Brown, Lily A., Davies, Carolyn D., Gerlach, Alexander L. ORCID: 0000-0001-6794-5349, Cooper, Ruth, Stevens, Stephan and Craske, Michelle G. (2018). Linguistic processing and Script-Driven Imagery for trauma exposure: A proof of concept pilot trial. J. Anxiety Disord., 57. S. 16 - 24. OXFORD: PERGAMON-ELSEVIER SCIENCE LTD. ISSN 1873-7897

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Abstract

While several empirically supported treatments for posttraumatic stress disorder (PTSD) have been developed, these treatments are neither widely available nor universally efficacious. This pilot, proof of concept study evaluated a computerized imaginal exposure Script-Driven Imagery Training (SDI-T) for individuals with elevated trauma reactivity. The training was supplemented with two forms of linguistic processing, affect labeling (SDI-T + AL) and distraction (SDI-T + D), to determine whether linguistic inhibitory regulation augmented the effects of SDI-T. Methods: Participants (n = 64) with trauma-related distress were randomized to SDI-T, SDI-T + AL, or SDI T + D. Physiology and self-reported trauma distress were measured at pre- and post-training. Results: The training was acceptable to participants and effective at reducing self -reported distress (d = -0.41), and physiological activation from pre- to post-training (d = -0.49, ps < .01), with some evidence that linguistic processing (SDI-T + AL and SDIT-T + D) conferred a benefit over SDI-T. The linguistic processing groups had significantly steeper reduction in physiology relative to the non-linguistic processing group (p < .05, d = 0.59). There was no benefit of SDI-T + AL over SDI-T + D. Conclusions: This pilot study provides initial support for the acceptability and efficacy of computerized imaginal exposure training for PTSD. Clinical implications and future directions are discussed.

Item Type: Journal Article
Creators:
CreatorsEmailORCIDORCID Put Code
Brown, Lily A.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Davies, Carolyn D.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Gerlach, Alexander L.UNSPECIFIEDorcid.org/0000-0001-6794-5349UNSPECIFIED
Cooper, RuthUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Stevens, StephanUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Craske, Michelle G.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
URN: urn:nbn:de:hbz:38-183426
DOI: 10.1016/j.janxdis.2018.05.010
Journal or Publication Title: J. Anxiety Disord.
Volume: 57
Page Range: S. 16 - 24
Date: 2018
Publisher: PERGAMON-ELSEVIER SCIENCE LTD
Place of Publication: OXFORD
ISSN: 1873-7897
Language: English
Faculty: Faculty of Human Sciences
Divisions: Faculty of Human Sciences > Department Psychologie
Subjects: Psychology
Uncontrolled Keywords:
KeywordsLanguage
POSTTRAUMATIC-STRESS-DISORDER; COGNITIVE-BEHAVIORAL THERAPY; PTSD CHECKLIST; PSYCHOLOGICAL TREATMENTS; ANXIETY DISORDERS; VETERANS; FEELINGS; AMYGDALA; WORDS; METAANALYSISMultiple languages
Psychology, Clinical; PsychiatryMultiple languages
Refereed: Yes
URI: http://kups.ub.uni-koeln.de/id/eprint/18342

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