Effects of additional prolonged exposure to psychoeducation and relaxation in acute stress disorder

Journal of Anxiety Disorders
Claudia FreythGudrun Sartory

Abstract

We investigated the effect of prolonged exposure (PE) on the heart rate (HR) and skin conductance response to trauma-related stimuli in acute stress disorder (ASD). Forty recent trauma victims with ASD were randomly assigned to three sessions of either PE or supportive counseling (SC) with both groups also receiving psychoeducation and progressive relaxation. Assessments were carried out before and after treatment and again after 3 months. Four years later, patients were asked by telephone whether they had received further treatment. There were no significant group differences with regard to symptomatic improvement at the end of treatment. Both groups showed initial cardiac acceleration to trauma-related pictures. After treatment the PE group showed attenuation of the HR response and a reduction in spontaneous fluctuations (SF) whereas the SC group showed a decelerative (orienting) response and a marginal increase in SF. Following SC, 43% received further treatment compared to 9% after PE.

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Citations

Oct 1, 2013·Behaviour Research and Therapy·Sören Kliem, Christoph Kröger
Jul 30, 2016·Community Mental Health Journal·Badari BirurLori L Davis
Aug 20, 2019·The Cochrane Database of Systematic Reviews·Neil P RobertsJonathan I Bisson
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Dec 20, 2019·European Journal of Psychotraumatology·Neil P RobertsJonathan I Bisson
Apr 16, 2021·Clinical Psychology Review·Jonathan I BissonNeil P Roberts

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