbes, D., Riggs, D. S., & Schnurr, P. P. (2019). A guide to guidelines for the treatment of posttraumatic stress disorder in adults: An update. Psychotherapy Theory, Research, Practice, Training, 56(3), 359–373. https://doi.org/10.1037/pst0000231
  • Hien, D. A., Jiang, H., Campbell, A. N., Hu, M. C., Miele, G. M., Cohen, L. R., Brigham, G. S., Capstick, C., Kulaga, A., Robinson, J., Suarez-Morales, L., & Nunes, E. V. (2010). Do treatment improvements in PTSD severity affect substance use outcomes? A secondary analysis from a randomized clinical trial in NIDA’s clinical trials network. The American Journal of Psychiatry, 167(1), 95–101. https://doi.org/10.1176/appi.ajp.2009.09091261
  • Hoeboer, C. M., de Kleine, R. A., Oprel, D. A. C., Schoorl, M., van der Does, W., & van Minnen, A. (2021). Does complex PTSD predict or moderate treatment outcomes of three variants of exposure therapy? Journal of Anxiety Disorders, 80. https://doi.org/10.1016/j.janxdis.2021.102388
  • Kessler, R. C., Sonnega, A., Bromet, E., Hughes, M., & Nelson, C. B. (1995). Posttraumatic stress disorder in the national comorbidity survey. Archives of General Psychiatry, 52(12), 1048–1060. https://doi.org/10.1001/archpsyc.1995.03950240066012
  • Knutsen, M. L., Czajkowski, N. O., & Ormhaug, S. M. (2018). Changes in posttraumatic stress symptoms, cognitions, and depression during treatment of traumatized youthFitting linear mixed-effects models using lme4. Behaviour Research and Therapy, 111, 119–126. https://doi.org/10.1016/J.BRAT.2018.10.010ggfg
  • Kolthof, K. A., Voorendonk, E. M., Van Minnen, A., & De Jongh, A. (2022). Effects of intensive trauma-focused treatment of individuals with both post-traumatic stress disorder and borderline personality disorder. European Journal of Psychotraumatology, 13(2), 2143076. https://doi.org/10.1080/20008066.2022.2143076
  • Larsen, S. E., Bellmore, A., Gobin, R. L., Holens, P., Lawrence, K. A., & Pacella LaBarbara, M. L. (2019). An initial review of residual symptoms after empirically supported trauma-focused cognitive behavioral psychological treatment. Journal of Anxiety Disorders, 63, 26–35. https://doi.org/10.1016/j.janxdis.2019.01.008
  • Levitt, J. T., & Cloitre, M. (2005). A clinician’s guide to STAIR/MPE: Treatment for PTSD related to childhood abuse. Cognitive and Behavioral Practice, 12(1), 40–52. https://doi.org/10.1016/S1077-7229(05)80038-0
  • Lincoln, T. M., Jung, E., Wiesjahn, M., & Schlier, B. (2016). What is the minimal dose of cognitive behavior therapy for psychosis? An approximation using repeated assessments over 45 sessions. European Psychiatry, 38, 31–39. https://doi.org/10.1016/j.eurpsy.2016.05.004
  • Loas, G. (1996). Vulnerability to depression: A model centered on anhedonia. Journal of Affective Disorders, 41(1), 39–53. https://doi.org/10.1016/0165-0327(96)00065-1
  • Lockwood, E., & Forbes, D. (2014). Posttraumatic stress disorder and comorbidity: Untangling the Gordian knot. Psychological Injury and Law, 7(2), 108–121. https://doi.org/10.1007/s12207-014-9189-8
  • Martin, A., Naunton, M., Kosari, S., Peterson, G., Thomas, J., & Christenson, J. K. (2021). Treatment guidelines for PTSD: A systematic review. Journal of Clinical Medicine, 10(18), 4175. https://doi.org/10.3390/jcm10184175
  • Mavranezouli, I., Megnin-Viggars, O., Daly, C., Dias, S., Welton, N. J., Stockton, S., Bhutani, G., Grey, N., Leach, J., Greenberg, N., Katona, C., El-Leithy, S., & Pilling, S. (2020). Psychological treatments for post-traumatic stress disorder in adults: A network meta-analysis. Psychological Medicine, 50(4), 542–555. https://doi.org/10.1017/S0033291720000070
  • McLean, C. P., & Foa, E. B. (2013). Dissemination and implementation of prolonged exposure therapy for posttraumatic stress disorder. Journal of Anxiety Disorders, 27(8), 788–792. https://doi.org/10.1016/j.janxdis.2013.03.004
  • McLean, C. P., Su, Y.-J., Carpenter, J. K., & Foa, E. B. (2017). Changes in PTSD and depression during prolonged exposure and client-centered therapy for PTSD in adolescents. Journal of Clinical Child & Adolescent Psychology, 46(4), 500–510. https://doi.org/10.1080/15374416.2015.1012722
  • Murphy, R., Straebler, S., Cooper, Z., & Fairburn, C. G. (2010). Cognitive behavioral therapy for eating disorders. Psychiatric Clinics of North America, 33(3), 611–627. https://doi.org/10.1016/j.psc.2010.04.004
  • Nacasch, N., Fostick, L., & Zohar, J. (2011). High prevalence of obsessive–compulsive disorder among posttraumatic stress disorder patients. European Neuropsychopharmacology, 21(12), 876–879. https://doi.org/10.1016/J.EURONEURO.2011.03.007
  • Norman, S. B., Trim, R., Haller, M., Davis, B. C., Myers, U. S., Colvonen, P. J., Mayes, T., Blanes, E., Lyons, R., Siegel, E. Y., Angkaw, A. C., Norman, G. J., & Mayes, T. (2019). Efficacy of integrated exposure therapy vs integrated coping skills therapy for comorbid posttraumatic stress disorder and alcohol use disorder: A randomized clinical trial. JAMA Psychiatry, 76(8), 791–799. https://doi.org/10.1001/jamapsychiatry.2019.0638
  • Oprel, D. A. C., Hoeboer, C. M., Schoorl, M., De Kleine, R. A., Wigard, I. G., Cloitre, M., Van Minnen, A., & Van der Does, W. (2018). Improving treatment for patients with childhood abuse related posttraumatic stress disorder (IMPACT study): Protocol for a multicenter randomized trial comparing prolonged exposure with intensified prolonged exposure and phase-based treatment. BMC Psychiatry, 18(1), 385. https://doi.org/10.1186/s12888-018-1967-5
  • Oprel, D. A. C., Hoeboer, C. M., Schoorl, M., Kleine, R. A. D., Cloitre, M., Wigard, I. G., van Minnen, A., & van der Does, W. (2021). Effect of prolonged exposure, intensified prolonged exposure and STAIR+Prolonged exposure in patients with PTSD related to childhood abuse: A randomized controlled trial. European Journal of Psychotraumatology, 12(1). https://doi.org/10.1080/20008198.2020.1851511
  • Pietrzak, R. H., Goldstein, R. B., Southwick, S. M., & Grant, B. F. (2011). Prevalence and Axis I comorbidity of full and partial posttraumatic stress disorder in the United States: Results from wave 2 of the national epidemiologic survey on alcohol and related conditions. Journal of Anxiety Disorders, 25(3), 456–465. https://doi.org/10.1016/J.JANXDIS.2010.11.010
  • Sheehan, D. V., Lecrubier, Y., Sheehan, K. H., Amorim, P., Janavs, J., Weiller, E., Hergueta, T., Baker, R., & Dunbar, G. C. (1998). The Mini-International Neuropsychiatric Interview (M.I.N.I.): The development and validation of a structured diagnostic psychiatric interview for DSM-IV and ICD-10. Journal of Clinical Psychiatry, 59(SUPPL. 20), 22–33. https://www.psychiatrist.com/wp-content/uploads/2021/02/15175_mini-international-neuropsychiatric-interview-mini.pdf
  • Simpson, T. L., Goldberg, S. B., Louden, D. K. N., Blakey, S. M., Hawn, S. E., Lott, A., Browne, K. C., Lehavot, K., & Kaysen, D. (2021). Efficacy and acceptability of interventions for co-occurring PTSD and SUD: A meta-analysis. Journal of Anxiety Disorders, 84, 102490. https://doi.org/10.1016/J.JANXDIS.2021.102490
  • Snoek, A., Nederstigt, J., Ciharova, M., Sijbrandij, M., Lok, A., Cuijpers, P., & Thomaes, K. (2021). Impact of comorbid personality disorders on psychotherapy for post-traumatic stress disorder: Systematic review and meta-analysis. European Journal of Psychotraumatology, 12(1). https://doi.org/10.1080/20008198.2021.1929753
  • Steuwe, C., Rullkötter, N., Ertl, V., Berg, M., Neuner, F., Beblo, T., & Driessen, M. (2016). Effectiveness and feasibility of narrative exposure therapy (NET) in patients with borderline personality disorder and posttraumatic stress disorder – a pilot study. BMC Psychiatry, 16(1), 1–11. https://doi.org/10.1186/s12888-016-0969-4
  • Team, R. C. (2019). R: A language and environment for statistical computing (Version 3.6 1)[Software package]. R Foundation for Statistical Computing. Retrieved from https://www.r-project.org/
  • Trottier, K., Monson, C. M., Wonderlich, S. A., & Crosby, R. D. (2022). Results of the first randomized controlled trial of integrated cognitive-behavioral therapy for eating disorders and posttraumatic stress disorder. Psychological Medicine, 52(3), 587–596. https://doi.org/10.1017/S0033291721004967
  • Trottier, K., Monson, C. M., Wonderlich, S. A., MacDonald, D. E., & Olmsted, M. P. (2017). Frontline clinicians’ perspectives on and utilization of trauma-focused therapy with individuals with eating disorders. Eating Disorders, 25(1), 22–36. https://doi.org/10.1080/10640266.2016.1207456
  • van den Berg, D., de Bont, P. A. J. M., van der Vleugel, B. M., de Roos, C., de Jongh, A., van Minnen, A., & van der Gaag, M. (2018). Long-term outcomes of trauma-focused treatment in psychosis. The British Journal of Psychiatry, 212(3), 180–182. https://doi.org/10.1192/bjp.2017.30
  • van Minnen, A., Hendriks, L., & Olff, M. (2010). When do trauma experts choose exposure therapy for PTSD patients? A controlled study of therapist and patient factors. Behaviour Research and Therapy, 48(4), 312–320. https://doi.org/10.1016/j.brat.2009.12.003
  • van Minnen, A., Zoellner, L. A., Harned, M. S., & Mills, K. (2015). Changes in comorbid conditions after prolonged exposure for PTSD: A literature review. Current Psychiatry Reports, 17(3), 17. https://doi.org/10.1007/s11920-015-0549-1
  • Walter, K. H., Levine, J. A., Highfill McRoy, R. M., Navarro, M., & Thomsen, C. J. (2018). The prevalence of PTSD and psychological comorbidities among U.S. active duty service members, 2006–2013. Journal of Traumatic Stress, 31(6), 837–844. https://doi.org/10.1002/jts.22337
  • Watkins, L. E., Sprang, K. R., & Rothbaum, B. O. (2018). Treating PTSD: A review of evidence-based psychotherapy interventions. Frontiers in behavioral neuroscience, 12, 258. https://doi.org/10.3389/fnbeh.2018.00258
  • Weertman, A., ArntZ, A., Dreessen, L., van Velzen, C., & Vertommen, S. (2003). Short-interval test-retest interrater reliability of the Dutch version of the structured clinical interview for DSM-IV personality disorders (SCID-II). Journal of Personality Disorders, 17(6), 562–567. https://doi.org/10.1521/pedi.17.6.562.25359
  • Zeifman, R. J., Landy, M. S. H., Liebman, R. E., Fitzpatrick, S., & Monson, C. M. (2021). Optimizing treatment for comorbid borderline personality disorder and posttraumatic stress disorder: A systematic review of psychotherapeutic approaches and treatment efficacy. Clinical Psychology Review, 86, 102030. https://doi.org/10.1016/J.CPR.2021.102030

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