Evidence map›Paper›PMID 37806143›Full record

ArticleBehaviour research and therapy2023

Changes in cognitive processes and coping strategies precede changes in symptoms during cognitive therapy for posttraumatic stress disorder.

Milan Wiedemann, Magdalena Janecka, Jennifer Wild, Emma Warnock-Parkes, Richard Stott, Nick Grey, David M Clark, Anke Ehlers

Abstract read
In one paragraph

Article in Behaviour research and therapy, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Milan WiedemannUniversity of Oxford, Oxford, UK; Oxford Health NHS Foundation Trust, Oxford, UK. Electronic address: milan.wiedemann@phc.ox.ac.uk.
Magdalena JaneckaUniversity of Oxford, Oxford, UK; Icahn School of Medicine at Mount Sinai, Department of Psychiatry, New York, USA.
Jennifer WildUniversity of Oxford, Oxford, UK; Oxford Health NHS Foundation Trust, Oxford, UK.
Emma Warnock-ParkesUniversity of Oxford, Oxford, UK; Oxford Health NHS Foundation Trust, Oxford, UK; King's College London, London, UK.
Richard StottKing's College London, London, UK; South London and Maudsley NHS Foundation Trust, London, UK.
Nick GreySouth London and Maudsley NHS Foundation Trust, London, UK; Sussex Partnership NHS Foundation Trust, Worthing, UK.
David M ClarkUniversity of Oxford, Oxford, UK; Oxford Health NHS Foundation Trust, Oxford, UK.
Anke EhlersUniversity of Oxford, Oxford, UK; Oxford Health NHS Foundation Trust, Oxford, UK; King's College London, London, UK. Electronic address: anke.ehlers@psy.ox.ac.uk.

Funding

Department of Health NIHR203316Wellcome Trust 069777Wellcome Trust 200796Wellcome Trust 200796/Z/16/Z
6 · The paper itself

Abstract

Theories of posttraumatic stress disorder (PTSD) highlight the role of cognitive and behavioral factors in its development, maintenance, and treatment. This study investigated the relationship between changes in factors specified in Ehlers and Clark's (2000) model of PTSD and PTSD symptom change in 217 patients with PTSD who were treated with cognitive therapy for PTSD (CT-PTSD) in routine clinical care. Bivariate latent change score models (LCSM) of session-by-session changes in self-report measures showed that changes in PTSD symptoms were preceded by changes in negative appraisals, flashback characteristics of unwanted memories, safety behaviours, and unhelpful responses to intrusions, but not vice versa. For changes in trauma memory disorganization and PTSD symptoms we found a bidirectional association. This study provides evidence that cognitive and behavioral processes proposed in theoretical models of PTSD play a key role in driving symptom improvement during CT-PTSD.

Indexed as

Cognitive Behavioral TherapyStress Disorders, Post-TraumaticAdaptation, PsychologicalCognitionHumansSelf ReportAppraisalsChange processesCognitive therapyCopingMemoryPTSDStructural equation model

Identifiers

PMID37806143
PMCPMC10933802

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.